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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700671
Report Date: 07/29/2026
Date Signed: 07/29/2026 02:57:16 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 07/29/2026 02:57 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:KALEIDOSCOPE HOME CAREFACILITY NUMBER:
194700671
ADMINISTRATOR/
DIRECTOR:		MINIVER CHOIFACILITY TYPE:
300
ADDRESS:320 PINE AVE., 410TELEPHONE:
(213) 534-8895
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY: CENSUS: DATE:
07/29/2026
Required - 2 YearANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Miniver Choi - LicenseeTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Enforcement Analyst (EA), Ryan Chan, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection, EA met with licensee Miniver Choi. The proper posting of business hours and license was observed during the virtual tour of the facility.

Licensee currently does not have any clients or home care aides. During the inspection, EA reviewed the Home Care Organization’s (HCO’s) business records including the insurance requirements and found the HCO was in compliance and no deficiencies were cited.

An exit interview was conducted and a copy of this report was provided to the licensee via email.

Ryan Chan
DATE: 07/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2026
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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