Senior Care Records.

Home Care Organization Evaluation Report

Bayside Respite Care LLC, Lakeside08/26/2025Licence 374700357

Date signed08/26/2025 02:06:07 PM
Name of licensing program analystAdrian L Mangina
The inspector’s account

On August 26, 2025, at 12:00 PM, Enforcement Analyst (EA) Adrian Mangina arrived at the address above to conduct an unannounced post licensing inspection of Bayside Respite Care LLC. Licensee was not present during designated business hours and did not return a call requesting that they return to the Home Care Organization for inspection. EA Mangina previously attempted to conduct this visit on 6/23/25 and Licensee was not present and again did not call back timely. This is the second missed visit during business hours.

Licensee is advised that additional missed visits could result in consequences including revocation of the license.

Deficiencies cited on the attached HCS809-D form and emailed to Licensee along with a copy of the HCS9058 Appeal Rights form.

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