Facility Evaluation Report

Pacaldo LLC, San Bruno05/15/2024Licence 415601076

Capacity6
Census5
Date signed05/16/2024 04:49:05 PM
The inspector’s account

On May 15, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, wilmina Coronel 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 6 private rooms. 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 locked and inaccessible to residents in care.

Hot water temperature in the kitchen and bathroom were measured at 106-110 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 9/28/2023.

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 administrator; a copy is provided.

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