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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700227
Report Date: 03/02/2026
Date Signed: 03/02/2026 05:48:02 PM

Document Has Been Signed on 03/02/2026 05:48 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:BURDETTE-DECOCK, INC., DBA HOME INSTEADFACILITY NUMBER:
194700227
ADMINISTRATOR/
DIRECTOR:		BENEDICT, FARRAHFACILITY TYPE:
300
ADDRESS:3625 DEL AMO BLVD STE 105TELEPHONE:
(310) 542-0563
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY: CENSUS: DATE:
03/02/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:Farrah BenedictTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) corresponded 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 tentatively scheduled for March 9, 2026 at 10AM.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2026
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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