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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700351
Report Date: 10/13/2025
Date Signed: 10/13/2025 11:03:20 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 10/13/2025 11:03 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:FIRST LIGHT HOME CARE OF IRVINEFACILITY NUMBER:
304700351
ADMINISTRATOR/
DIRECTOR:		CHARITH WEERASURIYAFACILITY TYPE:
300
ADDRESS:2030 MAIN ST STE 1300TELEPHONE:
9493021047
CITY:IRVINESTATE: CAZIP CODE:
92614
CAPACITY: CENSUS: DATE:
10/13/2025
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Charith Weerasuriya, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Enforcement Analyst (EA), Mila Quinto, with the Home Care Services Branch (HCSB) conducted an on-site inspection for the purpose of a biennial inspection. The EA met with the licensee, Charith Weerasuriya. EA observed the posting of the license and operating business hours. Business operating hours are from 8:30am -3:30 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 HCO was in compliance and no deficiencies were cited.

An exit interview was conducted, a copy of this report (HCS809), and staff records review (HCS 859) were provided to the licensee, Charith Weerasuriya via email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2025
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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