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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700163
Report Date: 03/26/2026
Date Signed: 04/03/2026 01:04:21 PM

Document Has Been Signed on 04/03/2026 01:04 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:ROCKIN' OLDIES II CORP DBA HOME INSTEADFACILITY NUMBER:
194700163
ADMINISTRATOR/
DIRECTOR:		CHITA HENNINGFACILITY TYPE:
300
ADDRESS:5950 CANOGA AVENUE, STE 210TELEPHONE:
(818) 717-0643
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: CENSUS: DATE:
03/26/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Vivialyn Damo - LIcenseeTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA) Ryan Chan spoke to licensee Vivialyn Damo to conduct a telephone pre-inspection interview. The licensee is due for a biennial visit and has agreed to a virtual visit with EA. The virtual visit is scheduled for 4/3/26 at 11:00am via FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/26/2026
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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