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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 444700006
Report Date: 02/26/2025
Date Signed: 02/26/2025 04:22:11 PM

Document Has Been Signed on 02/26/2025 04:22 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:SAFE AT HOME SENIOR CARE, INC.FACILITY NUMBER:
444700006
ADMINISTRATOR/
DIRECTOR:		ZEHRUNG, SOMMERFACILITY TYPE:
300
ADDRESS:3335 SOQUEL DR. STE ATELEPHONE:
(831) 462-3500
CITY:SOQUELSTATE: CAZIP CODE:
95073
CAPACITY: CENSUS: DATE:
02/26/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Sommer ZehrungTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Home Care Services Bureau (HCSB) analyst Ramsey Chimienti arrived at the business office of Safe At Home Senior Care, Inc. for a biennial inspection on 2/26/25. Upon arrival, the HCSB analyst identified himself and was greeted by Sommer Zehrung. 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 Sommer and informed the Designee 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)
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