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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700344
Report Date: 04/16/2026
Date Signed: 04/30/2026 01:00:57 PM

Document Has Been Signed on 04/30/2026 01:00 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:HART PLACEMENT AGENCY, INC.FACILITY NUMBER:
194700344
ADMINISTRATOR/
DIRECTOR:		ANNIE GHAWFACILITY TYPE:
300
ADDRESS:21801 ROSCOE BLVD UNIT 149TELEPHONE:
(818) 712-0183
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY: CENSUS: DATE:
04/16/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:Annie Ghaw - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA) Ryan Chan spoke to licensee Annie Ghaw to conduct a telephone pre-inspection interview. The home care organization (HCO) is due for a biennial visit, Ms. Ghaw has agreed to a virtual visit with EA. The virtual visit is scheduled for 4/29/26 at 9:30am via FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2026
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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