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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700288
Report Date: 10/10/2024
Date Signed: 10/10/2024 02:31:00 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/10/2024 02:31 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:PIONEER HOMECARE INCFACILITY NUMBER:
304700288
ADMINISTRATOR/
DIRECTOR:		NAZARETH, ARTHURFACILITY TYPE:
300
ADDRESS:2 SOUTH POINTE DRIVE, STE# 125TELEPHONE:
(949) 215-1423
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: CENSUS: DATE:
10/10/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Arthur Nazareth, TIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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Enforcement Analyst (EA), Mila Quinto arrived at the business office of Pioneer Homecare Inc. for a biennial inspection. Upon arrival, Analyst Quinto was greeted by the licensee, Arthur Nazareth. The proper posting of business hours and license was observed. The proof of insurance's record was reviewed. The Analyst reviewed the personnel and administrative files. Upon completion of the file review the analyst discussed the findings of the inspection with Licensee and informed the Licensee that no discrepancies were found.

The analyst provided a copy of the report to the licensee via email.

LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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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