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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 344700061
Report Date: 03/18/2026
Date Signed: 03/18/2026 01:32:31 PM

Document Has Been Signed on 03/18/2026 01:32 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:PNV SENIOR CARE LLC DBA AMADA SENIOR CAREFACILITY NUMBER:
344700061
ADMINISTRATOR/
DIRECTOR:		CALDEIRA, JANIEFACILITY TYPE:
300
ADDRESS:13405 FOLSOM BLVD STE 700TELEPHONE:
(916) 801-4676
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: CENSUS: DATE:
03/18/2026
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Anjuli DeweesTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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Enforcement Analyst (EA) Megan Vigil conducted a virtual visit for the purpose of completing the required two-year visit and met with the Licensee, Anjuli Dewees

During the visit, the EA verified the posting of the license, observed the operation of the business, confirmed compliance with insurance requirements, and completed the required personnel file review. All requested documentation was provided and reviewed.

The Home Care Organization (HCO) was found to be in compliance with applicable Health and Safety Code requirements. No deficiencies were cited. An exit interview was conducted, and copies of the 809 Facility Evaluation Report, 859 Staff Records Review Report, and appeal rights information were provided via email.
NAME OF LICENSING PROGRAM ANALYST: Megan Vigil
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2026
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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