Home Care Organization Evaluation Report

On 8/15/25 at 11:30 AM, Enforcement Analyst A(EA) Adrian Mangina made an attempt to perform and unannounced Plan of Correction inspection due to Designee has not provided documents requested by the Department in the attempted Post Licensing inspection conducted on 8/8/25. Designee failed to provide requested documents by the due date 8/13/25. Designee also is never present during nusiness hours and has not responded to numerous phone calls and emails.

Licensee has been advised and is once more reminded that refusal to provide records can result in revocation of the license yet continues to refuse to provide records.

Deficiencies are cited on the attached HCS809-D form. This report along with a copy of the HCS9058 Appeal Rights form was emailed to Licensee in absentia