PEDROSE HOME CARE

1098 COLLINS ST, Manteca CA 95337

Facility 392701103 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jan 29, 2026Licensed

Additional info
Licensee
SHELTERING ARMS HOME CARE LLC
Administrator
PEDRO PANCHO
Contact
PEDRO PANCHO
License first date
Dec 28, 2021
License effective date
Dec 28, 2021
District office
SACRAMENTO SOUTH ASC · (916) 263-4700
Regional office
27
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 7 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Jan 29, 2026
Most recent deficiency
Oct 31, 2025

1 later report, on Jan 29, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

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 96 San Joaquin County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 10 reports for this facility: 8 inspections, 0 complaint investigations, and 2 licensing or administrative records.

Those records contain 7 Type A and 5 Type B deficiencies.

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

Official inspections
8

More than the typical 5

2 in the last 12 months

Recorded deficiencies
12

Well above the typical 2

6 in the last 12 months

Type A deficiencies
7

Well above the typical 1

4 in the last 12 months

Type B deficiencies
5

Most this size have none

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
2

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.

Official report history

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

Inspection
Health conditions and treatmentsType A
Official classification
Type A
Official code
87633(b)
Regulation authority
CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not comply with the section cited above in 2 out of 3 hospice residents do not have a hospice care plan in their file which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/06/2025 Plan of Correction The licensee has agreed to contact the hospice agencies, request a copy of the care plans and address the needs of the resdient and services provided by hospice in the Needs and Services plan. send to charlie.yang@dss.ca.gov.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87202(a)(2)
Regulation authority
CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and reocord review, the licensee did not comply with the section cited above in 2 out of 4 residents were observed to be bedridden which means they required assistance positioning which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2025 Plan of Correction The licensee will develop a plan and submit to Charlie.Yang@dss.ca.gov by the POC date

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType A
Official classification
Type A
Official code
87463(b)
Regulation authority
CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in that 2 of 4 residents had outdated Needs and Services Plans, 2 of 4 had unsigned needs and services plans, 3 of 4 needs and services plans did not address hosice needs owhich poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2025 Plan of Correction The licensee agreed to update the Needs and Service Plans of each of the residents addressing the current needs and services being provided by other agencies such as home health and hospice. Sent to charlie.yang@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(3)
Regulation authority
CCR

What the official deficiency says

This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that 4 of 4 resident records revaeled that the resdients response to the prn medication was not documented nor was the time of day documented which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/01/2025 Plan of Correction The licensee agrees to update the MAR to address reason results and person provideing. A template was provided by the LPA during the time of visit via email to pedroscarehome@gmail.com

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 2 out of 3 staff records reviewed which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/01/2025 Plan of Correction Within the Poc Date, the licensee will provide evidence of training, in the approprite topics, via ceritfication to charlie.yang@dss.ca.gov.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(b)
Regulation authority
HSC

What the official deficiency says

(b) A facility shall provide training on the plan to each staff member upon hire and annually thereafter. The training shall include staff responsibilities during an emergency or disaster. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and staff interview, the licensee did not comply with the section cited above in 1 out of 2 staff interviewed and 0 out of 1 fire drill records present which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/01/2025 Plan of Correction Fire Drill will occur within the next 30 days, a copy of the fire drill record will be sent to charlie.yang@dss.ca.gov

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

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (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, the licensee did not comply with the section cited above in that the hot water temperature taken in the facility resident restroom was measured at 123.8 degrees above the allowed range of 105-120 degrees which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/03/2024 Plan of Correction The facility designated Administrator stated that the hot water heater will be turned down immediately and the hot water will be measured daily for the next 7 days. A statement of correction, along with the 7-day log of hot water measurements, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType A
Official classification
Type A
Official code
87456(a)(3)
Regulation authority
CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in [1] out of [3] facility resident files did not have an updated annual medical assessment completed in order to address any possible changes to the level of care for a dementia diagnosed resident which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/03/2024 Plan of Correction The facility designated Administrator stated that all facility residents diagnosed with dementia will be reviewed and scheduled with their licensed medical professionals to receive an updated annual medical assessment. A statement of correction, along with copies of the updated annual medical assessment, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Health conditions and treatmentsType B
Official classification
Type B
Official code
87470(c)(1)(C)
Regulation authority
CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (C) An Infection Control Training Plan. 1. Initial training requirements for new facility staff shall be addressed in the plan, with training to be provided by the Infection Control Lead before staff works independently with residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above since facility staff did not have documented initial training with corresponding required hours which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/03/2024 Plan of Correction The facility designated Administrator stated that all facility staff will undergo, and complete, the required hours of initial training and have it all documented within the corresponding staff records. A statement of correction, along with copies of all required initial hours of training, will be submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87470(c)(1)(C)
Regulation authority
CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (C) An Infection Control Training Plan. 2. Ongoing training requirements for all facility staff shall be addressed by the plan, with training to be provided by the Infection Control Lead. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above since facility staff did not have documented ongoing/annual training with corresponding required hours which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/03/2024 Plan of Correction The facility designated Administrator stated that all facility staff will undergo, and complete, the required hours of ongoing/annual training and have it all documented within the corresponding staff records. A statement of correction, along with copies of all required ongoing/annual hours of training, will be submitted into CCL by the due date.

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

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (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, the licensee did not comply with the section cited above in [2] out of [2] bathroom sinks delivering hot water at the temperature of 135.8 degrees which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/08/2022 Plan of Correction Facility designated Administrator Pedro Pancho stated that the hot water heater will be reviewed turned down to deliver hot water within the allowed range of 105-120 degrees at all times. A statement of correction, and log of temperatures taken for at least 24 hours, will be completed and submitted into CCL by the due date of 12/08/2022.

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

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above since unused building materials were left around the side of the house which needed to be removed and discarded. In addition, the side gate latch was not in functional order and was in need of repair to properly secure the perimeter which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/14/2022 Plan of Correction Facility designated Administrator Pedro Pancho stated that the unused building materials around the side of the house will be removed. The facility designated Administrator stated that the side gate exit will be repaired/replaced to make sure that it closed and opened properly with a functional latch to secure the perimeter at all times. A statement of correction, along with photos of the cleared side yard and updated gate latch, will be completed and submitted into CCL by the due date of 12/14/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this 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