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Inspection visit

Routine inspection

PENINSULA ELDERLY CARE HOME-LAUREL LLCLicense 4156010341 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 5/22/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Rolly Tabago, Caregiver and Evelyn Tabago, Caregiver and explained the purpose of the visit. Jennifer Tobias, Administrator arrived later during the visit. LPA toured the physical plant. This is a 1-story building with 7 bedrooms, 3 bathrooms, a living room, dining room, kitchen, laundry room, garage, front and back yards. All bedrooms had the required furniture and sufficient lighting. Bathrooms had the required anti-skid floor mats and shower bars. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's fire extinguishers were observed to be fully charged and last checked on 4/8/2025. Sharp objects, soap, detergents, and poisons were observed to be locked and in-accessible to persons in care. The Annual Inspection will be completed at a later date. Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Jennifer Tobias, Administrator, and a copy of the report along with Appeal Rights left at the facility.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • Maintain physician order documentation in resident record

    Based on record review, the licensee failed to maintain a written order from a physician indicating the need for half bed rails for mobility for R1, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 22, 2025 inspection of PENINSULA ELDERLY CARE HOME-LAUREL LLC?

This was an inspection of PENINSULA ELDERLY CARE HOME-LAUREL LLC on May 22, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to PENINSULA ELDERLY CARE HOME-LAUREL LLC on May 22, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee failed to maintain a written order from a physician indicating the need for half be..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.