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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 504700023
Report Date: 03/02/2026
Date Signed: 03/02/2026 12:42:38 PM

Document Has Been Signed on 03/02/2026 12:42 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:HHCV GROUP LLCFACILITY NUMBER:
504700023
ADMINISTRATOR/
DIRECTOR:		BECKER, TIMOTHEFACILITY TYPE:
300
ADDRESS:117 KETCH LANETELEPHONE:
(209) 409-8585
CITY:MODESTOSTATE: CAZIP CODE:
95356
CAPACITY: CENSUS: DATE:
03/02/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:59 AM
MET WITH:OLIVER OBECKERTIME VISIT/
INSPECTION COMPLETED:
12:42 PM
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Enforcement Analyst (EA) Yolanda Jones-Hankerson contacted Licensee OLIVER OBECKER to schedule an inspection visit. Virtual and in-person options were discussed, and the Licensee elected to proceed with a virtual visit. EA explained virtual visit requirements, including camera participation, identification verification, and facility walk-through. EA confirmed the Licensee’s email and licensed address. The Licensee was instructed  an email will be sent to submit requested HCA personnel documents (TB, training, proof of registration, etc.) for selected staff by March 17, 2026 at 11:00am. Microsoft Teams meeting invite was sent.  
NAME OF LICENSING PROGRAM ANALYST: Yolanda Hankerson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2026
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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