Pacaldo

Type of visit: Required - 1 Year

On May 28, 2026 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Maria Razon and explained the purpose of the visit. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 4 resident rooms (2 shared and 2 private room) and 1 staff room. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for sharps, chemicals and disinfectants were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 108-110 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 4/18/2026. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. No deficiency is cited today. This report is reviewed and discussed with the caregiver and a copy is provided.the state’s words, verbatim · CDSS document, May 28, 2026

Type of visit: Required - 1 Year

On May 28, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Maria Razon and explained the purpose of the visit. The administrator, Oscar Madrigal arrived shortly thereafter and assisted with the inspection. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 4 resident rooms (two shared and 2 private room) and 1 staff room. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for sharps and chemicals were observed to be unlocked and accessible to residents in care. LPA observed medication on the dining room table, unlocked and accessible to residents. Hot water temperature in the kitchen and bathroom were measured at 105-111 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 1/21/2025. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, May 28, 2025

Type of visit: Case Management - Other

On August 21, 2024, Licensing Program Analyst (LPA), Murial Han conducted an unannounced Case Management visit to deliver the findings of an incident that was reported by the facility. LPA met with caregiver, Wilfredo Monoy and explained the purpose to today's visit. On February 14, 2024, facility reported resident #1 (R1) was hospitalized due to a change of health condition and on the day of the discharge, R1 verbalized to the hospital staff that he/she was sexually abused by staff #1 (S1). As part of the investigation, the Department interviewed staff members, residents and R1's responsible party. The facility staff stated that they have not witnessed any suspicious or inappropriate behavior involving S1 toward R1 or other residents; other residents reported that they feel safe at the facility and R1's responsible party reported that R1 was not a reliable historian. After the investigation, this incident is deemed to be unsubstantiated. No deficiency is being cited today. This report is reviewed and discussed with caregiver and a copy if provided.the state’s words, verbatim · CDSS document, Aug 21, 2024

Type of visit: Required - 1 Year

On May 8, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Maria Razon and explained the purpose of the visit. The administrator, Oscar Madrigal arrived shortly thereafter and assisted with the rest of the inspection. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 4 resident rooms (two shared and 2 private room) and 1 staff room. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be unlocked and accessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 105-112 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 4/2/2024. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. The following documents were requested submitted to CCL by 5/9/24: - liability insurance Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. . This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, May 8, 2024

Type of visit: Case Management - Health Checks

On February 21, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management Health Checks visit due to an incident that was reported by the facility on February 14, 2024. LPA met with caregiver, Wilfredo Monoy and explained the purpose of the visit. The administrator, Oscar Madrigal arrived shortly thereafter and assisted with the rest of the visit. On February 14, 2024, facility reported that resident #1(R1) had a change of health condition and was transferred to the hospital. On the day of R1's discharge, the facility was notified by the hospital that R1 alleged sexual abused by staff #1 (S1). During today's visit, LPA toured the facility with caregiver observed facility to be cleaned and tidy and residents to be calm and comfortable. LPA spoke to residents, staff and administrator. According to the administrator, when the facility was notified of the incident, the facility started to investigate and implemented interventions to ensure the safety of the resident. According to the residents, they are doing well and staff members are providing the care that they need. The administrator also reported that R1 has returned to the facility with no further concerns. No deficiency cited today. This report is reviewed and discussed with the administrator; A copy is provided.the state’s words, verbatim · CDSS document, Feb 21, 2024