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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 414700072
Report Date: 08/06/2025
Date Signed: 08/06/2025 02:43:54 PM

Document Has Been Signed on 08/06/2025 02:43 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:SENIOR HELPERS OF THE PENINSULAFACILITY NUMBER:
414700072
ADMINISTRATOR/
DIRECTOR:		MICHELLE MORGANFACILITY TYPE:
300
ADDRESS:670 WOODSIDE RDTELEPHONE:
(650) 343-6770
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: CENSUS: DATE:
08/06/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Ebone GuitonTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Home Care Services Bureau (HCSB) analyst, Ruben Perez, arrived at the business office of Senior Helpers Of The Peninsula for a biennial inspection on 8/6/2025. Upon arrival, the HCSB analyst identified himself and was greeted by Ebone Guiton. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with the designee and informed Ebone that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Ruben Perez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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