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Inspection visit

Routine inspection (multi-day)

MISSION WOODSIDELicense 4156010631 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 11/6/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to complete the Annual 1-year required inspection. LPA Calandra was greeted by Gabriella Johnson, Administrator and explained the purpose of the visit. Tatiana Barsanti, Director of Quality and Anthony Lupian, Interim Senior Vice President of the South Care Region arrived later during the visit. LPA toured the physical plant. This is a 1-story building with 6 bedrooms, 6 bathrooms, kitchen, living room, dining room, and back and front yards. All bedrooms had sufficient lighting and the required furniture. The bathroom had the required anti-skid floor mats and grab bars. Per interview with the Administrator the facility's fire alarms, smoke detectors, and Carbon Monoxide detectors are directly connected to the Redwood City Fire Department. Hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's first aid kit had the required items. The facility had the required 7 days of non perishables and 2 days of perishables at the facility. No food was expired. All sharp objects, soap, detergent, poisons, and cleaning supplies were locked up and in-accessible to persons in care. LPA reviewed 1 resident file and 6 staff files. All staff files were observed to be complete but the resident file was missing Appraisal of Needs and Services. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA received copies of the following documents while at the facility: Admission Policies and Procedures, Job Descriptions, Plan of Operation, Plan for Incidental Medical and Dental Care, Theft and Loss Policy and Transportation Procedures. LPA requested the following documents be sent to the Department by 11/21/2025: LIC 500: Personnel Summary Report and Control of Property(Deed), Liability Insurance. 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 facility representatives, 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.

  • 1569.695(e)(2)Type B

    Based on record review, the licensee did not have an Appraisal of resident needs and services plan for each resident, 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 November 6, 2025 inspection of MISSION WOODSIDE?

This was an other inspection of MISSION WOODSIDE on November 6, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to MISSION WOODSIDE on November 6, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee did not have an Appraisal of resident needs and services plan for each resident, wh..."

What type of inspection was this?

This was an other inspection. other 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.