<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 564700002
Report Date: 03/12/2026
Date Signed: 03/12/2026 04:18:42 PM

Document Has Been Signed on 03/12/2026 04:18 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:PACIFIC SENIOR CAREFACILITY NUMBER:
564700002
ADMINISTRATOR/
DIRECTOR:		VINAY CHHABRAFACILITY TYPE:
300
ADDRESS:125 AUBURN CT. #200TELEPHONE:
(805) 777-7090
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91362
CAPACITY: CENSUS: DATE:
03/12/2026
OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Alex Torres, DesigneeTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Home Care Services Branch (HCSB), Enforcement Analyst (EA), Mila Quinto spoke to designee, Alex Torres 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 18, 2026, at 11:00 am via Microsoft Teams/FaceTime.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
Page: 1 of 1