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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 394700010
Report Date: 04/21/2026
Date Signed: 04/24/2026 02:57:25 PM

Document Has Been Signed on 04/24/2026 02:57 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:ACCESS SENIOR HOMECARE, INC.FACILITY NUMBER:
394700010
ADMINISTRATOR/
DIRECTOR:		PAIGE MILLERFACILITY TYPE:
300
ADDRESS:777 S HAM LANE STE C-2TELEPHONE:
(209) 918-9035
CITY:LODISTATE: CAZIP CODE:
95242
CAPACITY: CENSUS: DATE:
04/21/2026
Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Paige MillerTIME VISIT/
INSPECTION COMPLETED:
01:38 PM
NARRATIVE
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Enforcement Analyst (EA) Yolanda Hankerson arrived at the Home Care Organization (HCO) location during established business operating hours; however, the office was closed and no staff were present. EA contacted HCO by phone, spoke with Licensee Paige Miller. EA Hankerson asked for her or Preston Miller to come to location. Licensee indicated they were unable to come to the location. They could meet the next day. The appointment was set.

The visit was conducted as scheduled attempted visit and cited due to the HCO’s unavailability during business hours. The report was completed and sent via email to the licensee/designee for review and signature.
NAME OF LICENSING PROGRAM ANALYST: Yolanda Hankerson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2026
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 04/24/2026 02:57 PM - It Cannot Be Edited


Created By: Yolanda Hankerson On 04/21/2026 at 01:39 PM
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: ACCESS SENIOR HOMECARE, INC.
FACILITY NUMBER: 394700010

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/21/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/21/2026
Section Cited
1796.53.
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A duly authorized officer, employee, or agent of the department may, upon presentation of proper identification, enter a home care organization during posted business hours, with or without advance notice, to secure compliance with, or to prevent a violation of, ...
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any provision of this chapter or any provision promulgated under this chapter.
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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: Yolanda Hankerson
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2026
LIC809 (FAS) - (06/04)
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