 In 1918, with the permission of Archbishop Duarte, she was brought back by the Superior General, Mother Vicência Teodora, C.I.I.C., to live at the General Motherhouse of the congregation at Ipiranga, where she would remain until her death.Mother Pauline was acknowledged as the "Venerable Mother Foundress", when the Decree of Praise was granted by Pope Pius XI on 19 May 1933 to the Congregation of the Little Sisters, establishing it as one of pontifical right.Mother Pauline's health began a long, slow decline in 1938, as she fought a losing battle with diabetes.