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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 564700002
Report Date: 03/18/2026
Date Signed: 03/18/2026 01:56:57 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/18/2026 01:56 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:
03/18/2026
Required - 2 YearANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Vinay Chhabra, Licensee;Alejandra Torres and Andrea Reed, DesigneeTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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Enforcement Analyst (EA), Mila Quinto, with the Home Care Services Branch (HCSB) conducted a virtual visit for the purpose of a biennial inspection. The EA met with the licensee, Vinay Chhabra, Alejandra Torres and Andrea Reed. Per virtual tour of the facility, EA observed the posting of the license and operating business hours. Business operating hours are from 9:00am -5:30 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.

Based on the file review, EA informed the licensee of the following violation observe and being cited in accordance with Health and Safety Code 1796.44(c). See HCS809D.



An exit interview was conducted, a copy of this report (HCS809 and HCS 809D),staff records review (HCS859), and appeal rights were provided to the licensee, Vinay Chhabra and designees, Alejandra Torres and Andra Reed via email.
NAME OF LICENSING PROGRAM ANALYST: Mila Quinto
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2026
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 03/18/2026 01:56 PM - It Cannot Be Edited


Created By: Mila Quinto On 03/18/2026 at 11:50 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: PACIFIC SENIOR CARE
FACILITY NUMBER: 564700002

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/25/2026
Section Cited
1796.44(c)
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1796.44 Training Requirements
(c) ... an affiliated home care aide shall complete a minimum of five hours of annual training. The annual training shall relate to core competencies and be population specific, which shall include, but not be limited to, the following areas:
(1) Clients’ rights and safety.
(2) How to provide for, and respond to, a client’s daily living needs.
(3) How to report, prevent, and detect abuse and neglect.
(4) How to assist a client with personal hygiene and other home care services.
(5) If transportation services are provided, how to safely transport a client.
This requirement is not met as evidenced by:
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Based on file review of 5 HCAs, the annual training were incomplete to meet the Health and Safety Code 1796.44 Training Requirement. According to the designee, they provide additional trainings that were were not included on the HCA files.
This poses a potential health and safety for clients 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: Mila Quinto
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2026
LIC809 (FAS) - (06/04)
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