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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 174700001
Report Date: 02/11/2026
Date Signed: 02/11/2026 02:58:51 PM

Document Has Been Signed on 02/11/2026 02:58 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:HOME WITH US, LLCFACILITY NUMBER:
174700001
ADMINISTRATOR/
DIRECTOR:		KIMBERLY BOYDFACILITY TYPE:
300
ADDRESS:923 19TH STREETTELEPHONE:
(707) 349-0971
CITY:LAKEPORTSTATE: CAZIP CODE:
95453
CAPACITY: CENSUS: DATE:
02/11/2026
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Kimberly BoydTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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Home Care Services Bureau (HCSB) analyst, Yolanda Hankerson, arrived at the business office of Home with Us, LLC for a Biennial inspection on 02/11/2026. Upon arrival, the HCSB analyst identified herself and was greeted by Licensee Kimberly Boyd. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with the license and informed her, Kimberly Boyd that no discrepancies were found.

NAME OF LICENSING PROGRAM ANALYST: Yolanda Hankerson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2026
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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