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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700184
Report Date: 06/20/2025
Date Signed: 06/20/2025 11:05:42 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/20/2025 11:05 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:HOPE INTERNATIONAL HOMECARE, INCFACILITY NUMBER:
194700184
ADMINISTRATOR/
DIRECTOR:		KEIKO KOSHIMOTOFACILITY TYPE:
300
ADDRESS:20705 S. WESTERN AVE, STE 112TELEPHONE:
(310) 782-7979
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: CENSUS: DATE:
06/20/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Soomi Niihara - LIcensee; Keiko Koshimoto - Care Coordinator; Yuki Kobayashi - Care CoordinatorTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Hope International Homecare, Inc on 6/20/25 for a biennial inspection. EA met with licensee Soomi Niihara, Care Coordinator Keiko Koshimoto, and Care Coordinator Yuki Kobayashi. The proper posting of business hours and license was observed. The proof of insurance's record was 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 the licensee and care coordinators and informed them that no discrepancies were found.

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

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2025
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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