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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700052
Report Date: 03/25/2026
Date Signed: 03/25/2026 12:51:23 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/25/2026 12:51 PM - 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:ASSURED INHOME CARE ORANGE COUNTYFACILITY NUMBER:
304700052
ADMINISTRATOR/
DIRECTOR:		PRICE, DALEFACILITY TYPE:
300
ADDRESS:12832 VALLEY VIEW ST. STE 101TELEPHONE:
(800) 925-7159
CITY:GARDEN GROVESTATE: CAZIP CODE:
92845
CAPACITY: CENSUS: DATE:
03/25/2026
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Gabby Zarate, designeeTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Enforcement Analyst (EA), Mila Quinto, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection. The EA met with the licensee, Gabby Zarate. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 9:30 am - 4:30 pm, Monday thru Friday.

During the inspection, the EA reviewed personnel records for licensee, and Home Care Aides including fingerprint status', registry status', Tuberculosis (TB), and required training. The Home Care Organization’s (HCO’s) business records were also reviewed during the visit including the insurance requirements.

During today’s visit, EA Quinto found the Home Care Organization (HCO) was in compliance and no deficiencies were cited.

An exit interview was conducted, a copy of this report, Home Care Organization Evaluation Report (HCS809), and Review of Staff records (HCS 859) were provided to the designee, Gabby Zarate via email.

NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2026
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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