PACIFIC CARE HOME V

1790 BROOKS ST, SAN MATEO, CA 94403 · License #415601081 · (650) 315-2152

Licensed

Capacity

6

Licensee

J & I LLC

Administrator / Contact

ANDAYA, MODDIE

Licensed Since

5/28/2020

Last Visit

4/28/2026

AGE RANGE 60 AND OVER. APPROVED FOR (6) NON-AMBULATORY, OF WHICH (1) MAY BE BED-RIDDEN. APPROVED HOSPICE WAIVER FOR (2). BEDROOM #5 IS DESIGNATED FOR BED-RIDDEN.

Citations

0

Type A: 0 · Type B: 0

Complaints

0

Substantiated: 0 · Inconclusive: 0 · Unfounded: 0

Compliance Summary — since 5/28/2020

Total State Visits

4

Inspections

4

Complaints on Record

0

Substantiated Allegations

0

Cumulative totals across this facility's entire California licensing history, per CCLD public records — not just the reports summarized below.

AI Summary

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Reports in this summary (4)

All Official Reports (4)