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Facility Evaluation Report

JPS Home Care Services, Vallejo04/14/2026Licence 486803977

Capacity6
Census5
Date signed04/14/2026 12:03:12 PM
Name of licensing program analystAnthony Loera
Name of licensing program managerKimberley Mota
The inspector’s account

04/14/2026; LPA arrived to conduct a case management visit and was greeted by caregiver. LPA was notified by staff that Licensee, Evelyn Serrano was out of town in a meeting. LPA was also notified Administrator, Jully Cartel was out on vacation. Assistant Administrator Olivia Pangilinen arrived shortly after.

LPA conducted interviews and was notified by caregiver and Assistant Administrator that resident (R1) had passed away September 11th, 2025. Facility did not report the death of R1 to Community Care Licensing (CCL). (Deficiency Cited)

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Copy of report was provided along with Appeal Rights, LIC809D, and LIC811 (confidential names).

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