Inspection
No deficiencies recorded in this report
PACALDO LLC
2735 FLEETWOOD DRIVE, San Bruno CA 94066
6 bedsLatest official report May 28, 2026Licensed
Additional info
- Telephone
- (650) 952-5370
- Licensee
- PACALDO LLC
- Administrator
- MADRIGAL, OSCAR
- Contact
- MADRIGAL, OSCAR
- License first date
- May 27, 2020
- License effective date
- May 27, 2020
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 935 - ELDERLY
Summary
The available records show 5 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- May 28, 2026
- Most recent deficiency
- May 28, 2025
1 later report, on May 28, 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 150 San Mateo 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 5 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 8
- Type A deficiencies
- 5
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 4
1 in the last 12 months
More than the typical 4
0 in the last 12 months
More than the typical 1
0 in the last 12 months
More than the typical 2
0 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.
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
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87618(b)(3)(E)
- Regulation authority
- CCR
What the official deficiency says
(3) Ensuring that the use of oxygen equipment meets the following requirements: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. 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 R3 has a portable oxygen tank in the room that was not secured in a stand or to the wall which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/29/2025 Plan of Correction The administrator will develop a plan to ensure portable oxygen tank are properly secured and will provide a photo(s) to proof that R3's oxygen tank is secured to CCL by 5/28/2025 and a copy of the plan of correction.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87618(b)(3)(A)
- Regulation authority
- CCR
What the official deficiency says
(3) Ensuring that the use of oxygen equipment meets the following requirements: (A) A report shall be made in writing to the local fire jurisdiction that oxygen is in use at 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 R2 and R3 have oxygen and the facility was not able to provide proof that the local fire jurisdiction was notified which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/05/2025 Plan of Correction The administrator will develop a plan to ensure the local fire department is notified with residents who are on oxygen. The administrator will provide proof that the local fire department was notified for R2 and R3 and a copy of the plan of correction to CCL by 6/5/2025.
Plan of correction recorded
Correction not verified in available records
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 87565(h)(1)(2)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: 87465 Incidental Medical and Dental Care Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R5 was sitting in the dining room and R3's prescribed cream was placed on the dining room table in front of R5 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/29/2025 Plan of Correction The administrator will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 5/29/2025.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87412(a)(12)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Hazardous health conditions documents as specified in Section 87411, Personnel Requirements - General. 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 2 out of 2 facility staff did not have TB screening documentation in their personnel file which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/09/2024 Plan of Correction The administrator/licensee will develop a plan to ensure this does not happen again and provide a copy of the signed and dated plan to CCL by 5/9/2024 and a copy of the TB screening documentation for these facility staff.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 the facility was not able to provide proof that emergency drills were conducted which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/09/2024 Plan of Correction The administrator/licensee will develop a plan to ensure drills are conducted accordingly and will provide a copy of the signed and dated plan to CCL by 5/9/2024.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). 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 sharps, chemicals and medications are not locked and accessible to resident in care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/09/2024 Plan of Correction The administrator/licensee will develop a plan to ensure this does not happen again and will provide in-services to staff. The administrator/licensee will provide a copy of the signed and dated plan and staff in-service record to CCL by 5/9/2024.
Plan of correction recorded
Correction not verified in available records
Background checksType B
- Official classification
- Type B
- Official code
- 87355(j)
- Regulation authority
- CCR
What the official deficiency says
(j) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees in the individual's personnel file as required in Section 87412, Personnel Records. 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 1 out of 2 staff did not have criminal record clearances in the personnel file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/13/2024 Plan of Correction The administrator/licensee will develop a plan to ensure this does not happen again and provide a copy of the signed and dated plan to CCL by 5/13/2024. In addition, the administrator will provide a copy of the document to CCL by 5/13/2024.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that indicates which of the criteria of Section 87411(c)(3) is met by the trainer. 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 2 out of 2 staff did not have documentation in the personnel files to proof that staff training was completed which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/13/2024 Plan of Correction The administrator/licensee will develop a plan to ensure this does not happen again and provide a copy of the signed and dated plan to CCL by 5/13/2024. In addition, the administrator will provide a copy of the in-service training records to CCL by 5/13/2024.
Plan of correction recorded
Correction not verified in available records
Inspection
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