<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700154
Report Date: 06/17/2026
Date Signed: 06/18/2026 09:59:14 AM

Document Has Been Signed on 06/18/2026 09:59 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:AMADA SENIOR CAREFACILITY NUMBER:
194700154
ADMINISTRATOR/
DIRECTOR:		PEGUS, CYNDIFACILITY TYPE:
300
ADDRESS:3812 SEPULVEDA BLVD, SUITE 200TELEPHONE:
(310) 200-1899
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: CENSUS: DATE:
06/17/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Sandi GideonTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) communicated with the Home Care Organization (HCO) representative named above regarding a Biennial inspection.

The HCO opted for a Virtual Biennial inspection.

The Biennial inspection is scheduled for June 19, 2026 at 1PM.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 1