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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701012
Report Date: 09/17/2025
Date Signed: 09/17/2025 08:09:35 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/17/2025 08:09 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:SENIOR HELPERS SOUTH VALLEYFACILITY NUMBER:
194701012
ADMINISTRATOR/
DIRECTOR:		ABISROR, SLADEFACILITY TYPE:
300
ADDRESS:16250 VENTURA BLVD STE 115TELEPHONE:
(323) 320-4770
CITY:ENCINOSTATE: CAZIP CODE:
91436
CAPACITY: CENSUS: DATE:
09/17/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Slade AbisrorTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch
(HCSB) conducted an onsite inspection for the purpose of a Biennial Visit. The EA
met with the Home Care Organization (HCO) administrator named above.

During the inspection, the EA observed the posting of the license and operating
business hours which show the business operates from Monday through Friday,
9AM to 5PM. EA reviewed the personnel records for licensee, staff and Home
Care Aides. Furthermore, EA reviewed the HCO’s business records including
training agenda, abuse reporting incidents, current designee and insurance
requirements.

During today’s visit, EA found the HCO was in compliance and no deficiencies
were cited. A copy of this report and staff records review report were provided to
the HCO administrator electronically.
NAME OF LICENSING PROGRAM ANALYST: Joshua Rarela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2025
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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