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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 014700133
Report Date: 07/22/2026
Date Signed: 07/22/2026 02:29:55 PM

Document Has Been Signed on 07/22/2026 02:29 PM - 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:NESTVY HOME CAREFACILITY NUMBER:
014700133
ADMINISTRATOR/
DIRECTOR:		SHIH, NICOLEFACILITY TYPE:
300
ADDRESS:66 FRANKLIN ST SUITE 300TELEPHONE:
(510) 626-7744
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY: CENSUS: DATE:
07/22/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Nicole ShihTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Enforcement Analyst (EA) Yolanda Hankerson conducted a Biennial virtual visit and met with the licensee Nicole Shih. During the visit, 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 809 Facility Evaluation, 859 Staff Records Review Report, and appeal rights information were provided via email.
Yolanda Hankerson
DATE: 07/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2026
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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