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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701078
Report Date: 08/10/2026
Date Signed: 08/10/2026 11:30:40 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/10/2026 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:
08/10/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Emelyn Nishi, AdministratorTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Enforcement Analyst (EA), Joshua Rarela, with the Home Care Services Branch (HCSB) conducted a virtual Biennial Inspection of the Home Care Organization (HCO) listed above.

During the inspection, the EA observed the posting of the license and operating business hours, which show the business operates Monday through Friday, 9 AM to 6 PM and Saturday, 9 AM to 4 PM. The EA reviewed the personnel records for the licensee, staff, and Home Care Aides, including Criminal Record Clearance, Home Care Aide Registry Status and HCO Associations, Tuberculosis Test Results, and mandatory entry and annual training history. Furthermore, the EA reviewed the HCO’s business records, including the training agenda, current designee, and insurance requirements, such as the professional liability policy, worker's compensation, and dishonesty bond.

The EA found the HCO in compliance, and no deficiencies were cited. A copy of this report, the staff records review report, and appeal rights were provided to the Home Care Organization.
Joshua Rarela
DATE: 08/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2026
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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