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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700914
Report Date: 01/30/2026
Date Signed: 01/30/2026 10:32:43 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/30/2026 10:32 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:LIVEWELL HOME CARE, INC.FACILITY NUMBER:
194700914
ADMINISTRATOR/
DIRECTOR:		MAMBOLEO, DORCAS K.FACILITY TYPE:
300
ADDRESS:360 N. PACIFIC HWY #2000TELEPHONE:
(310) 776-7091
CITY:EL SEGUNDOSTATE: CAZIP CODE:
90245
CAPACITY: CENSUS: DATE:
01/30/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Shunese Coran - Operations ManagerTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Home Care Services Bureau Enforcement Analyst Ryan Chan arrived at the business office of Livewell Home Care Inc on 1/30/26 for a biennial inspection, EA met with Operations Manager Shunese Coran. The proper posting of business hours and license was observed. EA was then shown to an area where the review of personnel and administrative files could be performed, there are not home care aides for this home care organization at this time. Upon completion of the file review EA discussed the findings of the inspection with Shunese and informed her that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2026
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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