Alamo Residence Home
RCFE
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.
2978 Miranda Ave · Alamo, 94507
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 214 California RCFE facilities of similar size, over the last 36 months.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity100thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency100thDeficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Quality grade· click to show how this was calculated
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Alamo Residence Home scores A. Better than 100% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: top 0%. Repeats: top 0%. Frequency: top 0%.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general / small beds (214 facilities).
Citation severity over time
stableWeighted severity score per month · 24 months
Weighted score (24mo)
0
Finding distribution
none · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.
What training are all staff required to complete?22 CCR §87411
All direct-care staff must complete:
- 10 hours initial training within the first four weeks of employment.
- 4 hours annual in-service every year thereafter.
- Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.
Ask on tour: Ask when the last staff training was completed and how it's tracked.
How many staff must be on duty overnight?22 CCR §87415
Based on 6 licensed beds:
One qualified staff member must be on call and physically on premises at all times overnight.
Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.
Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.
What health conditions can this facility legally accept or refuse?22 CCR §87612–87615
Restricted — allowed with physician order + care plan
- Supplemental oxygen
- Insulin and injectable medications
- Indwelling or intermittent catheters
- Colostomy / ileostomy
- Stage 1 and Stage 2 pressure injuries
- Wound care (non-complex)
- Incontinence
- Contractures
Prohibited — facility must refuse or discharge
- Stage 3 or Stage 4 pressure injuries
- Feeding tubes (PEG, NG, or J-tube)
- Tracheostomies
- Active MRSA or communicable infections requiring isolation
- 24-hour skilled nursing needs
- Total ADL dependence with inability to communicate needs
A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.
Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.
What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
- ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
- 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
- 24 hrsAbuse without serious bodily injuryWithin 24 hours
- Next dayDeath of a residentPhone by next working day; written within 7 days
- Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
- WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure
Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).
How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
- 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
- 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
- 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
- 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
- 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.
See how these rules have been applied to this specific facility:
View state inspection record and citationsState records
California Dept. of Social Services · Community Care Licensing- License number
- 079201127
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Abemu, Llc
Inspections & citations
8
reports on file
1
total deficiencies
1
Type A (actual harm)
InspectionJanuary 21, 2026No deficiencies
Plain-language summary
A routine annual inspection was conducted on January 21, 2026, and no violations were found. The facility maintained proper safety features including working smoke and carbon monoxide detectors, fire extinguishers, grab bars in bathrooms, and adequate lighting and temperature control throughout. Staff CPR and first aid certifications were current, emergency plans and disaster drills were up to date, and food supplies were appropriately stocked.
View full inspector notes
On 1/21/2026 at 9:20 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by House Manager, Jhon Marie Woffenden. Administrator, Joy Manalang arrived at 1:42pm. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114.6 degrees F. Other faucets are labeled with a hot water warning sign. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last inspected on 12/16/2025. Emergency Disaster Plan was last posted on 1/21/2026. First aid kit was observed to be complete. Disaster drill was last conducted on 1/16/2026 . LPA reviewed 3 staff records and 3 of 3 have CPR First Aid. LPA reviewed 6 residents records. No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided.
ComplaintMay 15, 2025· UnsubstantiatedNo deficiencies
Inspector: Alona Gomez
Unsubstantiated — the California Department of Social Services (CDSS) investigated and did not find a violation.
Plain-language summary
An investigator looked into a complaint about temperature control and billing practices at the facility. On three visits between February and May 2025, the investigator found the facility temperature was within regulations, each resident room had a space heater available, and the billing records for the resident in question showed the correct amount was refunded when they moved out after five days. The complaint was unsubstantiated.
View full inspector notes
LPA visited the facility on 2/20/2025, 4/30/2025, and 5/15/2025 and observed on each visit that the facilities temperature was within regulation range. LPA also interviewed R2, who stated that sometimes they feel cold in the facility however they have a space heater and will put on long sleeves if cold. LPA observed that each residents room has a space heater available for use. LPA also reviewed the original hard copy of the admissions agreement for R1 and saw that the admissions agreement stated the monthly rate was $9000 and that there was a non-refundable move in fee of $500. LPA observed that a refund check was issued on 12/2/2024 in the amount of $8709. R1 was a resident of the facility from 11/27/2024 to 12/1/2024 (a total of 5 days). Upon move in R1's representative paid $1,700 which included a pro rate of $300 per day and a non-refundable move in fee of $500. For the month of December's rent, $9000 was charged. LPA observed that the pro rate amount per day for December was approximately $290. The refund check reflects that R1's representative was issued the correct amount. Therefore the above allegations are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview conducted and a copy of this report provided to the facility.
InspectionJanuary 10, 2025No deficiencies
Inspector: Alona Gomez
Plain-language summary
On January 10, 2025, the facility passed its annual routine inspection with no violations found. The inspector verified that the building is safe and clean, with working smoke and carbon monoxide detectors, proper lighting, grab bars in bathrooms, adequate food supplies, and staff trained in CPR and first aid. All emergency plans and equipment were in place.
View full inspector notes
On 1/10/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by Care Staff, Millet Delumen. Administrator, Joy Manalang later arrived at 10:00 PM. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees F. Other faucets are labeled with a hot water warning sign. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last purchased on 1/4/2025. Emergency Disaster Plan was last posted on 1/4/2025. First aid kit was observed to be complete. disaster drill was last conducted on 10/16/2024 . LPA reviewed 3 staff records and 3 of 3 have CPR First Aid. LPA reviewed 5 residents records. No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided.
InspectionJanuary 4, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
On January 4, 2024, a routine annual inspection found the facility in compliance with state requirements—the building, safety equipment, food supplies, and staff records all met standards. The inspector observed adequate lighting and temperature, working smoke and carbon monoxide detectors, grab bars and non-skid mats in bathrooms, and a complete first aid kit. No violations were cited, though the facility was asked to submit updated documentation to the state by mid-January.
View full inspector notes
On 1/04/2024 at 12:15 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by Care Staff, Jhon Marie Woffenden. Administrator, Joy Manalang later arrived at 1:20 PM. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114.8 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last purchased on 1/4/2024. Emergency Disaster Plan was last posted on 1/4/2024. First aid kit was observed to be complete. disaster drill was last conducted on 10/14/2023 . LPA reviewed 4 staff records and 4 of 4 are associated. LPA reviewed 4 residents records. Report continues on LIC809-C 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 Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 1/19/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided.
Other visitFebruary 17, 2023Type A1 deficiency
Inspector: Lizette Francisco
Plain-language summary
This was a routine infection control inspection on February 17, 2023, and the facility demonstrated good practices including proper food storage, visitor screening at entry, hand washing stations, daily disinfection of common surfaces, and staff health records. One issue was found during the tour: lighter fluid was left unlocked in the backyard, but the administrator locked it in the garage while the inspector was still there. Updated documentation was requested to be submitted by February 24, 2023.
View full inspector notes
On 2/17/2023 starting at 3:05 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to conduct Infection Control Inspection. LPA met with Administrator, Joy Enriquez and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility with Administrator including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. At 4:00 PM, LPA reviewed 3 staff records and observed 3 of 3 staff have health screening with TB test results on file. Facility has a mitigation plan and maintains record of routine screening for staff. THE FOLLOWING DEFICIENCY WAS OBSERVED DURING VISIT -At approximately 3:35 PM, LPA observed unlocked lighter fluid in the backyard. Deficiency cleared during visit. Administrator locked lighter fluid in the garage. REPORT CONTINUES ON 809C 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 Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 2/24/2023 LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided to Administrator.
Regulation
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Inspector finding
Based on observation, the licensee did not comply with the section cited above by having lighter fluid unlocked and accessible in the backyard which poses an immediate health and safety risk to persons in care. POC Due Date: 02/18/2023 Plan of Correction 1 2 3 4 Deficiency cleared during visit. LPA observed Administrator lock lighter fluid away in the garage. In addition, Administrator will review regulation and conduct in-service training with staff and submit a copy of training agenda with …
Other visitJanuary 10, 2022No deficiencies
Inspector: Lizette Francisco
Plain-language summary
On January 10, 2022, a state licensing analyst conducted a training presentation with the facility administrator covering regulations for operating and maintaining the facility. The administrator demonstrated understanding of the material presented. An exit interview was held and the administrator received a copy of the report.
View full inspector notes
On 1/10/2022 starting at 2:35 PM, Licensing Program Analyst (LPA) L. Francisco conducted a face to face Component III presentation. LPA met with Licensee/Administrator, Joy Enriquez. LPA presented Component III power point and discussed the regulations embodied in the power point. LPA observed participant gained knowledge about running and maintaining the facility in accordance with regulations. Exit interview conducted with Licensee/Administrator and a copy of report provided.
Other visitJanuary 10, 2022No deficiencies
Inspector: Lizette Francisco
Plain-language summary
This was a pre-licensing inspection on January 10, 2022, before the facility opened. The inspector found the facility met requirements: bedrooms and bathrooms were properly equipped with safety features like grab bars, lighting and temperature were appropriate, fire safety equipment was in place and functional, and the kitchen and common areas were ready. The facility was deemed ready to be licensed, pending final approval by the state.
View full inspector notes
On 1/10/2022 at 12:00 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to conduct Pre-licensing inspection. LPA was greeted by Care Staff, Aurose Ratillo. Licensee/Administrator later arrived at 12:55 PM. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 69 degrees F and hot water temperature was maintained at 113 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 07/07/2021. No issues noted during inspection. LPAs observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.
ComplaintDecember 27, 2021No deficiencies
Inspector: Thai Doan
Plain-language summary
This was a licensing application review for a new memory care facility with capacity for 6 residents. During a telephone interview, the applicant and administrator confirmed they understand California's regulations covering facility operations, staff qualifications, medication management, abuse reporting, and other required policies. The facility has completed this step of the application process and was instructed to submit additional documentation to the licensing authority.
View full inspector notes
Facility Type: RCFE Application Type: LLC Capacity: 6 Census (if any clients in care): 5 Method: Telephone at CAB COMP II Participants: Joy Manalang Enriquez (Applicant/Administrator) Applicant/Administrator participated in COMP II at CAB via telephone with analyst at CAB. Identification of the Applicant and Administrator was verified by providing California Driver License number. During COMP II, Applicant and Administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and Administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of property
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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