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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700574
Report Date: 07/22/2026
Date Signed: 07/22/2026 11:14:50 PM

Document Has Been Signed on 07/22/2026 11:14 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:FAMILY 360 CAREGIVERS LLCFACILITY NUMBER:
194700574
ADMINISTRATOR/
DIRECTOR:		ANTHONY C ESPIRITUFACILITY TYPE:
300
ADDRESS:9741 RESEDA BLVD, UNIT 46TELEPHONE:
(818) 626-4016
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY: CENSUS: DATE:
07/22/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:Mike EspirituTIME VISIT/
INSPECTION COMPLETED:
04:30 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 23, 2026 at 1PM.
Joshua Rarela
DATE: 07/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2026
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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