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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 414700139
Report Date: 01/22/2026
Date Signed: 01/28/2026 08:58:13 AM

Document Has Been Signed on 01/28/2026 08:58 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:MARAVILLOSA SENIOR AND HOME CARE AGENCYFACILITY NUMBER:
414700139
ADMINISTRATOR/
DIRECTOR:		FLORENCE NJONJOFACILITY TYPE:
300
ADDRESS:380 EASTMOOR AVETELEPHONE:
(415) 769-8430
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY: CENSUS: DATE:
01/22/2026
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Home Care Services Bureau (HCSB) analyst, Ruben Perez, arrived at the business office of Maravillosa Senior Home Care Agency for an initial inspection on 1/22/26. Upon arrival, the HCSB analyst identified himself and was greeted by Florence Njonjo. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with the licensee and informed Florence that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Ruben Perez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2026
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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