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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700709
Report Date: 10/16/2025
Date Signed: 10/17/2025 03:28:12 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/17/2025 03:28 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:CONNECTING HEARTS HOME CARE LLCFACILITY NUMBER:
194700709
ADMINISTRATOR/
DIRECTOR:		KARAWAN, AMIRAFACILITY TYPE:
300
ADDRESS:1055 E COLORADO BLVD, STE 500TELEPHONE:
(626) 235-9493
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY: CENSUS: DATE:
10/16/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Amira Karawan - LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Connecting Hearts Home Care LLC on 10/16/25 for a biennial inspection, EA met with licensee Amira Karawan. The proper posting of business hours and license was observed. The proof of insurance records were reviewed. Licensee has not actively operated her home care since she was licensed and does not have any home care aides or clients at this time. EA provided guidance for future inspections on training requirements, tuberculosis test for home care aides, live scan requirements, and the requirement for home care aides to be in the home care aide registry. EA discussed the findings of the inspection with the licensee and informed her that no discrepancies were found.

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: 10/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025
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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