Paso Senior Care

Allegation investigated: Facility did not provide a comfortable environment

At 2:40pm, on 9/10/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to investigate the allegation of this complaint. LPA met with Lead Staff Mylene Cabello announced who he was and the reason for the visit. During today’s visit LPA checked the wellbeing of all residents, documented the temperature in the facility and each resident bedroom, and conducted interviews. On the allegation, facility did not provide a comfortable environment; it was alleged that on 9/8/2026 multiple witnesses reported the facility felt very hot inside and one witness noted rooms in the facility to be over 90°F using a handheld temperature device. There were fans noted throughout the facility and a portable air conditioning (AC) unit that was set up in one resident’s room with the exhaust tube running into the hallway. (Continued on LIC9099-C) Substantiated It was also alleged that Resident #1’s (R1’s) bedroom was also hot and they were noted to be soaking wet in perspiration and had a very high blood pressure. During today’s visit between 2:40pm and 3:00pm lead staff and LPA toured the facility. Using a handheld thermometer, LPA documented resident bedroom and common area temperatures ranging from 79.1°F to 81.6°F, within regulation of 78°F to 85°F. LPA noted this facility has central AC, at 2:42pm LPA noted the unit was on, set to cool to 64°F, the thermostat stated the inside temperature is 79°F, and LPA noted cool air coming from facility vents. Upon arriving to the facility LPA also noted additional portable AC units were being delivered and set up in each resident room with exhaust properly venting outside. Review of multiple resources recorded the highest temperature in Paso Robles, CA on 9/8/2026 at 105°F and as of today’s visit the projected high for the day is 103°F. Multiple witnesses who visited the facility on 9/8/2026 between 11:30am – 4:00pm state the facility felt hot. At approximately 4:00pm one witness took the temperature of the facility with a handheld thermometer noting multiple areas of the facility to be over 90°F. Staff stated that on 9/8/2026 backup staff were working as the primary staff had the day off and the reason they did not turn on the central AC was because they did not know how to operate it. Staff stated on 9/8/2026 there were three portable AC units in the facility one in the bedroom next to the dining room with the exhaust properly venting out the sliding glass door and two in the first and last bedrooms on the left side of the hallway with the exhaust from both venting to the hallway. Resources state that venting a portable AC unit to another area inside the building will make the building hotter. Interviews reported different versions of R1’s condition. Witnesses stated R1 felt hot and sweaty, with blood pressures of 260/86, 246/86, and 160/83 as the facility cooled after the central AC was turned on. Staff stated they took R1’s blood pressure at approximately 5:00pm using an automatic wrist blood pressure device and recall it was 167/80. Witness and staff interviews reveal calling emergency services was not discussed as an option for R1. Interviews and LPA observation noted R1 cannot communicate verbally or in writing. Although the LPA could not conduct clear interviews with most residents due to cognitive impairments, resident interviews did reveal that their have been times the facility was not comfortable due to it being too hot. Licensee was provided a copy of PIN-25-10-CCLD regarding heat preparedness. (Continued on LIC9099-C) Based on all interviews conducted and documents obtained, at this time the above allegation was found to be substantiated, there is a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted with Licensee/Administrator over the phone, deficiency cited on LIC9099-D page, report signed, appeal rights and report provided to the Lead Staff.the state’s words, verbatim · CDSS document, Sep 10, 2026 · control 29-AS-20260910132613

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(b)(2) · Plan of correction due date: Sep 24, 2026

(b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C)... This requirement was not met as evidenced by: Based on interview and record review, the licensee did not cool the facility within regulation which poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 10, 2026

Plan of correction: Licensee states in addition to the measures they have taken to cool the facility they will conduct staff training on how to use the various AC units and vent them properly, heat preparedness and signs of heat exhaustion. They will email LPA documentation and signed staff roster by 9/24/2026

Type of visit: Required - 1 Year

At 9:00am, on 6/23/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Lead Staff Mylene Cabello, announced who he was and the reason for the visit. At 9:05am Lead Staff and LPA conducted a full tour of the facility. This facility is a single story residential home with five resident bedrooms (one is dual occupancy), three and a half bathrooms (one is en-suite to the dual occupancy resident room, two are for public use, and the half bathroom is for staff and located off the laundry room). There is a living room, dining room, and kitchen. A staff bedroom is located off the dining room. Access to the laundry room and garage is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each bedroom and hallway leading to bedrooms that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, purchased on 2/28/2026. LPA tested facility hot water at 111.4°F, within regulation temperatures 105-120°F. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility has no obstructions in hallways, doorways or exits. Medications, staff and resident files are locked in a cabinet in the dining room. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records. LPA conducted a staff and resident file review. LPA and Lead Staff conducted a review of the annual care tool modules. There were no deficiencies cited at this time. Exit interview conducted, report signed, and report provided to the Lead Staff.the state’s words, verbatim · CDSS document, Jun 23, 2026

The state marks this report as 10 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At 9:30am on 06/11//2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced to the facility to conduct the annual facility inspection. LPA met with Lead Staff Mylene Cavello (S1), LPA and S1 called administrator Maynard Marcos by phone who provided permission for S1 to sign for inspection visit. LPA noted that S1 has a LIC308, Designation of Facility Responsibility for this facility on file. S1 and LPA conducted a full tour of the facility. This facility is a single-story residential home with 5 resident bedrooms (one is dual occupancy), three and a half bathrooms (one is on-suite and two are for shared/public use). A staff bedroom is located off the dining room and the half bath located near the laundry room is for staff use. There is a living room, dining room, and kitchen. Access to the laundry room and garage is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit just outside the kitchen for residents to enjoy freely. Near the dining room there is a piano for residents, visitors, and staff to play. During visit LPA observed residents engaged in coloring and brain stimulating activities. LPA also observed multiple Home Health and Hospice staff visiting residents. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the kitchen that was in the green compression range, purchased on 03/10/2025. LPA tested facility hot water at 107.3*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility has no obstructions in hallways, doorways or exits. (Continued on LIC809-C) Medications are stored in a locked cabinet. Staff and client files are locked in a cabinet in the dining room. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review. LPA and S1 conducted a review of the annual care tool modules. There were no deficiencies cited at this time. Exit interview, report signed, and report provided.the state’s words, verbatim · CDSS document, Jun 11, 2025

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At 9:30am on 07/12//2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the annual facility inspection. LPA met with care giver Mylene Cavello (S1), who called administrator Maynard Marco by phone who provided permission for S1 to sign for inspection visit. LPA noted that S1 has a LIC308, Designation of Facility Responsibility for this facility on file with CCLD. S1 and LPA conducted a physical tour of the facility. LPA noted that all exits were free and clear of hazards. LPA noted that all rooms have a working combination carbon monoxide/smoke detector unit that are all hardwired and currently working. LPA noted that all rooms are properly finished with correct bedding linin, personal storage and lighting in accordance with regulations. LPA noted that there is ample linin and personal hygiene and incontinence supplies for all 5 residents presently at the facility. This facility has 5 resident bedrooms, 4 are single occupancy and 1 in double occupancy. The facility has 3 bathrooms all meeting regulations standards. Water in the facility was tested at bathroom 1 and bathroom 3 and found to be within the regulation temperature range of 105*-120* (f). LPA observed there to be more than 2 days of perishable foods and more than 7 days of non-perishable foods for the 6 residents and staff. LPA observe the outside grounds of the facility and noted that patio tables have table umbrellas for shade when residents are utilizing outdoor area of facility. LPA noted that the facility to be clean and in good repair with no hazards present on facility physical tour. LPA found no technical, violations or citations during the physical tour at this time. S1 and LPA conducted a full review of the control tools modules. It was discovered that annual staff training was not completed per regulations for the past 12 month period and a citation was issued for staff annual training (Health and Safety Code 1569.625(b)(2)); It was also discovered that there had been no emergency drills conducted over the past 12 months and no documentation of drills (Health and Safety Code 1569.695(c)). LPA issued two citations, with plan of corrections for two violations. LPA concluded the annual facility inspection. Exit interview, report read, citations issued, appeal rights and report provided.the state’s words, verbatim · CDSS document, Jul 12, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.