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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700103
Report Date: 03/03/2026
Date Signed: 03/03/2026 03:05:00 PM

Document Has Been Signed on 03/03/2026 03:05 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:LFQ SENIOR CARE DBA LAKE FOREST SERVICESFACILITY NUMBER:
304700103
ADMINISTRATOR/
DIRECTOR:		AGUIRRE, SERAFINFACILITY TYPE:
300
ADDRESS:22772 CENTRE DR. STE 220TELEPHONE:
(949) 583-7888
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: CENSUS: DATE:
03/03/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Marisa Cera, DesigneeTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Mila Quinto spoke to the designee, Marisa Cera to conduct a telephone pre-inspection interview. The license is due for a biennial visit and HCO has agreed to a virtual visit with EA. The virtual visit is scheduled for March 4, 2026, at 1:00 pm via Microsoft Teams/FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2026
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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