Inspection visit
Routine inspection
Inspector’s narrative
What the inspector wrote
Citations
12 citations 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.
- 1569.625(b)(2)Type A
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.
- 1569.695(c)Type A
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.
- 87309(a)Type A
Ensure hazardous items are locked and not unattended
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.
- 87355(e)(3)Type A
Request a transfer of criminal record clearance
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.
- 87405(d)(1)(2)(3)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator did not ensure all the required documents are completed prior to R2 admission, all the required documents are completed for S1 and S2's personnel files, and the files are available at the facility for inspection which poses an immediate health, safety or personal rights risk to persons in care.
- 87456(a)(2)Type A
Perform a pre-admission resident appraisal
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.
- 87458(a)Type A
Obtain baseline medical assessment before resident admission
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.
- 87458(c)(1)(A)Type A
Record findings for communicable tuberculosis conditions
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.
- 87506(a)Type A
Maintain separate complete record for each resident
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.
- 87506(b)(15)Type A
Maintain admission agreement and appraisal
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.
- 87608(a)(3)Type A
Maintain physician order documentation in resident record
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.
- 87411(F)Type A
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's file which poses an immediate health, safety or personal rights risk to persons in care.
FAQ · About this visit
Common questions about this visit
What happened during the May 12, 2025 inspection of PACALDO LLC?
This was an inspection of PACALDO LLC on May 12, 2025. 12 citations were issued: 12 Type A (serious).
Were any citations issued to PACALDO LLC on May 12, 2025?
Yes, 12 citations were issued (12 Type A, 0 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S2 did..."
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.