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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700180
Report Date: 01/30/2026
Date Signed: 01/30/2026 12:34:23 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/30/2026 12:34 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:LIVHOME, INC. DBA AROSA - LOS ANGELESFACILITY NUMBER:
194700180
ADMINISTRATOR/
DIRECTOR:		CYRIL VERGISFACILITY TYPE:
300
ADDRESS:9696 CULVER BLVD., STE 108TELEPHONE:
(323) 933-5880
CITY:CULVER CITYSTATE: CAZIP CODE:
90232
CAPACITY: CENSUS: DATE:
01/30/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Stacie Ortiz - Area DirectorTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Arosa Los Angeles on 1/30/26 for a biennial inspection, EA met with Area Director Stacie Ortiz. The proper posting of business hours and license was observed. The proof of insurance records were reviewed. EA was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review EA discussed the findings of the inspection with Ms. Ortiz and informed her that no discrepancies were found.

EA Chan concluded the visit with an exit interview and provided a copy of this report to Ms. Ortiz.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2026
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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