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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 434700204
Report Date: 03/12/2025
Date Signed: 03/12/2025 03:44:04 PM

Document Has Been Signed on 03/12/2025 03:44 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:EXCEPTIONAL CARE LLCFACILITY NUMBER:
434700204
ADMINISTRATOR/
DIRECTOR:
PATRICK VERMONTFACILITY TYPE:
300
ADDRESS:761 UNIVERSITY AVE, SUITE DTELEPHONE:
(650) 582-3020
CITY:LOS GATOSSTATE: CAZIP CODE:
95032
CAPACITY: CENSUS: DATE:
03/12/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Patrick VermontTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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Home Care Services Bureau (HCSB) analyst, Ramsey Chimienti, arrived at the business office of Exceptional Care, LLC for an initial inspection on 3/12/25. Upon arrival, the HCSB analyst identified himself and was greeted by Patrick Vermont. 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 Patrick that no discrepancies were found.
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
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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