Medication handling and storage
Cited in 2 reports, with 4 deficiencies in total.
PACALDO LLC
1580 CRESTWOOD DRIVE, San Bruno CA 94066
6 bedsLatest official report Jun 4, 2026Licensed
Additional info
- Telephone
- (650) 737-0803
- Licensee
- PACALDO LLC
- Administrator
- MADRIGAL, OSCAR
- Contact
- MADRIGAL, OSCAR
- License first date
- Jun 17, 2020
- License effective date
- Jun 17, 2020
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 935 - ELDERLY
Summary
The available records show 6 Type A and 5 Type B deficiencies for this facility.
- Most recent inspection
- Jun 4, 2026
- Most recent deficiency
- Jun 4, 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 150 San Mateo County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 4 reports for this facility: 3 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 6 Type A and 5 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 3
- Recorded deficiencies
- 11
- Type A deficiencies
- 6
- Type B deficiencies
- 5
- Substantiated complaints
- 0
- Repeated topics
- 3
Fewer than the typical 4
1 in the last 12 months
Well above the typical 4
5 in the last 12 months
Well above the typical 1
3 in the last 12 months
More than the typical 2
2 in the last 12 months
Most this size also have none
0 in the last 12 months
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.
Health conditions and treatments
Cited in 2 reports, with 2 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed sharps were unlocked in the kitchen drawer and scissors were left unattended in R3's room which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/05/2026 Plan of Correction The administrator will provide a plan to ensure sharps are locked at all times and will include staff training. The administrator will provide a copy of the plan to CCL by 6/5/2026.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed discharge medication and medications were left unattended in R3's room on the bedside table which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/05/2026 Plan of Correction The administrator will speak with R3 and the physician to develop a plan of correction to ensure R3 and all the residents safety. The administrator will provide a copy of the plan to CCL by 6/5/2026
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R1 has 2 half bed rails on each side of the bed and R2 has a long rails by each side of the bed which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/05/2026 Plan of Correction The administrator will submit a plan of correction to ensure compliance and will submit a plan to CCL by 6/5/2026.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(5)
- Regulation authority
- CCR
What the official deficiency says
(5) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the bath/shower room by R1's room did not have a non-skid mat. which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/11/2026 Plan of Correction The administrator will replace the non-skid mat and provide a photo to ensure compliance.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 2 of R2's medication and 1 of R5 medication were not logged on the centrally stored medication list which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/11/2026 Plan of Correction The administrator will re-train all staff and the administrator will monitor more often to ensure compliance. The administrator will provide a copy of the plan of correction to CCL by 6/11/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(4)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed one of R5's medication container did not have a label by the dispensing pharmacist rather the label was hand-written which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/11/2025 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 6/11/2025.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed one of R5's medication was not stored in its original received container as it did not have a prescription label. which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/11/2025 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 6/11/2025.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed one of R4's medication- Refresher Tears did not have a physician order which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/11/2025 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 6/11/2025.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed some medications for R4 and R5 were not listed on the record in which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2025 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 6/17/2025.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(15)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed admission agreement was missing for R3 and R4 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2025 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan and a copy of the admission agreement to CCL by 6/17/2025.
Plan of correction recorded
Correction not verified in available records
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: LPA observed 2 residents have a half bedrail without a physician's order. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 2 residents have a half bedrail without a physician's order. which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/29/2024 Plan of Correction The administrator will submit a plan to ensure compliance and will provide a copy of the plan and a copy of the physician's order for the device to CCL by 5/29/2024.
Plan of correction recorded
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportSource 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