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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 384700051
Report Date: 05/26/2026
Date Signed: 05/26/2026 09:45:46 AM

Document Has Been Signed on 05/26/2026 09:45 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:DEVINE MERCY HOME CARE SERVICES LLCFACILITY NUMBER:
384700051
ADMINISTRATOR/
DIRECTOR:		NGOZI ONYIKEFACILITY TYPE:
300
ADDRESS:611 GATEWAY BLVD,STE120 RM212TELEPHONE:
(415) 713-2635
CITY:SO. SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: CENSUS: DATE:
05/26/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Ngozi OnyikeTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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Enforcement Analyst (EA) Yolanda Hankerson conducted a virtual visit and met with the licensee Ngozi Onyike. During the visit, EA verified the posting of the license, observed the operation of the business, confirmed compliance with insurance requirements, and no Home Care Aides(HCA) files at this time and discussion of what HCA can and cannot do and keeping records, guardian up to date when caregivers start. 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 809 Facility Evaluation, 859 Staff Records Review Report, and appeal rights information were provided via email.
NAME OF LICENSING PROGRAM ANALYST: Yolanda Hankerson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/26/2026
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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