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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700393
Report Date: 06/19/2026
Date Signed: 06/24/2026 10:24:46 AM

Document Has Been Signed on 06/24/2026 10:24 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:A PEACEFUL WAY HOME CAREFACILITY NUMBER:
194700393
ADMINISTRATOR/
DIRECTOR:		SUSIE TAPIAFACILITY TYPE:
300
ADDRESS:4000 PALOS VERDES DR N STE.100TELEPHONE:
(310) 377-3776
CITY:ROLLING HILLS ESTATESTATE: CAZIP CODE:
90274
CAPACITY: CENSUS: DATE:
06/19/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Terence McGovern - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA) Ryan Chan spoke to licensee Terence McGovern to conduct a telephone pre-inspection interview. The licensee is due for a biennial visit and has agreed to a virtual visit with EA. The virtual visit is scheduled for 6/26/26 at 1:00pm via FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2026
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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