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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700139
Report Date: 02/24/2026
Date Signed: 02/24/2026 09:09:40 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/24/2026 09:09 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:FAMILY FIRST HOME CAREFACILITY NUMBER:
304700139
ADMINISTRATOR/
DIRECTOR:		LISA DELA ROSAFACILITY TYPE:
300
ADDRESS:10675 LYNN CIRCLETELEPHONE:
(714) 846-3728
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY: CENSUS: DATE:
02/24/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Lisa DeLa Rosa, LicenseeTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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Enforcement Analysts (EAs), Mila Quinto and Ryan Chan, with the Home Care Services Branch (HCSB) conducted an on-site inspection for the purpose of a biennial inspection. The EA met with the licensee, Lisa Dela Rosa. EA observed the posting of the license and operating business hours. Business operating hours are by appointments at this time as there are currently no clients and home care aids.

During the inspection, the EA reviewed personnel records for licensee. The Home Care Organization’s (HCO’s) business records were also reviewed during the visit including the insurance requirements.

During today’s visit, EA Quinto found the HCO was in compliance and no deficiencies were cited.

An exit interview was conducted, a copy of this report (HCS809), was provided to the licensee, Lisa Dela Rosa via email.

NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2026
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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