Pacaldo Llc
RCFE
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.
1450 Greenwood Way · San Bruno, 94066
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 214 California RCFE facilities of similar size, over the last 36 months.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity3thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency17thDeficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Quality grade· click to show how this was calculated
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Pacaldo Llc scores C−. Better than 40% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 3%. Repeats: top 0%. Frequency: bottom 17%.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general / small beds (214 facilities).
Citation severity over time
stableWeighted severity score per month · 24 months
Weighted score (24mo)
123
Last citation
May 25
Finding distribution
14 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.
What training are all staff required to complete?22 CCR §87411
All direct-care staff must complete:
- 10 hours initial training within the first four weeks of employment.
- 4 hours annual in-service every year thereafter.
- Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.
Ask on tour: Ask when the last staff training was completed and how it's tracked.
How many staff must be on duty overnight?22 CCR §87415
Based on 6 licensed beds:
One qualified staff member must be on call and physically on premises at all times overnight.
Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.
Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.
What health conditions can this facility legally accept or refuse?22 CCR §87612–87615
Restricted — allowed with physician order + care plan
- Supplemental oxygen
- Insulin and injectable medications
- Indwelling or intermittent catheters
- Colostomy / ileostomy
- Stage 1 and Stage 2 pressure injuries
- Wound care (non-complex)
- Incontinence
- Contractures
Prohibited — facility must refuse or discharge
- Stage 3 or Stage 4 pressure injuries
- Feeding tubes (PEG, NG, or J-tube)
- Tracheostomies
- Active MRSA or communicable infections requiring isolation
- 24-hour skilled nursing needs
- Total ADL dependence with inability to communicate needs
A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.
Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.
What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
- ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
- 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
- 24 hrsAbuse without serious bodily injuryWithin 24 hours
- Next dayDeath of a residentPhone by next working day; written within 7 days
- Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
- WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure
Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).
How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
- 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
- 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
- 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
- 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
- 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.
See how these rules have been applied to this specific facility:
View state inspection record and citationsState records
California Dept. of Social Services · Community Care Licensing- License number
- 415601076
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Pacaldo Llc
Inspections & citations
7
reports on file
14
total deficiencies
13
Type A (actual harm)
Other visitOctober 23, 2025No deficiencies
Plain-language summary
On October 23, 2025, inspectors conducted a health and safety visit following an emergency placement of a resident from a closing facility. The resident's room was clean and properly furnished, medications were secured and accounted for, and the resident's file was complete and properly signed. No violations were found during the visit.
View full inspector notes
On October 23, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case management health and safety visit in relation to a relocation of a resident from another facility due to facility closure. LPA met with Assistant Administrator, Winnie Coronel and explained the purpose of the visit. On October 15, 2025, due to an emergency placement, Resident 1 (R1) was relocated to Pacaldo LLC. During the visit, LPA observed R1's room to be clean and equipped with all required furnishings. R1's personal belongings were present and in tact. Medications were all present and locked. LPA reviewed R1's file and it was signed and completed. At the time of the visit, the Assistant Administrator indicated that R1 was at his/her day program. LPA requested an updated copy of the resident roster to be submitted by 10/24/25. No citations are issued during the visit. Report is reviewed with Assistant Administrator, Winnie Coronel and a copy is provided.
InspectionMay 21, 2025No deficiencies
Plain-language summary
On May 21, 2025, state inspectors conducted a follow-up visit to confirm that the facility had corrected problems found in a prior inspection from May 12, 2025. The facility had fixed most of the earlier violations, including issues with medical assessments, criminal background clearances, resident records, and administrator qualifications. The facility was given until the end of that day to provide a correction plan for one remaining issue involving postural supports.
View full inspector notes
On May 21, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management - Plan Of Correction visit. LPA met with the administrator and explained the purpose of today's visit. During today's visit, LPA toured the facility and reviewed documentation. The following deficiencies , which were cited on 5/12/2025 are corrected: - 87458(a) and - 87458(c)(1)(A) Medical Assessment - 87309(a) Storage Space & Access - 87355(e)(3) Criminal Records Clearance - 1569.625(b)(15) Other Provisions - 87506(a) Resident Records - 87506(b)(15) Resident Records - 87456(a)(2) Evaluation of Suitability for Admission - 1569.695(c) Other Provisions - 87405(d)(1)(2)(3) Administrator- Qualifications & Duties The administrator will provide a copy of the plan of correction for the following deficiency by the end of today- 5/21/2025 - 87608(a)(3) Postural Supports No deficiency is cited today. This report is reviewed and discussed with the administrator; a copy of this report and Cleared POC letters were provided.
Other visitMay 21, 2025Type B1 deficiency
Plain-language summary
During a follow-up inspection on May 21, 2025, inspectors found that the facility had two rooms on the lower level that were not shown on the building's official layout—one was being used by staff members and the other contained mattresses, appliances, and personal items set up as living space. Fire and building officials determined that one room could be used temporarily for staff housing, but the other room must be used only for storage and cannot be used as living space. The facility was cited for this violation and must work with licensing to correct it.
View full inspector notes
On May 21, 2025, Licensing Program Analyst (LPA) Murial Han, Fire Inspector and Deputy Building Official conducted an unannounced Case Management visit to follow - up on an observation that was made during the annual inspection by LPA. LPA met with the caregiver, Genalyn Napo and LPA explained the purpose of today's visit. During the annual visit on May 12, 2025, LPA observed 2 rooms on the lower level did not match the facility sketch and according to staff, both rooms were occupied by staff members. Therefore, LPA contacted the San Mateo Fire Inspector for assistance. During today's visit, LPA, fire inspector and the deputy building official observed downstair level consisted of one staff room next to the garage that is occupied by 2 current staff members and another room that was not shown on the facility sketch consisted of mattresses, TV, toaster over, refrigerator, and other personal living items. According to the fire inspector and the building official, the room next to the garage can be used as living space for staff temporarily and the other room shall not be used as a living space, but it can be used as a storage room only. In addition, they will provide a plan for today's observation and work with the facility and CCL. The administrator arrived during the inspection, and LPA related the above observation. Deficient is cited under California Health and Safety Code on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report was discussed and reviewed with administrator. A copy of this report and the Appeal Rights is provided.
Regulation
87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by based on observation, record review and interview, one of the room on the lower level is not included on the
Inspector finding
facility sketch and accoridng to the facility staff, it was occuped by facility staff and the facility was not able to provide any documents to proof that it was permitted which posed a potential risk for residents in care.
InspectionMay 12, 2025Type A12 deficiencies
Plain-language summary
During an unannounced annual inspection on May 12, 2025, inspectors found that the facility was generally well-maintained with clean bathrooms, adequate food and supplies, and secure medication storage, but they identified that sharp objects were stored unlocked and accessible to residents in the kitchen. The facility was assessed a $200 civil penalty for this violation and two staff members not being properly associated with the facility.
View full inspector notes
On May 12, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregivers, Genalyn Napo and Elizabeth Macabales Esguerra and explained the purpose of the visit. The administrator, Oscar Madrigal and Licensee, Juliet Pacaldo arrived shortly thereafter and assisted with the inspection. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 6 private rooms. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, and chemicals were observed to be locked and inaccessible to residents in care; LPA observed sharps were stored in the kitchen on the dish rack not locked and accessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 108-110 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 1/21/2025 A review of (2) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. Civil penalty of $200 dollars is being assessed today as S1 and S2 were not associated with the facility. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. . This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.
Regulation
(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.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed sharps stored in the kitchen dish rack are locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan of correction to CCL by 5/13/2025.
Regulation
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S1 and S2 are transferred from the sister facility, however, the criminal records were not transferred to this facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan of correction to CCL by…
Regulation
(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 subdivisi…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S2 did not have required training records in the personnel file which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan of correction to CCL by 5/13/2024.
Regulation
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility did not have complete, and current record for R2 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan of correction to CCL by 5/13/2024.
Regulation
(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.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above the facility did not have an admission agreement for R1 and R2 completed during the inspection which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan of correction to CCL by 5/13/2024.
Regulation
(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: (2) Perform a pre-admission appraisal.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R1's pre-admission evaluation was incomplete as it was not signed by the resident and/or the responsible party; R2 was admitted on 5/12/2025 without a pre-admission evaluation which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and …
Regulation
(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R2 was admitted on 5/11/2025 and there was no medical assessment in the file which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 5/13/2025.
Regulation
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R2 was admitted on 5/12/2025 and there is no communicable TB status in the file which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 5/13/2025.
Regulation
(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,…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed the facility was not able to provide any documentation to ensure drills were completed accordingly which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 5/13/2025.
Regulation
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as R1 and R2 have bedrails without a written order which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 5/13/2025.
Inspector finding
Personnel Requirements- General (f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, Deficient Practice Statement 1 2 3 4 Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed there is no TB/chest X-ray status in S1'…
Regulation
Administrator - Qualification and Duties
Inspector finding
(d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. (3) Ability to maintain or supervise the maintenance of financial and other records. Deficient Practice Statement 1 2 3 …
InspectionMay 15, 2024No deficiencies
Inspector: Murial Han
Plain-language summary
This was an unannounced annual inspection on May 15, 2024, where inspectors toured the entire facility including bedrooms, bathrooms, kitchen, and outdoor areas. The facility met all requirements: rooms and common areas were clean and safe, bathrooms had grab bars and non-skid mats, medications and chemicals were locked away, water temperature was appropriate, and there were adequate supplies and furnishings for the residents. No violations were found.
View full inspector notes
On May 15, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, wilmina Coronel and explained the purpose of the visit. The administrator, Oscar Madrigal arrived shortly thereafter and assisted with the rest of the inspection. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 6 private rooms. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 106-110 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 9/28/2023. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. No deficiency is cited today; this report is reviewed and discussed with the administrator; a copy is provided.
ComplaintNovember 8, 2023· SubstantiatedType A1 deficiency
Inspector: Murial Han
Plain-language summary
An investigator visited in response to a complaint and found multiple nails sticking out of the wooden floor in the deck area and some cracked wooden slabs. The facility said it had contacted a contractor for repairs but could not provide proof that work had been scheduled or completed. The investigator determined the complaint was valid and the facility must correct these hazards or face penalties.
View full inspector notes
During today's visit, LPA observed multiple nails were protruding from the wooden floor slabs and some wooden slabs were cracked. These observations were acknowledged by the house manager. LPA observed the ramp from the family room leading to the deck to be sturdy and the mental plate at the end of the ramp created an even surface for residents who are in wheelchairs. According to the house manager, staff did not have any problems with wheeling residents around from the family room into the deck. LPA interviewed the administrator over the phone who stated that the facility has contacted a contractor to come to the facility for the nails and the slabs in the deck, however, the administrator was not able to provide any proof of the repair. Based on observations, and interviews during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the house manager. A copy is provided and Appeal Rights provided.
Regulation
87303 Maintenance and Operation..(a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by several nails protruding from the wooden floor slabs and a few cracked wooden
Inspector finding
slabs which poses an immediately health risk for residents in care.
ComplaintJuly 7, 2021No deficiencies
Inspector: Gladys Kuizon
Plain-language summary
An annual inspection was conducted on April 26, 2026, and no violations were found. The facility demonstrated proper infection control practices including staff use of face coverings, available protective equipment and supplies, current COVID-19 vaccinations for residents and staff, and visitor screening procedures in place. Safety equipment including fire extinguishers, smoke detectors, and emergency contact information were all present and in order.
View full inspector notes
Licensing Program Analyst (LPA) Gladys Kuizon conducted an annual inspection today and met with Administrator Oscar Madrigal. LPA entered the facility through the facility's central entry point. At 11:51 AM, a tour of the facility was conducted. The facility's screening procedures were reviewed. COVID-19 postings including hand-washing and infection control guides were observed throughout the facility including on the main entrance, hallways, and bathrooms. Staff were observed wearing face coverings. Residents were observed in their respective bedrooms. The facility has a supply of personal protective equipment (PPE) including face shields, isolation gowns, gloves, and face masks. Hand sanitizers, soap, and paper supplies were observed available. At least 2 days' supply of perishable food and at least 1 week's supply on non-perishable food supply was observed in the premises. Per Administrator, all residents and staff are fully vaccinated against COVID-19. The facility is currently accepting visitors inside the facility. Screening procedures including temperature and symptom checking and logging is in place. Exit routes were observed clear and unobstructed. The facility equipped with smoke detectors, fire extinguishers, and a carbon monoxide detector. Resident roster with current emergency contact information is available. No deficiencies were cited. Exit interview conducted with Administrator and a copy of this report was provided during visit.
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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