<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194701135
Report Date: 09/24/2025
Date Signed: 09/24/2025 12:33:04 PM

Document Has Been Signed on 09/24/2025 12:33 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:MVA CARE SERVICESFACILITY NUMBER:
194701135
ADMINISTRATOR/
DIRECTOR:		MATIAS, MARIA TERESAFACILITY TYPE:
300
ADDRESS:655 N CENTRAL AVE 17TH FL 1778TELEPHONE:
(310) 803-7699
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY: CENSUS: DATE:
09/24/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Maria Matias - LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of MVA Care Services on 9/24/25 for a post licensing inspection, EA met with licensee Maria Matias. 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 provided licensee with form HCS 500, Personnel Folder Checklist, SOC 341A, and Home Care Services Branch Fact Sheet and explained how to use the forms to help manage her home care organization.

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: 09/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 1