Padua Care Home

Type of visit: Case Management - Deficiencies

On April 30, 2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct a case management visit. LPA met with the administrator, Angelita Dayoan, and stated the purpose of the visit. The purpose of the visit is to issue citation based on an office meeting with the Department of Labor (DOL) conducted on April 6, 2026. Documentation from DOL shows that Angelita Dayoan and Nicholas Padua, both responsible parties of the restitution, did not comply with the DOL restitution agreement requiring payment of back wages to former employee, S1. DOL reported that despite having S1’s correct and current address, Angelita admitted she made no attempts to pay the required restitution. Email correspondence with from DOL representative to Angelita dated April 6, 2026, indicated S1’s address was verified as current and specifying the required payment amount of $13,125.00, consisting of wages and accumulated interest. Furthermore, DOL’s communication with S1, which S1 stated that no one from the facility attempted to contact or pay S1. DOL reported that Angelita confirmed she made no payment attempts. Based on the information gathered, deficiencies are being cited today. Exit interview was conducted with Angelita and Plan of Correction (POC) was discussed. Prior to this visit, Angelita stated she mailed the payment to S1 on April 15, 2026, and that she will submit all required documents to DOL by May 4 2026. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 30, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(d)(2) · Plan of correction due date: May 1, 2026

Administrator – Qualification and Duties: The administrator shall have the qualifications… Knowledge of and ability to conform to the applicable laws, rules and regulations This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the regulation cited above. The licensee did not meet the terms of the federal wage settlement agreement. This poses a potential health, safety, and/or personnal rights risks to residents in care.the state’s words, verbatim · CDSS document, Apr 30, 2026

Plan of correction: Corrected prior to this visit. Angelita issued the full restitution payment via mailed check to S1 on April 15, 2026 and provided the documented proof during this visit

Type of visit: Office

An office meeting was conducted today, April 6, 2026, at 10:00am via Teams Meeting with the following individuals: Liza King, Licensing Program Manager (acting Regional Manager) Stephen Richardson, Licensing Program Manager Lisa Rios, Licensing Program Manager Arvin Villanueva, Licensing Program Analyst Patricia Canites, Department of Labor representative Kevin Navarro, Department of Labor representative Angelita Dayoan, Licensee/Administrator Nicholas Padua, Licensee The purpose of this meeting was to discuss the current status of the settlement payment with the licensees Angelita Dayoan and Nicholas Padua. This meeting followed up on a signed agreement for the licensees to repay back wages to employees via a payment plan. Angelita confirmed that several employees have received partial payments and that she is close to completing all payments. Providing proof of payment to Department of Labor (DOL) was delayed because the administrative contact, James, was unable to reach Angelita. Angelita reported having difficulties locating two employees: S1 and S2. DOL will assist in locating these individuals. Angelita was advised to attempt to contact S1 and S2. {1 of 2} Angelita was advised the final deadline to provide all proof of payment (cancelled checks) is May 4th 2026. Angelita agreed to upload all existing cancelled checks to DOL’s portal by tomorrow, April 7th 2026 no later than 5:00pm. Angelita confirmed that payments to employees are “free and clear” and that she has not requested the funds back from the employees. Due to communication issues and payment delays, licensees were advised that the Department will initiate an audit of this facility and other facilities that are under the licensees. This audit is to verify the facilities’ financial solvency and their ability to continue to operate. The licensees agreed to do the following: Upload all available cancelled checks to the DOL’s portal by April 7th 2026 no later than 5:00pm. Provide all remaining proof of payment by May 4th 2026. Licensees agreed to contact S1 and S2 first and provide back wages payment. If unable to locate or reach out to these individuals, licensees were advised to send payment to DOL. S1 and S2 will need to retrieve payments at DOL. The Department will do the following: The Department will conduct an audit to verify the facility’s financial solvency and their ability to continue to operate. No deficiencies were cited during today’s meeting. Exit interviews and licensees were informed that a copy of this report will be emailed to them and a request made by this LPA for licensees to sign the documents and send back a copy of the signed report. {2 of 2}the state’s words, verbatim · CDSS document, Apr 6, 2026

Type of visit: Required - 1 Year

On 1/22/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the annual inspection visit. LPA initially met with Administrator, Angelita Dayoan (AD), and stated the purpose of the visit. Overview: Facility is a one-story house located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents, all 6 may be non-ambulatory. Facility has a hospice waiver granted for residents. Facility does not have clearance for bedridden residents. Present upon arrival were 6 residents in care with 2 staff on duty (AD and S1) Physical Inspection: Areas inspected include, but not limited to, the kitchen, dining, resident units/bedrooms, resident bathrooms, common areas and outdoor areas. LPA inspected 6 of 6 resident bedrooms and 3 of 3 bathrooms. Hot water temperature was taken in 1 of 3 bathrooms and was measured at 119 degrees Fahrenheit. Room temperature was maintained at 73 degrees Fahrenheit. Fire extinguishers were observed. One sample was last inspected on 12/19/25. Centrally stored medications, toxins, sharp objects and other dangerous items were kept locked and inaccessible to residents in care. Magnetic keys were observed to be accessible, and advisory was provided to staff to keep them inaccessible to residents who are at risk if they have direct access to dangerous items. In the kitchen area, LPA observed at least seven-day non-perishable and two-day perishable food supplies. Other non-perishable food items were in the garage. Kitchen refrigerator and freezer were in good working condition at this time. Additional refrigerator and freezers for food items stored in the garage. Advisory was provided to place thermometers inside the refrigerators and freezers to monitor temperature. {1 of 2} Outdoor area was observed. LPA observed shade area and outdoor furniture for resident use. Ramps were observed to be in good repair at this time. Emergency walkways were observed to be unobstructed. Fence and gate were in good repair. Record Reviews: LPA reviewed 3 staff files and 4 resident files. Review of 4 resident files, including but not limited to, review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. LPA did not review resident medications during this visit. Review staff files included, but not limited, background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. No issues were noted at this time. Review of fire drill/disaster drill records: facility conducts at least quarterly drills, and last drill was conducted on 11/10/25. Documents Requested: LPA requested a copy of current Liability Insurance Certificate, LIC500, LIC308 to be emailed to arvin.villanueva@dss.ca.gov. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were cited. Advisories were provided. Exit interview was conducted. A copy of the report was provided upon exit. {2 of 2}the state’s words, verbatim · CDSS document, Jan 22, 2026

The state marks this report as 13 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced Case Management - Annual Continuation visit today at the facility to continue with the Annual visit initiated on 12/20/2024. LPA met with staff on duty and explained the purpose of the visit. The Administrator, Angelita Dayoan, was notified and arrived shortly after. Present during today's visit were 6 residents in care with 2 staff on duty. The LPA continued with facility visit to ensure facility is in compliance with Title 22 Regulations. Facility is fire cleared for 6 non-ambulatory residents and one room, located near the front entrance of the facility was fire cleared for bedridden use. Review of 3 resident files (R1, R2, R3) which include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. During the record review, it was noted that a resident (R1) had been assessed by a physician (per LIC602 dated 7/17/24) as bedridden and was observed in a bedroom that had not been approved for bedridden use. A Technical Advisory on this issue had already been provided to the Licensee during the previous annual visit on 12/27/23. Medication review of 3 residents (R1, R2, R3) include review of physician orders for over-the-counter medications. TA was provided to ensure resident physicians indicate residents' capacity to determine the need for PRN medication. Review of 4 staff files (S1, S2, S3, S4) which include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. No issues were noted at this time. Facility conducts quarterly disaster drill and last drill was on 11/16/24. Facility has a dementia and infection control plan. Administrator provided the following documents during this visit: current Liability Insurance Certificate, LIC 610E, LIC500 and LIC308 to the Department. This facility is hereby cited per 22 CCR Sections 87202(a)(2). An immediate civil penalty in the amount of $500 is hereby assessed due to a violation of fire clearance. Exit interview was conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Dec 24, 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.

Type of visit: Required - 1 Year

This is an amended report. On 12/20/24 at 2:23pm, Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced annual required visit, with the use of the CARE Inspection Tool. LPA met with facility administrator, Angelita Dayoan, and stated the purpose of this visit. Present during this visit were 6 residents in care with 2 staff on duty. The facility is a one-story home located in a residential neighborhood. The facility is currently licensed to serve 6 non-ambulatory elderly residents, of which 1 may be bedridden. The facility is approved for 4 hospice residents. During this visit, LPA observed 2 residents doing tabletop activities with staff; one resident was watching TV in the livingroom; and other residents were in their bedrooms. Outdoor areas were observed to be clean and clear of hazards at this time. No bodies of water was observed at this time. Fence and gates were observed. The fence located at the garage side of the facility was observed to be in disrepair. Per administrator, they are in the process to have it repair. Date of repair is pending at this time. LPA observed outdoor furniture and outdoor activity area was observed to be spacious for resident use. Storage shed was observed to be locked and not accessible to residents. No bodies of water was observed. LPA observed the interior to be free of odor, clean and in good repair at this time. LPA observed 6 of 6 resident bedrooms to be equipped with the required furniture and sufficient lighting throughout the facility. LPA inspected 3 of 3 bathrooms and were observed to be equipped with slip resistant flooring and overall in good repair at this time. Hot water temperature in 2 of 3 resident bathrooms were measured at 110 degrees F. Room temperature was observed at 72 degrees F. The kitchen was observed to be clean and sanitized. Freezer and refrigerator in the kitchen area was observed to be clean and large enough for food storage. LPA observed freezer temperature to be 5 degrees F. Technical Advisory was provided to administrator to maintain the freezer temperature at or below 0 degrees. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Regulatory-required posters were observed. Facility maintains 3 fire extinguishers at this facility. Smoke and carbon monoxide detectors were observed, tested and found operable at this time. LPA observed medications to be centrally stored and inaccessible to residents. LPA observed poisonous substances, sharp objects and other dangerous items were kept locked and inaccessible to residents in care. Facility is not equipped with fireplace. This visit requires continuation. The Department will return at a later date to continue the annual inspection. Exit interview was conducted a copy o this report was provided.the state’s words, verbatim · CDSS document, Dec 20, 2024

The state marks this report as 5 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

On 1/4/2024, at 2pm, Licensing Program Analyst (LPA) Arvin Villanueva arrived at this facility to conducted an unannounced Case Management-Annual continuation visit to continue with the Annual visit initiated on 12/27/2023. The LPA initially met with a staff on duty and explained the purpose of today's visit. Facility administrator was made aware of the visit and arrived to the facility shortly after. During this visit there are 6 residents in care with 2 staff on duty. During this visit, LPA Villanueva completed a facility observation. Residents in care are in their bedrooms. LPA observed some residents have visitors. From previous visit on 12/27/2023, LPA Villanueva observed, based on resident file review, that 1 of 6 resident in care is diagnosed as bedridden and on hospice. LPA observed that this resident was in bedroom not cleared for bedridden. LPA also noted from the facility license that the facility has a bedridden clearance for one of the bedrooms (refer to the facility sketch). Based on interview with the administrator, the administrator planned to talk with the resident and their family or responsible person(s) if the resident in the bedridden bedroom can switch with resident in a non-bedridden bedroom. During today's facility observation, LPA Villanueva observed that the bedridden resident is in the appropriate bedroom cleared for bedridden resident. Per interview with the administrator, the residents and their families or responsible person(s) were okay with the bedroom switch. Also in today's visit, LPA completed and concluded staff interviews and resident interviews. LPA also concluded and completed the CARE Tools. Per California Code of Regulations (CCR), Title 22, no deficiencies were observed. An exit interview was held, and a copy of the report was given.the state’s words, verbatim · CDSS document, Jan 4, 2024

Type of visit: Required - 1 Year

On 12/27/2023 at 9:45am, Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced annual required visit, with the use of the CARE Inspection Tool. LPA initially met with a staff on duty and explained the purpose of today’s visit. The facility administrator, Angelita Dayoan, was informed of the visit and arrived shortly after. The facility is currently licensed to serve 6 non-ambulatory elderly residents of which 1 may be bedridden. The facility is approved for 4 hospice residents. Currently, the facility has 3 hospice residents in care. Room #4 is cleared for bedridden residents. Present during this visit, there were 6 residents in care with 2 staff on duty. At 10.15am LPA inspected the facility’s physical plant with the administrator including but not limited to the kitchen, dining room, resident bedrooms, resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. The facility is a one-story structure located in a residential neighborhood. There were no bodies of water on the premises. Outside of the facility was observed to be cleaned and clear of obstructions. Additionally, LPA observed outdoor furniture for residents’ use and covered area for outdoor activities. Entrance, exits and hallways were observed to be clear of obstructions. LPA observed 6 private resident bedrooms and 3 bathrooms for resident use. One of the bedrooms has its own bathroom. LPA observed beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage for the resident's personal belongings. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were operational and adequately supplied including with grab bars and non-skid flooring. {Con't LIC809-C} {Con't from LIC809} LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to residents in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. Room temperature was maintained in the facility at 72 degrees F. Water temperature in one of the bathroom was measured at 115 degrees F. All 3 fire extinguishers were serviced on 8/11/2023. Smoke detectors and carbon monoxide were tested and found to be operable during this visit. Medication storage area was observed to be locked and inaccessible to residents in care. Medications were reviewed for accuracy. First aid kit was observed to have adequate supplies and accessible to staff. The facility maintains for each resident Centrally Stored Medication, Destruction Record and PRN Log. LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed personal rights, resident council and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed facility’s sufficient equipment and supplies to meet activity program needs of residents in care. During this inspection, LPA conducted an audit of facility files, 6 resident files, and 4 staff files for regulatory compliance. All staff noted on LIC 500 have criminal background clearances and associated to this facility. LPA attempted 2 resident interviews and 2 staff interviews. 6 out of 6 Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. 4 out of 4 staff files reviewed contained all required contents including health screening, TB results, current first aid/CPR, and initial and ongoing required trainings. Facility’s liability insurance is current per regulatory requirements. The facility is current on annual license fees. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Facility conducts quarterly fire drills. LPA requested an updated copy of current liability insurance, LIC 308 and LIC 500. Due to insufficient time, this annual will require a continuation visit. The Department will return at a later date to complete the annual inspection. An exit interview was held with Angelita Dayoan, Administrator, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Dec 27, 2023