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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 304700417
Report Date: 05/12/2026
Date Signed: 05/13/2026 08:09:21 AM

Document Has Been Signed on 05/13/2026 08:09 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:PREMIER HOME CARE AGENCY CORPFACILITY NUMBER:
304700417
ADMINISTRATOR/
DIRECTOR:		MIKO PALLANFACILITY TYPE:
300
ADDRESS:1421 HOWARD PLACETELEPHONE:
(714) 412-6832
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY: CENSUS: DATE:
05/12/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Angela Pallan, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Home Care Services Branch (HCSB), Enforcement Analyst (EA), Mila Quinto spoke to licensee, Angela Pallan 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 May 19, 2026 at 1:00pm via Microsoft Teams/FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2026
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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