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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700297
Report Date: 04/24/2026
Date Signed: 04/24/2026 05:07:44 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/24/2026 05:07 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:F & A HOME CARE, INC.FACILITY NUMBER:
194700297
ADMINISTRATOR/
DIRECTOR:		ORTIZ, ANITAFACILITY TYPE:
300
ADDRESS:10926 RESEDA BLVDTELEPHONE:
(818) 414-0891
CITY:NORTHRIDGESTATE: CAZIP CODE:
91326
CAPACITY: CENSUS: DATE:
04/24/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Anita Ortiz - LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Enforcement Analyst (EA), Ryan Chan, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection, EA met with licensee Anita Ortiz. The proper posting of business hours and license was observed during the virtual tour of the facility.

During the inspection, EA reviewed the Home Care Organization’s (HCO’s) business records including the insurance requirements. Licensee stated she does not have any home care aides and has not had any clients since the COVID pandemic but maintains the HCO license in just in case. Licensee is dual licensed as RCFE. During today’s visit, EA found the HCO was in compliance and no deficiencies were cited.

An exit interview was conducted and a copy of this report was provided to the licensee via email.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2026
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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