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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700855
Report Date: 03/24/2026
Date Signed: 03/26/2026 10:09:50 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/26/2026 10:09 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:LOVE AND CARE AGENCY, INC.FACILITY NUMBER:
194700855
ADMINISTRATOR/
DIRECTOR:		GOMEZ,MARIA CORAZONFACILITY TYPE:
300
ADDRESS:17043 PARTHENIA STTELEPHONE:
(818) 431-0506
CITY:SHERWOOD FORESTSTATE: CAZIP CODE:
91325
CAPACITY: CENSUS: DATE:
03/24/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Maria Corazon Gomez - LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Enforcement Analyst (EA), Ryan Chan, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection, EA met with licensee Maria Corazon Gomez. The proper posting of business hours and license was observed during the virtual tour of the facility.

During the inspection, EA reviewed personnel records for Home Care Aides (HCA) including fingerprint status', registry status', tuberculosis (TB), and required training. The Home Care Organization’s (HCO’s) business records were also reviewed during the visit including the insurance requirements. During today’s visit, EA found the HCO was in compliance and no deficiencies were cited.

An exit interview was conducted and a copy of this report was provided to the licensee via email.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2026
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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