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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 564700101
Report Date: 03/13/2026
Date Signed: 03/17/2026 08:24:02 AM

Document Has Been Signed on 03/17/2026 08:24 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:HEART OF ANGELSFACILITY NUMBER:
564700101
ADMINISTRATOR/
DIRECTOR:		BRITTANY WHITEFACILITY TYPE:
300
ADDRESS:1200 PASEO CAMARILLO #185TELEPHONE:
(805) 647-8616
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: CENSUS: DATE:
03/13/2026
Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Brittany WhiteTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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Enforcement Analyst (EA) Ramsey Chimienti attempted a virtual visit for the purpose of completing a required two-year licensing inspection and spoke with the licensee, Brittany White.

Attempts were made to schedule the required visit with the Home Care Organization (HCO), but the licensee declined the visits for the following reasons:

1. Documents on hand were not organized and could not be provided within notice for the visit.

2. Scheduling conflicts prevented the Licensee from making books and records available upon request during previously agreed upon time(s)/date(s).

When the Department conducts an inspection, all required files must be organized and readily available. At the time of inspection, records should already be prepared and available for review.

The Home Care Organization (HCO) was found to be out of compliance with applicable Health and Safety Code requirements. Deficiencies/citations are being noted on the subsequent HCS 809D report. A copy of the 809 Facility Evaluation and 809 Deficiency Report were provided to the licensee via email.

NAME OF LICENSING PROGRAM ANALYST: Ramsey Chimienti
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2026
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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Document Has Been Signed on 03/17/2026 08:24 AM - It Cannot Be Edited


Created By: Ramsey Chimienti On 03/13/2026 at 09:54 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: HEART OF ANGELS
FACILITY NUMBER: 564700101

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/24/2026
Section Cited
1796.52
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(c) An investigation or inspection conducted by the department pursuant to this chapter may include, but is not limited to, inspection of the books, records, or premises of a home care organization. A home care organization’s refusal to make records, books, or premises available shall constitute...
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...cause for the revocation of the home care organization’s license.
The licensee did not make records available to the Enforcement Analyst for the scheduled virtual visit despite multiple attempts to comply. This poses an immediate health and safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Ramsey Chimienti
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2026
LIC809 (FAS) - (06/04)
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