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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700682
Report Date: 04/16/2026
Date Signed: 04/17/2026 04:09:58 PM

Document Has Been Signed on 04/17/2026 04:09 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:AMERICAN HEALTH CAREGIVER PROVIDERSFACILITY NUMBER:
194700682
ADMINISTRATOR/
DIRECTOR:		THELMA LLAMAS, ROSALINAFACILITY TYPE:
300
ADDRESS:7800 BALBOA BLVD SPC 29TELEPHONE:
(818) 269-1136
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY: CENSUS: DATE:
04/16/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:30 PM
MET WITH:ROSALINA THELMA LLAMAS, LICENSEETIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Jane Cong-Huyen spoke to licensee, Rosalina LLamas, to conduct a telephone pre-inspection interview. Licensee confirmed HCO Information. The HCO is due for a biennial visit and has agreed to a virtual inspection visit with EA.

The virtual inspection visit is scheduled for Tuesday 4/28/2026 @ 2:30PM via Microsoft Teams. EA emailed the HCO with specific instructions regarding the virtual licensing inspection and the required documentation for the HCO to submit to EA via email before/by Monday 4/27/26 COB.

The HCO will be receiving this report via email. HCO will send report back to EA with signature as soon as possible or by tomorrow 4/17/26 before 12:00PM to confirm the virtual inspection visit.

NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2026
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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