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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700112
Report Date: 03/09/2026
Date Signed: 03/09/2026 05:01:06 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/09/2026 05:01 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:1HEART CAREGIVER SERVICESFACILITY NUMBER:
194700112
ADMINISTRATOR/
DIRECTOR:		TAGARAO, KEVINFACILITY TYPE:
300
ADDRESS:16530 VENTURA BLVD STE 500TELEPHONE:
(818) 906-4441
CITY:ENCINOSTATE: CAZIP CODE:
91436
CAPACITY: CENSUS: DATE:
03/09/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Kevin Tagarao, AdministratorTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted a virtual Biennial Inspection of the Home Care Organization (HCO) listed above.

During the inspection, the EA observed the posting of the license and operating business hours. EA reviewed the personnel records for licensee, staff and Home Care Aides. Furthermore, EA reviewed the HCO’s business records including training agenda, abuse reporting incidents, current designee and insurance requirements.

EA found the HCO in compliance and no deficiencies were cited. A copy of this report, staff records review report and appeal rights were provided to the HCO electronically.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2026
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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