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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700294
Report Date: 03/05/2026
Date Signed: 03/06/2026 08:26:08 AM

Document Has Been Signed on 03/06/2026 08:26 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:PACIFIC COAST HOMECAREFACILITY NUMBER:
304700294
ADMINISTRATOR/
DIRECTOR:		LIGHTEN, TREVORFACILITY TYPE:
300
ADDRESS:2775 TAPO ST STE 201TELEPHONE:
(805) 520-1300
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY: CENSUS: DATE:
03/05/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Trevor Lighten, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Mila Quinto spoke to licensee Trevor Lighten 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 10, 2026, at 3:30pm via Microsoft Teams/FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2026
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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