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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 564700047
Report Date: 06/29/2026
Date Signed: 07/01/2026 11:00:27 AM

Document Has Been Signed on 07/01/2026 11:00 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:MELOS HOME CAREFACILITY NUMBER:
564700047
ADMINISTRATOR/
DIRECTOR:		EDWIN OYASANFACILITY TYPE:
300
ADDRESS:1051 QUASAR CTTELEPHONE:
(805) 267-6865
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY: CENSUS: DATE:
06/29/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:30 PM
MET WITH:Edwin A Oyasan - DesigneeTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA) Ryan Chan spoke to designee Edwin A Oyasan to conduct a telephone pre-inspection interview. The home care organization is due for a biennial visit, designee has agreed to a virtual visit with EA. The virtual visit is scheduled for 7/1/26 at 11:00am via FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2026
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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