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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700437
Report Date: 07/23/2026
Date Signed: 07/23/2026 01:33:20 PM

Document Has Been Signed on 07/23/2026 01:33 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:GOOD KARMA HOME CARE INC DBA SENIOR HELPERSFACILITY NUMBER:
304700437
ADMINISTRATOR/
DIRECTOR:		KEYUR SHAHFACILITY TYPE:
300
ADDRESS:23166 LOS ALISOS BLVD, STE 242TELEPHONE:
(949) 299-9997
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: CENSUS: DATE:
07/23/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Keyur Shah, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Mila Quinto spoke to licensee, Keyur Shah to conduct a telephone pre-inspection interview. The licensee is due for a biennial visit and has agreed to a virtual visit with EA. The virtual visit is scheduled for August 18, 2026 at 9:00 am via Microsoft Teams.
Mila Quinto
DATE: 07/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2026
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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