Senior Care Records.

Home Care Organization Evaluation Report

Homewell Care Services, San Rafael01/27/2026Licence 214700009

Date signed02/05/2026 01:36:55 PM
Name of licensing program analystYolanda Hankerson
The inspector’s account

Enforcement Analyst (EA) Yolanda Hankerson met with the licensee to conduct an enforcement visit (biennial). During the visit, the licensee provided documentation for caregiver files and license requirements. Upon review, the Home Care Organization (HCO) was missing required training records and current TB clearance documentation in multiple caregiver files. In one instance, TB test results were not maintained in the caregiver file and were only located in an email.

The licensee requested additional time to locate missing documentation, stating that the staff member responsible for records was hospitalized. The EA granted an extension until Friday to submit the outstanding items. As of the follow-up date, the requested documentation had not been fully provided. Some items remained missing, including required training records, and TB tests required needed to be replaced with a doctors visit.

An exit interview was conducted with the licensee. The licensee was advised that the deficiencies would be cited. The licensee was provided copies of the 809, the 809D, and Appeal Rights form (LIC 508).

A follow-up was conducted, and the HCS 9099D was sent. The Department is awaiting the licensee’s signature. Deficiencies remain uncorrected at this time and HCO is working to turn in the missing items

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