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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374700079
Report Date: 09/03/2025
Date Signed: 09/03/2025 12:01:03 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2025 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20250620150053
FACILITY NAME:ABSOLUTE SENIOR HOME CARE INC.FACILITY NUMBER:
374700079
ADMINISTRATOR:PADILLA, GABRIELAFACILITY TYPE:
300
ADDRESS:651 3RD AVE STE. CTELEPHONE:
(619) 410-2390
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:CENSUS: DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gabriela PadillaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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HCAs are administering medication to clients
INVESTIGATION FINDINGS:
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On September 3, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst (EA) Adrian Mangina conducted a complaint inspection for the purposes of delivering findings for the allegation above. Upon arrival EA Mangina met with Designee Gabriela Padilla and discussed the findings of the investigation.

It was alleged that Home Care Aides were administering medication to a client. During the investigation EA Mangina reviewed organization records and conducted interviews with pertinent parties. Although Designee denied that Home Care Aides were administering medication, interviews revealed that at least one home care aide had not verbally instructed not to administer medications and did administer medications to a client. Additionally, on at least one occasion HCO staff contacted client's Hospice to inquire about modifying medications for the cliient. Interviews also revealed that staff were creating schedules for the client's medication without medical advice or supervision.

continued on page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 47-HC-20250620150053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: ABSOLUTE SENIOR HOME CARE INC.
FACILITY NUMBER: 374700079
VISIT DATE: 09/03/2025
NARRATIVE
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page 2

Based on interviews conducted and evidence gathered the allegation that HCAs are administering medication to clients was found to be valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED.

Exit interview conducted and copy of this report and appeals rights emailed to Licensee.

SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 47-HC-20250620150053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: ABSOLUTE SENIOR HOME CARE INC.
FACILITY NUMBER: 374700079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/04/2025
Section Cited
1796.12(n)
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1796.12(n) This subdividion shall not authorizea registered home care aide to assist with medication that the client self-administers that would otherwise require adiministration or oversight by a licensed health care professional...

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Licensee states will immediately inform all Home Care Aides to discontinue administration of medication to all clients. Any clients who do not have the means to manage their own medication must be directed by the Home Care Organization (HCO) to seek assistance from friends/family members or solicit this service from a licensed Health Care Professional. The HCO will provide to the Department, within seven days, confirmation that all staff have received supplemental training which includes the topic of services permitted by law under the HCO license. In addition to training, the HCO will provide the Department with signed declarations from all employees stating that they understand that the administration of medication to clients is not permitted under the HCO’s current License to adrian.mangina@dss.ca.gov. Additionally, the HCO agrees to maintain the same documentation for all future and rehired employees.
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Evidence obtained demonstrates that medication has been administered by HCO staff which exceeds licensing authority and 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.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2025 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 47-HC-20250620150053

FACILITY NAME:ABSOLUTE SENIOR HOME CARE INC.FACILITY NUMBER:
374700079
ADMINISTRATOR:PADILLA, GABRIELAFACILITY TYPE:
300
ADDRESS:651 3RD AVE STE. CTELEPHONE:
(619) 410-2390
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:CENSUS: DATE:
09/03/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Gabriela PadillaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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HCO is not providing adequate training to HCAs
INVESTIGATION FINDINGS:
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On September 3, 2025, Home Care Services Bureau (HCSB) Enforcement Analyst (EA) Adrian Mangina conducted a complaint inspection for the purposes of delivering findings for the allegation above. Upon arrival EA Mangina met with Designee Gabriela Padilla to discuss the findings of the investigation.

It was alleged that Home Care Organization (HCO) is not providing adequate training to HCAs. During the investigation EA conducted interviews with relevant parties and reviewed provided documents, including training logs and payroll records. Although record review showed two-hour orientation and three-hour entry-level safety training was recorded on the training log, interviews revealed conflicting accounts as to whether Licensee was providing all the required in-house training that was recorded in logs. Licensee claims that all required trainings were completed and provided the curriculum she states that is used during those trainings.

continued on page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 47-HC-20250620150053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: ABSOLUTE SENIOR HOME CARE INC.
FACILITY NUMBER: 374700079
VISIT DATE: 09/03/2025
NARRATIVE
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9099-A page 2

Based on the evidence there was not sufficient information to meet the preponderance of evidence standard Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the above allegation is found to be UNSUBSTANTIATED.

Exit interview conducted and copy of this report and appeals rights emailed to Licensee.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5