Woodside Residential Care Facility for Elderly

Type of visit: Required - 1 Year

On 09/08/2026 at 9:15 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Mirriam Paras and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/08/2026. Emergency Disaster Plan was last posted on 09/02/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 08/28/2026. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications.The following documents were reviewed during visit: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate THE FOLLOWING DEFICIENCY WAS OBSERVED: · At approximately 10:25 AM, LPA observed a cabinet with knives in the kitchen were unlocked and accessible to residents in care. LPA advised Administrator to lock the cabinet immediately. The above deficiency was observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted with Administrator. LIC809D, Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 8, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Sep 9, 2026

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. Licensee did not comply with the section cited above based on observation. During facility inspection, LPA observed kives stored in an unlocked cabinet accessible to residents which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 8, 2026

Plan of correction: Licensee shall provide a proper lock on the cabinet and submit to LPA by POC date.

Type of visit: Required - 1 Year

On 08/08/2025 at 10:15 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Mirriam Paras and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents.The hot water temperature in the residents’ shared bathroom was measured at 128 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 04/02/2025. Emergency Disaster Plan was last reviewed on 04/08/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 04/01/2025. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. The updated copies of the following documents were reviewed:LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance ,Current Administrator’s Certificate's renewal documents. ***CONTINUE ON 9099C*** ***CONTINUE FROM 9099*** The following deficiency was observed during the visit: At 11:15 AM, LPA measured the water temperature in common bathroom and kitchen. The water temperature was measured at 128 Degrees Fahrenheit. The above deficiency was observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted with Administrator. LIC809D, Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 8, 2025

Allegation investigated: Staff did not safeguard resident's cash resources.

On 06/27/2025 at 1:45 PM, Licensing Program Analyst (LPAs) Ardalan Gharachorloo and Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegation above. LPAs met Mirriam Paras, Administrator, and explained the purpose of the visit. During the course of the investigation, LPAs reviewed R1s physician's report dated 03/25/2024. R1 has a diagnosis of dementia. LPAs also interviewed S1 and W1 and toured R1's bedroom. W1 reported that R1 brought $4242 in cash to a to his day program where the funds were counted and sealed in an envelope. Upon R1's return to the facility, R1appeared confused and dropped the envelop and staff helped R1 recover the contents. W1 later discovered that $1500 was missing from the original amount and stated that the facility administrator and staff were notified. S1 added that R1 had a stroke shortly thereafter and was transferred to Hayward Hills Rehab. ***CONTINUE ON 9099C*** Unsubstantiated ***CONTINUE FROM 9099*** In an interview with S1, S1 confirmed that the day program placed the money in an envelope and put the envelop in a bag attached to R1's wheelchair. S1 stated the resident was at the facility for approximately two hours and appeared weak and staff called 911. While R1 was at the facility, staff assisted him in putting all the money they found in his room back in the envelope. S1 has offered to reimburse W1 the amount of money W1 feels is missing from the envelope. S1 further stated that she has no idea where R1 is getting this amount of cash. R1 is currently in the rehab program. This agency has investigated the complaint alleging staff did not safeguard resident's cash resources. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 27, 2025 · control 15-AS-20250626110145

Type of visit: Required - 1 Year

On 08/14/2024 at 9:30 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. At 10:25 AM, LPA met with Administrator,Mariam Paras and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 108.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 8/14/2024. Emergency Disaster Plan was last posted on 11/23/2022. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 04/08/2024. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. The following documents were reviewed during the visit :LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance and Current Administrator’s Certificate renewal documents. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 14, 2024