Castle Crest Home I
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.
113 Crest Avenue · 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
Severity26thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency9thDeficiencies 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
Castle Crest Home I scores C−. Better than 45% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 26th percentile. Repeats: top 0%. Frequency: bottom 9%.
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)
38
Last citation
Jul 25
Finding distribution
8 total · 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
- 079201216
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Velasco, Jude B.
Inspections & citations
2
reports on file
8
total deficiencies
2
Type A (actual harm)
InspectionJuly 30, 2025Type A8 deficiencies
Plain-language summary
During a routine annual inspection on September 5, 2024, inspectors found multiple safety and staffing issues at the facility: the administrator could not answer basic questions about procedures, none of the four staff members had current first aid or CPR training, medications and sharps (needles) were found unlocked and accessible to residents, resident files were incomplete, and emergency disaster drills had not been conducted quarterly as required. The facility also had not completed required staff training updates and medication administration records were incomplete.
View full inspector notes
On 9/05/2024 at 12:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Benjamin Santos and explained the purpose of the visit. The facility’s fire clearance was approved for 6 residents of which 5 may be non-ambulatory with a hospice waiver for 4. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. Pool observed locked and secured. A comfortable temperature is maintained at 77 degrees Fahrenheit. 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 113.8 degrees Fahrenheit. 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. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 6/26/2025. Emergency Disaster Plan was last posted on 09/05/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted in September 2024. At 4:00 pm, LPA reviewed 5 resident records. At 4:30pm, LPA reviewed 4 staff records and 0 of 4 have current first aid training and all are associated to the facility. LPA reviewed a sample of medications and MAR. 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 THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Administrator is not qualified and competent. Administrator was unable to answer basic questions regarding facility procedures and did not know how to locate requested documentation Residents files are incomplete Required staff do not have CPR and/or First Aid Staff are not up to date on training's Facility has not done quarterly emergency disaster drills since September 2024 MAR is incomplete LPA observed sharps drawer unlocked as well as unlocked scissors in drawer behind dinning table LPA observed unlocked medications in refrigerator in a box labeled comfort care The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in havingdangerous items accesible which poses an immediate safety risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Dangerous items locked away POC clear
Regulation
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in having unlocked medications which poses an immediate safety risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Medications locked away POC clear
Regulation
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staf…
Inspector finding
Based on record review, the licensee did not comply with the section cited above in 4 out of 4 staff not having CPR or First Aid which poses a potential safety risk to persons in care. POC Due Date: 08/16/2025 Plan of Correction 1 2 3 4 By POC facility agrees to get updated training for CPR/ First aid for all staff and notify CCLD
Regulation
(c) Licensees shall maintain in the personnel records verification of required staff training and orientation.
Inspector finding
Based on record review, the licensee did not comply with the section cited above in 3 out of4 staff not having any updated training which poses a potential personal rights risk to persons in care. POC Due Date: 08/16/2025 Plan of Correction 1 2 3 4 By POC facility agrees to get enroll all staff in required training and notify CCLD
Regulation
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:
Inspector finding
Based on observation and record review the facility did not comply with the section above by having an inaccurate MAR which poses a potential health and safety violation for residents in care. POC Due Date: 08/16/2025 Plan of Correction 1 2 3 4 By POC Facility agrees to update and maintain the MAR as well as provide additional training to staff and notify CCLD.
Regulation
(b) Each resident's record shall contain at least the following information:
Inspector finding
Based on record review, the licensee did not comply with the section cited above in 6 out of 6 residents having incomplete or missing files which poses a potential personal rights risk to persons in care. POC Due Date: 08/16/2025 Plan of Correction 1 2 3 4 By POC Facility agrees to update residents files and notify CCLD.
Regulation
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Inspector finding
Based on record review, the licensee did not comply with the section cited above in not conducting quarterly emergency drills which poses a potential safety risk to persons in care. POC Due Date: 08/16/2025 Plan of Correction 1 2 3 4 By POC facility agrees to conduct drills and notify CCLD
Regulation
a)All facilities shall have a qualified and currently certified administrator...to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in having a qualified Administrator which poses a personal rights risk to persons in care. POC Due Date: 08/16/2025 Plan of Correction 1 2 3 4 By POC Licensee agrees to designate a new Administrator and notify CCLD
Other visitSeptember 5, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
This was the facility's required annual inspection on September 5, 2024, and no violations were found. The inspector verified that the facility maintains safe living conditions, including proper lighting, temperature control, secure medication storage, working smoke and carbon monoxide detectors, and accessible safety equipment like grab bars and first aid supplies. All staff reviewed had current first aid training.
View full inspector notes
On 9/05/2024 at 04:12 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Jude Velasco and explained the purpose of the visit. The facility’s fire clearance was approved for 6 residents of which 5 may be non-ambulatory with a hospice waiver for 4. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area 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 82 degrees Fahrenheit. 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 105 degrees Fahrenheit. 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. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 11/09/2023. Emergency Disaster Plan was last posted on 09/05/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted in September 2024. At 4:00 pm, LPA reviewed 5 resident records. At 4:30pm, LPA reviewed 4 staff records and 4 of 4 have current first aid training and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
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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