Home Care Organization Evaluation Report

On April 8 2025, Home Care Services Bureau (HCSB) Enforcement Analyst (EA), Adrian Mangina arrived at the business office of Memory Lane LLC for a Post Licensing inspection. Upon arrival, Enforcement Analyst was granted entry to the premises by Designee Michelle Cosper. Stephanie Verduzco, Home Care Aide and Administrator was also present. Owner Amy Wombolt arrived a short time later. Analyst Mangina observed the proper posting of business hours and License. The Analyst was provided an area in which the review of personnel and administrative files could be performed. Designee provided Analyst with proof of current professional liability policy, worker's compensation, and dishonesty bond. Ten employee files were reviewed.

Upon completion of the file review the analyst discussed the findings of the inspection with Ms. Wombolt. The Analyst informed the representative named above of the deficiencies found and explained they would be noted on the HCS809-D forms. In addition, the Licensee was provided a copy of the HCS9058 Appeal Rights form.