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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 194700660
Report Date: 01/09/2026
Date Signed: 01/09/2026 10:47:08 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 01/09/2026 10:47 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:AMERICAN CARE SERVICES, INC.FACILITY NUMBER:
194700660
ADMINISTRATOR/
DIRECTOR:		MARIA QUIOGUEFACILITY TYPE:
300
ADDRESS:18000 STUDEBAKER RD, STE 700TELEPHONE:
(657) 532-7506
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY: CENSUS: DATE:
01/09/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:MARIA QUIOGUE - LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
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Home Care Services Bureau Enforcement Analyst (EA) Ryan Chan arrived at the business office of American Care Services, Inc on 1/9/26 for a biennial inspection, EA met with licensee Maria Quiogue. The proper posting of business hours and license was observed. The proof of insurance records were reviewed. EA was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review EA discussed the findings of the inspection with the licensee. EA informed the licensee of the deficiencies found and explained they would be noted on the 809D.

EA Chan concluded the visit with an exit interview and provided a copy of this report along with appeal rights to the licensee.

NAME OF LICENSING PROGRAM ANALYST: Ryan Chan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2026
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 01/09/2026 10:47 AM - It Cannot Be Edited


Created By: Ryan Chan On 01/09/2026 at 10:18 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: AMERICAN CARE SERVICES, INC.
FACILITY NUMBER: 194700660

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2026
Section Cited
1796.44(b)(2)
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1796.44(b) An affiliated home care aide shall complete a minimum of five hours of entry-level training prior to presence with a client, as follows:.....(2) Three hours of safety training, including basic safety precautions, emergency procedures, and infection control.
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Based on records reviewed licensee did not ensure home care aides (S3 and S7) completed 3 hours of safety training upon initial hire before they were assigned to clients which poses a potential risk to the health and safety of clients 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: Ryan Chan
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2026
LIC809 (FAS) - (06/04)
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