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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700079
Report Date: 12/23/2024
Date Signed: 12/23/2024 02:51:03 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/23/2024 02:51 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:ABSOLUTE SENIOR HOME CARE INC.FACILITY NUMBER:
374700079
ADMINISTRATOR/
DIRECTOR:
PADILLA, GABRIELAFACILITY TYPE:
300
ADDRESS:651 3RD AVE STE. CTELEPHONE:
(619) 410-2390
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: CENSUS: DATE:
12/23/2024
Required - 2 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Gabriela Padilla-KelleyTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On December 23, 2024 Home Care Services Bureau (HCSB) Enforcement Analyst, Adrian Mangina arrived at the business office of Absolute Senior Home Care Inc. for a Biennial inspection. Upon arrival, the Enforcement Analyst identified herself and was greeted by President/CEO Gabriela Padilla-Kelley. Analyst Mangina observed the proper posting of business hours and license. Analyst was provided an area in which the review of personnel and administrative files could be performed. Designee Padilla-Kelley provided Analyst with current Certificate of Insurance showing that professional liability policy, worker's compensation, and dishonesty bond are current. Eight employee files were reviewed.

Upon completion of the file review Analyst discussed the findings of the inspection with Ms. Padilla-Kelley and Analyst informed Designee that no discrepancies were found
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 12/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/23/2024
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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