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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701104
Report Date: 08/07/2026
Date Signed: 08/07/2026 04:48:54 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/07/2026 04:48 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:LUCKY CHARM HOME CARE SERVICESFACILITY NUMBER:
194701104
ADMINISTRATOR/
DIRECTOR:		AVELINA VILLEGASFACILITY TYPE:
300
ADDRESS:1442 E 215TH STREETTELEPHONE:
(310) 525-8876
CITY:CARSONSTATE: CAZIP CODE:
90745
CAPACITY: CENSUS: DATE:
08/07/2026
Required - 2 YearANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Avelina Villegas, LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Enforcement Analyst (EA), Jane Cong-Huyen, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection. EA met with the licensee, Avelina Villegas. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am - 4:00pm, Monday through Thursday.

Licensee stated currently she has no clients and no staff. During the inspection, EA reviewed the requirements needed for personnel records for Home Care Aides (HCAs) including fingerprint status, HCA registry status, Tuberculosis (TB), and required training(s). EA also reviewed the HCO’s business records for insurance requirements.



EA Cong-Huyen found the HCO in compliance and no deficiencies were cited. An exit interview was conducted, and a copy of this report (HCS809) was provided to the licensee, Avelina Villegas, via email.
Jane Cong-Huyen
DATE: 08/07/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2026
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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