<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604858
Report Date: 07/15/2025
Date Signed: 07/16/2025 04:57:21 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/22/2025 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20250522153659
FACILITY NAME:PURPLE PASTA CARE HOME LLCFACILITY NUMBER:
374604858
ADMINISTRATOR:PANKEY, PENELOPEFACILITY TYPE:
740
ADDRESS:6216 PEMBROKETELEPHONE:
(619) 728-8704
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:6CENSUS: DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee/Administrator Penelope PankeyTIME COMPLETED:
05:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee accepted a resident requiring a higher level of care
Staff are not adequately trained
Staff left resident in wet diapers for an extended period of time
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Amy Rodgers made an unannounced visit to deliver finding of an investigation on the above-mentioned allegation. LPA met with Licensee/Administrator Penelope Pankey and discussed the basic elements of the complaint. The Department’s investigation consisted of interviews with staff, residents, and outside sources and a facility tour.

On May 30, 2025, Community Care Licensing (CCL) received a complaint alleging that the Licensee accepted a resident requiring a higher level of care, Staff are not adequately trained, and staff left the resident in wet diapers for an extended period of time. More specifically, Licensee staff did not remove leg braces as part of physical therapy guidelines for Resident #1(R1) , R1 was not getting briefs changed at night, and staff needed resident care training.

(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 2
Control Number 08-AS-20250522153659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: PURPLE PASTA CARE HOME LLC
FACILITY NUMBER: 374604858
VISIT DATE: 07/15/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(CONTINUED FROM LIC 9099)

A records review of R1’s physician's report, hospital records, and pre-placement agreement revealed that R1 is not incontinent but does require temporary, continuous bed care due to leg surgeries and injuries. R1 requires staff assistance with bathing, dressing, grooming, and toileting. During interviews, R1 stated that staff were assisting with care needs; however, it was noted that two caregivers are needed to assist with incontinence care. R1's interview confirmed that a home health care provider is responsible for managing the leg brace  and skin care.   Interview with R1's home health care provider, as well as the licensee revealed that physical therapy and removing leg braces for skin cleaning will be addressed through R1's home health care providers.  Staff Records and staff interviews revealed that one staff member is designated to cook and clean,  and is not responsible for direct care duties.  Further  review of training documents confirmed that staff have completed the required CCL training. Interviews with care staff demonstrate an understanding of resident care training protocols.


Based upon the information obtained during the investigation it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the violation occurred and is therefore UNSUBSTANTIATED.


An exit interview was conducted with Licensee/Administrator Penelope Pankey A copy of this report was provided and their signature on this report confirms receipt.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2