<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700013
Report Date: 03/12/2026
Date Signed: 03/12/2026 10:19:19 AM

Document Has Been Signed on 03/12/2026 10:19 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:H3ASSIST, INC.FACILITY NUMBER:
304700013
ADMINISTRATOR/
DIRECTOR:		SCOTT MORTONFACILITY TYPE:
300
ADDRESS:5772 GARDEN GROVE BLVD #583ATELEPHONE:
(888) 818-9463
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY: CENSUS: DATE:
03/12/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Shawna Eddington, DesigneeTIME VISIT/
INSPECTION COMPLETED:
09:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Home Care Services Branch (HCSB), Enforcement Analyst (EA), Mila Quinto spoke to disignee, Shawna Eddington to conduct a telephone pre-inspection interview. The licensee is due for a biennial visit and has agreed to a virtual visit with EA. The virtual visit is scheduled for March 18, 2026, at 9:00 am via Microsoft Teams/FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 1