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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700128
Report Date: 06/23/2026
Date Signed: 06/23/2026 11:21:57 AM

Document Has Been Signed on 06/23/2026 11:21 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:DELTA HOME HEALTH CARE SERVICES LLCFACILITY NUMBER:
374700128
ADMINISTRATOR/
DIRECTOR:
SHERWIN CAMACHOFACILITY TYPE:
300
ADDRESS:2534 STATE STREET STE 440TELEPHONE:
(888) 287-4939
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY: CENSUS: DATE:
06/23/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Sherwin CamachoTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On June 23, 2026 Home Care Services Bureau (HCSB) Enforcement Analyst (EA) Adrian Mangina arrived at the business office of Delta Home Health Care Services LLC. for an announced Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by Designee Sherwin Camacho. Analyst Mangina observed the proper posting of business hours and license. Business operating hours are 9:00 am to 5:00 pm Monday through Thursday and 11:00 am to 5:00 pm Fridays. Designee provided Analyst with current Certificate of Insurance showing that professional liability policy, worker's compensation, and dishonesty bond are current.

Upon completion of the file review Analyst discussed the findings of the inspection with Designee Sherwin Camacho and informed Designee that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2026
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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