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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 414700087
Report Date: 03/06/2025
Date Signed: 03/06/2025 01:38:56 PM

Document Has Been Signed on 03/06/2025 01:38 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:ONE LOVING HEART IN-HOME CAREFACILITY NUMBER:
414700087
ADMINISTRATOR/
DIRECTOR:		COLLINS, MARIAFACILITY TYPE:
300
ADDRESS:1871 CORDILLERAS RDTELEPHONE:
(650) 808-5840
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY: CENSUS: DATE:
03/06/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Maria CollinsTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Home Care Services Bureau (HCSB) analyst, Ruben Perez, arrived at the business office of One Loving Heart In-Home Care for a biennial inspection on 3/6/2025. Upon arrival, the HCSB analyst identified himself and was greeted by Maria Collins. 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 licensee and informed Maria that no discrepancies were found.
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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