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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700317
Report Date: 04/17/2026
Date Signed: 04/23/2026 08:10:08 PM

Document Has Been Signed on 04/23/2026 08:10 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:CALIFORNIA MEDICAL CAREGIVER SERVICESFACILITY NUMBER:
194700317
ADMINISTRATOR/
DIRECTOR:		IRENE MONSALUDFACILITY TYPE:
300
ADDRESS:6507 WINNETKA AVE.TELEPHONE:
(818) 888-0700
CITY:CANOGA PARKSTATE: CAZIP CODE:
91306
CAPACITY: CENSUS: DATE:
04/17/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Irene Monsalud - DesigneeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA) Ryan Chan spoke to designee Irene Monsalud to conduct a telephone pre-inspection interview. The home care organization (HCO) is due for a biennial visit, designee has agreed to a virtual visit with EA. The virtual visit is scheduled for 4/24/26 at 1:00pm FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2026
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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