PEPPERTREE GUEST HOME II

8950 JOHNSON DRIVE, La Mesa CA 91941

Facility 374601693 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jun 19, 2026Licensed

Additional info
Licensee
CAGAYAT, ADELAIDA D.
Administrator
MARIO G. CAGAYAT
Contact
MARIO G. CAGAYAT
License first date
Jun 21, 2004
License effective date
Jun 21, 2004
District office
SAN DIEGO RO · (619) 767-2300
Regional office
08
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 2 Type A deficiencies for this facility.

Most recent inspection
Jun 19, 2026
Most recent deficiency
Jun 19, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 444 San Diego County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 2 Type A and 0 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

More than the typical 4

1 in the last 12 months

Recorded deficiencies
2

More than the typical 1

2 in the last 12 months

Type A deficiencies
2

Most this size have none

2 in the last 12 months

Type B deficiencies
0

Fewer than the typical 1

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87202(a)(2)
Regulation authority
CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and interviews, the licensee did not comply with the section cited above by not maintaining an approved fire clearance for 1 out of 5 residents who were observed to be bedridden, which poses an immediate health risk to persons in care.

Official plan of correction

POC Due Date: 07/20/2026 Plan of Correction Licensee will contact the local fire authority to assess for bedridden capacity approval. If feasible, licensee will submit an LIC200 form with facility sketch to the Department to initiate the process. Relocation of resident will be conducted if bedridden approval cannot be accomplished.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, Licensee did not comply with the section cited above, in that the water temperature was measured at greater than 120 degrees in three resident bathrooms, which poses an immediate safety to persons in care.

Official plan of correction

POC Due Date: 07/20/2026 Plan of Correction Licensee will make arrangements to rectify the hot water temperature. Proof of resolution will be provided to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology