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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700682
Report Date: 04/28/2026
Date Signed: 04/28/2026 03:53:09 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/28/2026 03:53 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:
04/28/2026
Required - 2 YearANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Rosalina Thelma Llamas, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Enforcement Analyst (EA), Jane Cong-Huyen, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection. EA met with the licensee, Rosalina T. Llamas. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am - 4:00pm, Monday through Friday.

During the inspection, EA reviewed the HCO’s business records for insurance requirements. Licensee stated at this time, she does not have any clients nor active home care aides. EA advised Ms. Llamas that when she hires home care aides (HCAs) she is required to have all required documents: TB, fingerprint clearance, HCA registry, required HCA training for entry level or annual training.



EA Cong-Huyen found the HCO in compliance and no deficiencies were cited. An exit interview was conducted, and a copy of this report (HCS809) was provided to the licensee, Rosalina T. Llamas, via email.
NAME OF LICENSING PROGRAM ANALYST: Jane Cong-Huyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2026
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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