Mission Woodside

Type of visit: POC

On 12/3/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Proof of Correction(POC) visit. LPA Calandra was greeted by Gabriella Johnson, Clinical Program Manager/Administrator and explained the purpose of the visit. On 11/6/2025, the facility received a citation for a violation of California Health and Safety Code(HSC) 1569.695(e)(2) as the facility did not have an Appraisal of Needs and Services Plan for any residents at the time of the Annual inspection as well as functional capability assessments, or preadmission appraisals. On 12/3/2025, LPA reviewed all residents post visit on 11/6/2025 and found that all resident records contained Preadmission appraisals, Appraisal of Needs and Services Plan and functional capability assessments. Deficiency clearance letter was provided to the Licensee. During the visit, LPA received a copy of the facility's current LIC 500/staff schedule. No deficiencies were cited during today's visit. An exit interview was conducted. A copy of this report was provided to facility representative.the state’s words, verbatim · CDSS document, Dec 3, 2025

Type of visit: Case Management - Annual Continuation

On 11/6/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to complete the Annual 1-year required inspection. LPA Calandra was greeted by Gabriella Johnson, Administrator and explained the purpose of the visit. Tatiana Barsanti, Director of Quality and Anthony Lupian, Interim Senior Vice President of the South Care Region arrived later during the visit. LPA toured the physical plant. This is a 1-story building with 6 bedrooms, 6 bathrooms, kitchen, living room, dining room, and back and front yards. All bedrooms had sufficient lighting and the required furniture. The bathroom had the required anti-skid floor mats and grab bars. Per interview with the Administrator the facility's fire alarms, smoke detectors, and Carbon Monoxide detectors are directly connected to the Redwood City Fire Department. Hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's first aid kit had the required items. The facility had the required 7 days of non perishables and 2 days of perishables at the facility. No food was expired. All sharp objects, soap, detergent, poisons, and cleaning supplies were locked up and in-accessible to persons in care. LPA reviewed 1 resident file and 6 staff files. All staff files were observed to be complete but the resident file was missing Appraisal of Needs and Services. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA received copies of the following documents while at the facility: Admission Policies and Procedures, Job Descriptions, Plan of Operation, Plan for Incidental Medical and Dental Care, Theft and Loss Policy and Transportation Procedures. LPA requested the following documents be sent to the Department by 11/21/2025: LIC 500: Personnel Summary Report and Control of Property(Deed), Liability Insurance. Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with facility representatives, and a copy of the report along with Appeal Rights left at the facility.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Required - 1 Year

On 11/4/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Laura Paniagua, LVN and explained the purpose of the visit. Tatiana Barsanti, Director of Quality and Anthony Lupian, Interim Senior Vice President of the South Care Region. LPA reviewed 3 resident files. All were observed to be complete except one was missing a preplacement appraisal. A Technical Violation was provided as R1 did not have a preplacement appraisal. The Annual inspection will be completed at a later date. No deficiencies cited during today's visit.the state’s words, verbatim · CDSS document, Nov 4, 2025

Type of visit: Case Management - Other

On 8/29/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Case Management visit in regards to a request to change the Administrator of the facility. LPA Calandra was greeted by Gabriella Johnson, Administrator and explained the purpose of the visit. Tatiana Barsanti, Quality Assurance Manager and Anthony Lupian, Interim Senior Vice President joined the visit later. LPA Calandra collected the following documents: Administrator's Resume Board of Resolution letter to change Administrator Administrator's Certificate Current Liability Insurance policy No deficiencies were cited during today's visit. An exit interview was conducted. A copy of this report was left with facility representative.the state’s words, verbatim · CDSS document, Aug 29, 2025

Type of visit: Case Management - Other

On October 31, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:00 AM to deliver Amended reports that were provided by LPA Calandra on October 16, 2024 in relation to the 2024 Annual 1-year required inspection. LPA Calandra was greeted by Stephanine Gaspar, Administrator and explained the purpose of the visit. The following reports were amended: LIC 809, LIC 809C, LIC 809-D, and Civil Penalties Assessment form. During the visit, LPA Calandra amended the reports and provided the Administrator, Stephanine Gaspar, and the Licensee with a copy. The facility surrendered the following reports to the Department: LIC 809, LIC 809C, LIC 809-D, and LIC 421BG (Civil Penalty Assessment form) received by the facility on October 16, 2024. No deficiencies other than the one listed on the amended report were cited during today's visit. An exit interview was conducted and this report was reviewed with Stephanine Gaspar, Administrator and a copy of the report left at the facility.the state’s words, verbatim · CDSS document, Oct 31, 2024

Type of visit: POC

On October 31, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 1:40 PM to conduct a Plan of Correction (POC) visit and deliver the POC clearance letter in regards to the Annual 1-year required inspection completed on October 16, 2024. LPA Calandra was greeted by Stephanine Gaspar, Administrator and explained the purpose of the visit. No deficiencies were cited during today's visit. An exit interview was conducted and this report was reviewed with Stephanine Gaspar, Administrator and a copy of the report along with the POC clearance letter was left at the facility.the state’s words, verbatim · CDSS document, Oct 31, 2024

Type of visit: Required - 1 Year

**This is an Amended Report** On October 16, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:20 AM, to conduct the unannounced 1-year required inspection. LPA Calandra was greeted by Sylvia Sinsay, Home Health Aid and explained the purpose of the visit. Stephanine Gaspar, Administrator, Leslie Hassan-Seidman, Chief Patient Care Services, and Tatiana Barsanti, Quality Manager joined the visit later. LPA toured the physical plant. This is a 1-story building with 6 bedrooms, 6 powder rooms/bathrooms, kitchen, living room, dining room, and back and front yards. All bedrooms had sufficient lighting and the required furniture. The bathroom had the required anti-skid floor mats and grab bars. Per interview with the Administrator, Stephanine Gaspar, the facility's fire alarms, smoke detectors, and Carbon Monoxide detectors are directly connected to the Redwood City Fire Department. Hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's first aid kit had the required items. The facility had the required 7 days of non perishables and 2 days of perishables at the facility. No food was expired. All sharp objects, soap, detergent, poisons, and cleaning supplies were locked up and in-accessible to persons in care. LPA reviewed 2 resident files and 5 staff files. All were observed to be complete. The facility does not handle cash resources at this time. All resident medications were reflected in the Centrally Stored Medication Records kept at the facility. LPA Calandra requested the following documents be sent to Licensing/RO by 10/23/2024: Current Liability Insurance Current LIC 500 LPA Calandra received the following documents at the facility: Current Administrator Certificate for Stephanine Gaspar During the visit on October 16, 2024, LPA Calandra observed S1 providing medications to a resident in room #3. Per interview with Administrator, Stephanine Gaspar, S1 also provides wound care, helps with breathing treatments, and assists with activities of daily living such as incontinent care. Per a review of Guardian (finger print clearance system), LPA Calandra learned that S1 did not have finger print clearance. In the presence of the LPA, S1 was immediately dismissed from work on October 16, 2024 and will not return to work at the facility until a fingerprint clearance has been obtained per interview with Administrator, Stephanine Gaspar. The facility was assessed a Civil Penalty of $500 ($100 a day x 5 days) because LPA Calandra learned that S1 has been working at the facility from 3/14/2024 to 10/16/2024 without fingerprint clearance. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Stephanine Gaspar, Administrator and a copy of the report along with Appeal rights were sent via email on 10/31/2024.the state’s words, verbatim · CDSS document, Oct 16, 2024

Allegation investigated: - Staff are not distributing resident's medication as prescribed - Staff do not ensure that resident's dietary needs are met

On 03/04/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to investigate the allegations received. LPA met with nurse Laura Paniagua and explained the purpose of today's visit. During this investigation LPA conducted interviews and reveiwed pertinent resident records. It is discoverd that the resident was prescribed morphine and the facility provided as prescribed per physician approval and prescription. Facility medication administration record (MAR) indicate and show that the orders were provided to the facility by prescribing physicians and the MAR reflects the administration. According to interviews and the care plan provided, the resident did not require a feeding tube or other method of feeding. The resident was provided food and water depending on the resident's tolerance level of intake. The facility did feed and hydrate the resident. These allegations are unfounded. This agency has investigated the complaint alleging, Staff are not distributing resident's medication as prescribed and Staff do not ensure that resident's dietary needs are met. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Unfoundedthe state’s words, verbatim · CDSS document, Mar 4, 2024 · control 14-AS-20240228093037

Allegation investigated: - Staff did not provide medications as needed - Staff did not communicate with authorized representative in a timely manner

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding the allegations above. LPA met with the administrator Stephanine Gaspar and explained the purpose of today's visit. During the investigation LPA conducted interviews and reviewed documents from the facility. It is discovered that the facility did provide the medications per the prescription provided and through interviews and documentation observed. The medications were prescribed "as needed" and the facility followed as prescribed. In regards to communication with authorized representative, the person on file as was out of the country at the time, so communication to them was received at a delay on their end. The facility did communicate with the additional family members listed due to the authorized representative not being immediately available. These allegations are unsubstantiated. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed with Stephanine Gaspar. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 5, 2023 · control 14-AS-20230626083229

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.