Senior Care Records.

Facility Evaluation Report

Nelville Guest Home - Topeka, Pasadena09/19/2025Licence 198600401

Capacity5
Census4
Date signed09/19/2025 10:57:14 AM
Name of licensing program analystMayra Cota
Name of licensing program managerWei Siew Ho
The inspector’s account

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual continuation visit today. Today's visit stems from a required annual visit which took place on 8/29/25. LPA met with Herminia De La Cruz, Assistant Administrator and Leilani Pascasio, Administrator, and the reason for the visit was explained.

During today's visit, LPA conducted record review for (4) staff and (4) client files. Staff have current First Aid/CPR certification, Health and Tuberculosis Screening on file. Administrator certificates are current and staff have adequate hours of training. Client files have Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent For Medical Treatment, IPP, Program Rules, and Client Rights.

No deficiencies noted during today's visit. Exit interview was conducted with Herminia De La Cruz and Leilani Pascasio.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction