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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700259
Report Date: 06/09/2026
Date Signed: 06/09/2026 02:13:08 PM

Document Has Been Signed on 06/09/2026 02:13 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:ORIGINS HOME HEALTH CARE INC.FACILITY NUMBER:
304700259
ADMINISTRATOR/
DIRECTOR:
TANUYAN, JUANITAFACILITY TYPE:
300
ADDRESS:7242 ORANGETHORPE AVE, STE CTELEPHONE:
(657) 371-5018
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY: CENSUS: DATE:
06/09/2026
Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Juanita Tanuyan TIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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Enforcement Analyst (EA), Mila Quinto, and Supervisor I, Susan Du, with the Home Care Services Branch (HCSB), conducted an unannounced case management visit to Origins Home Health Care Inc.

The purpose of the visit was to serve a Temporary Suspension Order (TSO) to the Home Care Organization (HCO) Licensee, Juanita Tanuyan. The TSO notified the Licensee that the HCO will be closed and any “home care services” arranged by the company shall cease immediately effective Wednesday, June 9, 2026 at 5:00 pm.

During the visit, EA Quinto requested payroll records, quarterly DE9 tax reporting forms, client lists as well as a list of caregivers for the company. Licensee was advised to produce these documents and email to EA Quinto by the end of June 9, 2026.

The EA also removed the HCO license from the location. The Notice of Suspension Order was posted.

The TSO was reviewed with Juanita Tanuyan and a copy of this report was provided via email. A TSO was issued, and Accusation and Notice of Defense were explained to the Licensee.

NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2026
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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