Senior Care Records.

Home Care Organization Evaluation Report

Extracare, Northridge06/27/2024Licence 194700581

Date signed06/28/2024 08:25:38 AM
The inspector’s account

On June 27, 2024, Associate Governmental Program Analyst (AGPA) Joshua Rarela with Home Care Services Branch arrived at the Home Care Organization (HCO) listed above. Upon arrival, the

AGPA identified himself and was greeted by licensee named above.

The proper posting of business hours and license were observed. The AGPA was shown to an area

where the review of personnel and administrative files could be performed. Upon completion of the file review, the AGPA discussed the findings of the inspection with the licensee. The AGPA informed the licensee of the deficiency found and explained it would be noted on the HCS809-D.

AGPA provided the licensee a copy of this report, HCS809-D, HCS859, and Appeal Rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction