Senior Care Records.

Facility Evaluation Report

Pacaldo LLC, San Bruno05/21/2025Licence 415601076

Capacity6
Census2
Date signed05/21/2025 11:58:58 AM
Name of licensing program analystMurial Han
Name of licensing program managerApril Cowan
The inspector’s account

On May 21, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management - Plan Of Correction visit. LPA met with the administrator and explained the purpose of today's visit.

During today's visit, LPA toured the facility and reviewed documentation.

The following deficiencies , which were cited on 5/12/2025 are corrected:

- 87458(a) and - 87458(c)(1)(A) Medical Assessment

- 87456(a)(2) Evaluation of Suitability for Admission

- 87405(d)(1)(2)(3) Administrator- Qualifications & Duties

The administrator will provide a copy of the plan of correction for the following deficiency by the end of today- 5/21/2025

This report is reviewed and discussed with the administrator; a copy of this report and Cleared POC letters were provided.

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