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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701059
Report Date: 05/04/2026
Date Signed: 05/04/2026 03:43:07 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 05/04/2026 03:43 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 OF PASADENAFACILITY NUMBER:
194701059
ADMINISTRATOR/
DIRECTOR:		VAN DYKE, SANDRAFACILITY TYPE:
300
ADDRESS:1260 HUNTINGTON DR STE 106TELEPHONE:
(678) 815-6230
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY: CENSUS: DATE:
05/04/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Sandra Van Dyke - LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of Senior Helpers of Pasadena on 5/4/26 for a biennial inspection. Upon arrival, EA was greeted by licensee Sandra Van Dyke. The proper posting of business hours and license was observed. The proof of insurance records were reviewed. EA was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review EA discussed the findings of the inspection with the licensee and informed her that no discrepancies were found.

EA Chan concluded the visit with an exit interview and provided a copy of this report to the licensee.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2026
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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