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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 424700036
Report Date: 07/11/2024
Date Signed: 07/11/2024 05:34:22 PM

Document Has Been Signed on 07/11/2024 05:34 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:HELPING HANDS GROUPFACILITY NUMBER:
424700036
ADMINISTRATOR/
DIRECTOR:		RICK OLDSFACILITY TYPE:
300
ADDRESS:81 DAVID LOVE PL. #105TELEPHONE:
(805) 324-4477
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY: CENSUS: DATE:
07/11/2024
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:40 PM
MET WITH:Xochitl Mendez and Marlee KingTIME VISIT/
INSPECTION COMPLETED:
05:50 PM
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Home Care Services Bureau (HCSB) Analysts, Ryan Chan and Mila Quinto arrived at the business office of Helping Hands Group on 7/11/24 for a post licensing inspection. Upon arrival, analysts were greeted by Xochitl Mendez Care Manager, during the visit Marlee King VP of Business Development arrived. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. The analyst were then shown to an area where the review of personnel and administrative files could be performed. Analysts were unable to complete the visit due to time constraints but will return to complete the inspection.

Analysts Chan and Quinto concluded the visit with an exit interview.

LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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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