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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700566
Report Date: 07/28/2026
Date Signed: 07/28/2026 01:55:32 PM

Document Has Been Signed on 07/28/2026 01:55 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:AMADA SENIOR CARE SAN FERNANDO VALLEYFACILITY NUMBER:
194700566
ADMINISTRATOR/
DIRECTOR:		MICHELLE HAGINSFACILITY TYPE:
300
ADDRESS:6320 CANOGA AVE # 1500TELEPHONE:
(818) 650-1002
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: CENSUS: DATE:
07/28/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:31 AM
MET WITH:Michelle Hagins, AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) scheduled a Biennial Inspection with the Home Care Organization (HCO) representative named above.

The HCO opted for a Virtual Biennial inspection.

The Biennial inspection is scheduled for July 28, 2026 at 1PM.
Joshua Rarela
DATE: 07/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2026
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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