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Inspection visit

Routine inspection (multi-day)

AGAPE PAJARILLO CARE HOMELicense 4868041031 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

At approximately 1:05 PM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a case management - annual continuation for a required 1-year annual inspection started on 3/9/2026. LPA met with Designee Anabel Tuason. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care. At approximately 1:15 PM LPA conducted a review of six (6) resident records. five (5) of six (6) residents did not have a current Appraisal Needs and Service Plans (deficiency cited). At approximately 2:00 PM LPA conducted review of three (3) staff records. All required documentation present. Facility conducts quarterly disaster drills, and the most recent drill was conducted 2/26. LPA reviewed emergency disaster plan which was last updated 3/26. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. Facility's fire extinguishers were observed charged and last serviced 3/26. LPA observed required postings were in a prominent area. LPA observed two (2) locked shed in the backyard which were inspected and observed to contain gardening supplies and seasonal decoration. Updated copies of the following documents were gathered during this visit: Liability Insurance, LIC500 - Personnel Report, LIC308 - Designation of Responsibility Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. See LIC809D. Exit interview conducted with Designee, whose signature on form confirms receipt.

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.

  • 87463(i)Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the April 2, 2026 inspection of AGAPE PAJARILLO CARE HOME?

This was a other inspection of AGAPE PAJARILLO CARE HOME on April 2, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to AGAPE PAJARILLO CARE HOME on April 2, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87463(i) When there is significant change in condition... or once every 12 months, whichever occurs first, the licensee ..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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