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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700442
Report Date: 10/24/2025
Date Signed: 10/24/2025 07:07:58 PM

Document Has Been Signed on 10/24/2025 07:07 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:CARENETLAFACILITY NUMBER:
194700442
ADMINISTRATOR/
DIRECTOR:		EDWARD DEVITTFACILITY TYPE:
300
ADDRESS:916 SILVER SPUR RD #107TELEPHONE:
(310) 393-1282
CITY:ROLLING HILLS ESTATESTATE: CAZIP CODE:
90275
CAPACITY: CENSUS: DATE:
10/24/2025
Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Elizabeth EsquivelTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted a Case Management inspection for the purpose of delivering findings regarding an unlicensed Complaint Investigation related to this HCO where it was alleged that this HCO operated without a license.

The complaint investigation, 47-HC-20250917142110, was closed as unfounded.

The EA met with the Home Care Organization (HCO) representative named above and discussed the findings.

A copy of this report and appeal rights were provided to the HCO representative electronically.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2025
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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