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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700304
Report Date: 06/24/2026
Date Signed: 06/25/2026 09:07:15 AM

Document Has Been Signed on 06/25/2026 09:07 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:SENIORS IN-HOME CARE SERVICESFACILITY NUMBER:
194700304
ADMINISTRATOR/
DIRECTOR:		TIMOTHY NISBETFACILITY TYPE:
300
ADDRESS:5747 E. DEBORAH ST.TELEPHONE:
(562) 787-8585
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: CENSUS: DATE:
06/24/2026
Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Luzter Nisbet, HCO OwnerTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) communicated 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 scheduled for June 25, 2026 at 1PM.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2026
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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