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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 124700004
Report Date: 07/16/2026
Date Signed: 07/16/2026 11:17:26 AM

Document Has Been Signed on 07/16/2026 11:17 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:AGAPE HOME CAREFACILITY NUMBER:
124700004
ADMINISTRATOR/
DIRECTOR:		TRENT ZELANICKFACILITY TYPE:
300
ADDRESS:321 W WABASH AVETELEPHONE:
(707) 445-1212
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY: CENSUS: DATE:
07/16/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Amy ZelanickTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Enforcement Analyst (EA) Yolanda Hankerson conducted a Biennial virtual visit and met with the licensee Amy Zelanick. 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.
NAME OF LICENSING PROGRAM ANALYST: Yolanda Hankerson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2026
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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