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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 405801985
Report Date: 09/10/2026
Date Signed: 09/10/2026 05:42:18 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/10/2026 and conducted by Evaluator Garrett Haner-Tomasko
COMPLAINT CONTROL NUMBER: 29-AS-20260910132613
FACILITY NAME:PASO SENIOR CAREFACILITY NUMBER:
405801985
ADMINISTRATOR:MEYNARD MARCOSFACILITY TYPE:
740
ADDRESS:197 CARDINAL WAYTELEPHONE:
(805) 227-4721
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:6CENSUS: 6DATE:
09/10/2026
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Lead Staff - Mylene CabelloTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Facility did not provide a comfortable environment
INVESTIGATION FINDINGS:
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At 2:40pm, on 9/10/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to investigate the allegation of this complaint. LPA met with Lead Staff Mylene Cabello announced who he was and the reason for the visit.

During today’s visit LPA checked the wellbeing of all residents, documented the temperature in the facility and each resident bedroom, and conducted interviews.

On the allegation, facility did not provide a comfortable environment; it was alleged that on 9/8/2026 multiple witnesses reported the facility felt very hot inside and one witness noted rooms in the facility to be over 90°F using a handheld temperature device. There were fans noted throughout the facility and a portable air conditioning (AC) unit that was set up in one resident’s room with the exhaust tube running into the hallway.

(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 29-AS-20260910132613
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: PASO SENIOR CARE
FACILITY NUMBER: 405801985
VISIT DATE: 09/10/2026
NARRATIVE
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 It was also alleged that Resident #1’s (R1’s) bedroom was also hot and they were noted to be soaking wet in perspiration and had a very high blood pressure.

During today’s visit between 2:40pm and 3:00pm lead staff and LPA toured the facility. Using a handheld thermometer, LPA documented resident bedroom and common area temperatures ranging from 79.1°F to 81.6°F, within regulation of 78°F to 85°F. LPA noted this facility has central AC, at 2:42pm LPA noted the unit was on, set to cool to 64°F, the thermostat stated the inside temperature is 79°F, and LPA noted cool air coming from facility vents. Upon arriving to the facility LPA also noted additional portable AC units were being delivered and set up in each resident room with exhaust properly venting outside. Review of multiple resources recorded the highest temperature in Paso Robles, CA on 9/8/2026 at 105°F and as of today’s visit the projected high for the day is 103°F. Multiple witnesses who visited the facility on 9/8/2026 between 11:30am – 4:00pm state the facility felt hot. At approximately 4:00pm one witness took the temperature of the facility with a handheld thermometer noting multiple areas of the facility to be over 90°F. Staff stated that on 9/8/2026 backup staff were working as the primary staff had the day off and the reason they did not turn on the central AC was because they did not know how to operate it. Staff stated on 9/8/2026 there were three portable AC units in the facility one in the bedroom next to the dining room with the exhaust properly venting out the sliding glass door and two in the first and last bedrooms on the left side of the hallway with the exhaust from both venting to the hallway. Resources state that venting a portable AC unit to another area inside the building will make the building hotter.

Interviews reported different versions of R1’s condition. Witnesses stated R1 felt hot and sweaty, with blood pressures of 260/86, 246/86, and 160/83 as the facility cooled after the central AC was turned on. Staff stated they took R1’s blood pressure at approximately 5:00pm using an automatic wrist blood pressure device and recall it was 167/80. Witness and staff interviews reveal calling emergency services was not discussed as an option for R1. Interviews and LPA observation noted R1 cannot communicate verbally or in writing. Although the LPA could not conduct clear interviews with most residents due to cognitive impairments, resident interviews did reveal that their have been times the facility was not comfortable due to it being too hot.

Licensee was provided a copy of PIN-25-10-CCLD regarding heat preparedness.

(Continued on LIC9099-C)
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20260910132613
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: PASO SENIOR CARE
FACILITY NUMBER: 405801985
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/24/2026
Section Cited
CCR
87303(b)(2)
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(b) A comfortable temperature for residents shall be maintained at all times.
(2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C)... This requirement was not met as evidenced by:
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Licensee states in addition to the measures they have taken to cool the facility they will conduct staff training on how to use the various AC units and vent them properly, heat preparedness and signs of heat exhaustion. They will email LPA documentation and signed staff roster by 9/24/2026
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Based on interview and record review, the licensee did not cool the facility within regulation which poses a potential health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 29-AS-20260910132613
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: PASO SENIOR CARE
FACILITY NUMBER: 405801985
VISIT DATE: 09/10/2026
NARRATIVE
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Based on all interviews conducted and documents obtained, at this time the above allegation was found to be substantiated, there is a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted with Licensee/Administrator over the phone, deficiency cited on LIC9099-D page, report signed, appeal rights and report provided to the Lead Staff.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Garrett Haner-Tomasko
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4