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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700079
Report Date: 09/03/2025
Date Signed: 09/03/2025 11:58:30 AM

Document Has Been Signed on 09/03/2025 11:58 AM - 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:
09/03/2025
Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Gabriella PadillaTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On 9/3/25 Enforcement Analyst (EA) Adrian Mangina arrived for an unannounced inspection of for the purpose of conducting a case management inspection for deficiencies discovered during a complaint investigation review of employee files on 6/26/25 During the course that investigation, EA was provided employee files which that did not contain proof that Home Care Aides were fingerprint cleared or affiliated with the Home Care Organization as required. Two of eight files reviewed did not have proof of fingerprint clearance or affiliation to the California Home Care Aide registry until more than 30 days after clients contact

Health and Safety Code violation are are being cited on the attached HCS809D report.

Exit interview conducted and a copy of this report, along with the HCS809-D form, was emailed to the Licensee along with a copy of the HCS9058 Appeal Rights form.

NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/03/2025
I acknowledge receipt of this form and understand my 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.

HCS809 (FAS) - (06/04)
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Document Has Been Signed on 09/03/2025 11:58 AM - It Cannot Be Edited


Created By: Adrian L Mangina On 09/03/2025 at 09:32 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: 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
1796.23(a)
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FINGERPRINT REQUIREMENTS Each person initiating a background examination to be a registered home care aide shall submit their fingerprints to the Department of Justice by electronic transmission in a manner approved by the department, unless exempt under subdivision (d).
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This requirement was not met as evidenced by: during the review of files on 6/26/25, Licensee was not able to provide proof of current fingerprint clearance for Reference #1 and #2, a finding which poses an immediate health and safety risk to persons in care.
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Type A
09/04/2025
Section Cited
1796.43(a)
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EMPLOYEES, VOLUNTEERS, AND AFFILIATED HOME CARE AIDE REQUIREMENTS: Home care organizations that employ affiliated home care aides shall ensure the affiliated home care aides are cleared on the home care aide registry before placing the individual in direct contact with clients.
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This requirement was not met as evidenced by: during the review of files on 6/26/25, Licensee was not able to provide proof that Reference #1 and #2 are currently affiliated with the Home Care Organization on the Home Care Aide Registry, a finding which 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.
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2025
LIC809 (FAS) - (06/04)
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