<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700696
Report Date: 04/29/2025
Date Signed: 04/30/2025 09:15:27 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/30/2025 09:15 AM - 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:LOVING HEARTS PRIVATE CARE INCFACILITY NUMBER:
194700696
ADMINISTRATOR/
DIRECTOR:		SPARKS, ANNETTA L.FACILITY TYPE:
300
ADDRESS:5751 UPLANDER WAYTELEPHONE:
(310) 679-5900
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY: CENSUS: DATE:
04/29/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Annetta Sparks - LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Loving Hearts Private Care Inc on 4/29/25 for a biennial inspection. Upon arrival, EA was greeted by licensee Annetta Sparks. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. Licensee does not have any clients and therefore no home care aides at this time.

EA Chan concluded the visit with an exit interview and provided a copy of this report to the licensee.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 1