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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304700008
Report Date: 02/18/2026
Date Signed: 02/18/2026 02:18:34 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/08/2026 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 47-HC-20260108145248
FACILITY NAME:SMITH'S HOME CARE, INCFACILITY NUMBER:
304700008
ADMINISTRATOR:PAULINE PAGUNSANFACILITY TYPE:
300
ADDRESS:530 TECHNOLOGY DR. #100TELEPHONE:
(949) 273-5006
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY:CENSUS: DATE:
02/18/2026
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Sarah Smith, LicenseeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
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7
8
9
HCO is using independent contractors as caregivers
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
Home Care Services Branch, Enforcement Analyst (EA), Mila Quinto conducted an investigation visit to the Home Care Organization (HCO) to deliver the complaint finding regarding the above allegation. EA met with the licensee, Sarah Smith.

On January 15, 2026, EA interviewed the licensee. According to the Licensee, the Home Care Aids (HCAs) are paid via W2s. Licensee stated they do not issue 1099s as this is against home care branch regulations.
EA Quinto received copy of payroll records filed to EDD for period July 2025 thru December 2025.

Based on interview conducted and records reviewed, the complaint allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not enough preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted. A copy of this report was emailed to the licensee, Sarah Smith.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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