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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700786
Report Date: 08/27/2025
Date Signed: 08/27/2025 11:35:51 PM

Document Has Been Signed on 08/27/2025 11:35 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:PASSIONATE HOME CARE INCFACILITY NUMBER:
194700786
ADMINISTRATOR/
DIRECTOR:		ALLAN, EPHRAIMFACILITY TYPE:
300
ADDRESS:11773 GLADSTONE AVETELEPHONE:
(818) 259-5513
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY: 0CENSUS: DATE:
08/27/2025
ClosureUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted an inspection for the purpose of a closure visit. The HCO license expired on 7/21/25.

The EA walked the premises of 11773 Gladstone Ave, Sylmar, CA 91342 to verify any signs of operation. During the inspection, the EA did not observe any visible business advertisements or signage for the HCO and verified there was no presence of an HCO operating at this time. The EA confirmed during today's visit this HCO is no longer in operation and is closed.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025
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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