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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 014700093
Report Date: 05/27/2026
Date Signed: 06/08/2026 08:28:25 AM

Document Has Been Signed on 06/08/2026 08:28 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:VISITING ANGELSFACILITY NUMBER:
014700093
ADMINISTRATOR/
DIRECTOR:		ADWOA AKWABI-AMEYAWFACILITY TYPE:
300
ADDRESS:39159 PASEO PADRE PKWY #110TELEPHONE:
(510) 789-3354
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: CENSUS: DATE:
05/27/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:AMMA AKWABI-AMEYAWTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Enforcement Analyst (EA) Megan Vigil conducted a virtual visit for the purpose of completing the required biennial visit and met with the Licensee, AMMA AKWABI-AMEYAW.

During the visit, the EA verified the posting of the license, observed the operation of the business, confirmed compliance with insurance requirements, and completed the required personnel file review. All requested documentation was provided and reviewed.

The Home Care Organization (HCO) was found to be in compliance with applicable Health and Safety Code requirements. No deficiencies were cited. An exit interview was conducted, and copies of the 809 Facility Evaluation Report, 859 Staff Records Review Report, and appeal rights information were provided via email.
NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/27/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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