<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 434700149
Report Date: 02/26/2025
Date Signed: 02/26/2025 01:29:05 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/26/2025 01:29 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:FIRSTLIGHT HOME CARE OF SILICON VALLEYFACILITY NUMBER:
434700149
ADMINISTRATOR/
DIRECTOR:		LANDAU, JASON NFACILITY TYPE:
300
ADDRESS:1475 S BASCOM STE 203TELEPHONE:
(650) 460-3817
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY: CENSUS: DATE:
02/26/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Jeffrey Katz TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Home Care Services Bureau (HCSB) analyst, Ramsey Chimienti, arrived at the business office of FirstLight Home Care of Silicon Valley for a biennial inspection on 2/26/25. Upon arrival, the HCSB analyst identified himself and was greeted by Jeffrey Katz. 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 Jeffrey that no discrepancies were found.
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 1