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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 414700099
Report Date: 07/17/2026
Date Signed: 07/17/2026 02:52:30 PM

Document Has Been Signed on 07/17/2026 02:52 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:HARMONY HOME CARE- NORTH BAY, INCFACILITY NUMBER:
414700099
ADMINISTRATOR/
DIRECTOR:		DOYLE, ELLEENFACILITY TYPE:
300
ADDRESS:295 89TH ST. STE 308TELEPHONE:
(415) 613-5465
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY: CENSUS: DATE:
07/17/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:39 PM
MET WITH:Elleen DoyleTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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Enforcement Analyst (EA) Perez contacted Harmony Home Care, by telephone on 7/17/2026. EA Perez introduced themselves and explained their role with the Home Care Services Branch (HCSB). The purpose of the call was to discuss and schedule the required biennial licensing visit. EA Perez and a representative from the Home Care Organization agreed to conduct the visit virtually on 7/28/2026.

The option of conducting the visit virtually was explained in detail, including the technology requirements, participation expectations, and how all applicable licensing requirements would be met remotely. File review expectations were also discussed, including that all records must be complete, legible, accessible, and available before and during the visit. Attendance requirements and overall licensing expectations were reviewed.

The Licensee confirmed their ability to meet the virtual visit requirements and agreed that a virtual visit was appropriate. The date, time, and format of the visit were confirmed, and the Licensee acknowledged understanding of all expectations and requirements.

Ruben Perez
DATE: 07/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2026
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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