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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 544700006
Report Date: 07/08/2025
Date Signed: 07/09/2025 10:40:03 AM

Document Has Been Signed on 07/09/2025 10:40 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:EXTRA CARING HOMECARE LLCFACILITY NUMBER:
544700006
ADMINISTRATOR/
DIRECTOR:		SHIRLEE COXFACILITY TYPE:
300
ADDRESS:525 W. MAIN ST. STE 204,205TELEPHONE:
(559) 469-1125
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: CENSUS: DATE:
07/08/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Yasmin RiveraTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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Home Care Services Bureau (HCSB) analyst, Ruben Perez, arrived at the business office of Extra Caring Home Care for a biennial inspection on 7/8/2025. Upon arrival, the HCSB analyst identified himself and was greeted by Yasmin Rivera. 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 designee and informed Yasmin that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Ruben Perez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2025
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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