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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700262
Report Date: 07/06/2026
Date Signed: 07/06/2026 03:01:04 PM

Document Has Been Signed on 07/06/2026 03:01 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:AT HOME CARE SOLUTIONS LLCFACILITY NUMBER:
374700262
ADMINISTRATOR/
DIRECTOR:		MILLER, MIKEFACILITY TYPE:
300
ADDRESS:640 E VISTA WAY STE ATELEPHONE:
(760) 634-8090
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: CENSUS: DATE:
07/06/2026
Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Shauna TexieraTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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Enforcement Analyst (EA), Adrian Mangina, with the Home Care Services Branch (HCSB) conducted an announced virtual visit for the purpose of a biennial inspection. The EA met with the designee Shauna Texiera. During tour of the facility, EA observed the posting of the license and business hours. Business operating hours are 10:00 am - 1:00 pm Monday through 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 file review EA observed the following violation and is being cited in accordance with Health and Safety Code, Section 1796.45(c) TB TESTING on attached HCS809D.

An exit interview was conducted, a copy of this report, Home Care Organization Evaluation Report (HCS809), Appeal Rights (HCS9058), and Review of Staff records (HCS859) were provided to the designee, Shauna Texiera via email.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2026
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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Document Has Been Signed on 07/06/2026 03:01 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 07/06/2026 at 08:52 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
Although this visit/inspection may have focused on the review of specific licensing requirements, the applicant/licensee must comply with all applicable requirements. The California Department of Social Services retains authority to issue citations or take disciplinary action for any deficiency.


FACILITY NAME: AT HOME CARE SOLUTIONS LLC
FACILITY NUMBER: 374700262

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/13/2026
Section Cited
1796.45(c)
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TB TESTING: After submitting to an examination, an affiliated home care aide whose test for tuberculosis infection is negative shall be required to undergo an examination at least once every two years.
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This requirement was not met as evidenced by: During the review of files provided, EA observed that Reference #1 had TB test dated 2/22/24 and Reference #6 had a TB test dated 2/9/24 and that Licensee did not ensure TB tests for Reference #1 and Reference #2 were conducted at least every two years as required, a finding which poses an immediate health and safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2026
LIC809 (FAS) - (06/04)
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