AGAPE PAJARILLO CARE HOME

841 ROLEEN DRIVE, Vallejo CA 94589

Facility 486804103 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Apr 2, 2026Licensed

Additional info
Licensee
AGAPE PAJARILLO'S CAREHOME
Administrator
PAJARILLO EPHRAIM
Contact
PAJARILLO EPHRAIM
License first date
Apr 19, 2023
License effective date
Apr 19, 2023
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Apr 2, 2026
Most recent deficiency
Apr 2, 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 147 Solano County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 9 reports for this facility: 6 inspections, 2 complaint investigations, and 1 licensing or administrative record.

Those records contain 1 Type A and 5 Type B deficiencies.

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

Official inspections
6

More than the typical 5

3 in the last 12 months

Recorded deficiencies
6

Well above the typical 1

1 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
5

More than the typical 1

1 in the last 12 months

Substantiated complaints
1

Most this size 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
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(i)
Regulation authority
CCR

What the official deficiency says

87463(i) When there is significant change in condition... or once every 12 months, whichever occurs first, the licensee shall arrange...meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff... This requirement not met by licensee as evidenced by: Upon record review, five of six residents did not have a current Appraisal Needs and Servce plan which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Licenses shall submit updated copies of resident Appraisal Needs and Service Plan by Plan of Correction due date of 5/1/2026 by 5:00PM to Community Care Licensing.

Deadline recorded: May 1, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline May 1, 2026
Correction not verified in available records
View official report
Inspection
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(e)(2)
Regulation authority
HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. 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 three out of four residents did not have an Appraisal Needs and Service Plan which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2025 Plan of Correction Licensee to submit self-certification that all residents in care have recieved a current and accurate Appraisal Needs and Serice Plan. Licensee shall also ensure future residents recieve a pre-appraisal before moving into facility.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
CCR

What the official deficiency says

H & S 1569.618(c)(3) Administration and management of residential care facilities; substituted qualifications; employee scheduling- (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement was not met as evidenced by: The facility failed have a staff present in the facility who has CPR training. This is a potential risk to the health & safety of residents in care.

Official plan of correction

Facility to send in written plan on how they will make sure they have at least 1 staff with proof of CPR training. Plan of correction due by 7/28/2024 attention LPA A Canela

Deadline recorded: Jul 23, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 23, 2024
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(c)
Regulation authority
CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. 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 two out of two staff records reviewed and there were no staff training logs, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/16/2024 Plan of Correction By 05/16/2024, the licensee shall submit a written statement stating how they shall ensure there is staff training records and how they shall ensure there is staff training annually.

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