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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700997
Report Date: 03/04/2026
Date Signed: 03/04/2026 03:53:22 PM

Document Has Been Signed on 03/04/2026 03:53 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:1 NURSE CARE SQUADFACILITY NUMBER:
194700997
ADMINISTRATOR/
DIRECTOR:		TAYLOR, HENNAFACILITY TYPE:
300
ADDRESS:22018 LEMARSH ST.TELEPHONE:
(661) 998-9961
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: CENSUS: DATE:
03/04/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Henna Taylor - LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Ryan Chan spoke to licensee Henna Taylor to conduct a telephone pre-inspection interview. The licensee is due for a biennial visit and has agreed to a virtual visit with EA. The virtual visit is scheduled for March 9, 2026, at 10:00 am via FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2026
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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