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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701078
Report Date: 08/05/2026
Date Signed: 08/05/2026 11:30:23 AM

Document Has Been Signed on 08/05/2026 11:30 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:HAND HOMECARE PROVIDER INC.FACILITY NUMBER:
194701078
ADMINISTRATOR/
DIRECTOR:		EMELYN NISHIFACILITY TYPE:
300
ADDRESS:22048 SHERMAN WAY STE 317TELEPHONE:
(818) 914-4990
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY: CENSUS: DATE:
08/05/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Emelyn NishiTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) scheduled a Biennial Inspection with the Home Care Organization (HCO) representative named above.

The HCO opted for a Virtual Biennial inspection.

The Biennial inspection is scheduled for August 10, 2026 at 10AM.
Joshua Rarela
DATE: 08/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2026
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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