Senior Care Records.

Facility Evaluation Report

Mission Woodside, Redwood City12/03/2025Licence 415601063

Capacity6
Census0
Date signed12/03/2025 02:15:44 PM
Name of licensing program analystJohn Calandra
Name of licensing program managerBrenda Chan
The inspector’s account

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.

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