StarlynnCare

California · Alamo

Welcome Home Senior Residence (alamo)

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.

220 Bolla Avenue · Alamo, 94507

Quick facts

Licensed beds6
Memory careNot listed
Last inspectionFeb 2026
Last citationFeb 2026
Operated byCardinal Care Management, Llc
Map showing location of Welcome Home Senior Residence (alamo)

Quality snapshot

Updated April 25, 2026

Compared 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

Severity
55th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
63th

Deficiencies per inspection

Tick mark at 50% = peer median · higher percentile = better facility

Welcome Home Senior Residence (alamo) scores B. Better than 73% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 55th percentile. Repeats: top 0%. Frequency: 63th percentile.

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

↑ worsening

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

10

Last citation

Feb 26

Finding distribution

1 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLG1HIDEFABCSev 4 · IJSev 3Sev 2Sev 1

View inspections & citations

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
  1. 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
  2. 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.
  3. 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
  4. 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
  5. 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 citations

State records

California Dept. of Social Services · Community Care Licensing
License number
075601389
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
6
Operator
Cardinal Care Management, Llc

Inspections & citations

3

reports on file

1

total deficiencies

1

Type A (actual harm)

InspectionFebruary 24, 2026Type A
1 deficiency

Plain-language summary

A routine annual inspection was conducted on April 25, 2026, and the facility was found to meet most requirements: staff had current first aid training, residents had current medical assessments, safety equipment including smoke detectors and fire extinguishers were in working order, bathrooms had grab bars and non-skid mats, medications were locked and secure, and temperatures and lighting were appropriate. One deficiency was cited: unlocked scissors were found in a kitchen drawer near the sink.

View full inspector notes

Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required visit on this date starting at 11:30am. LPA met with House Manager, Racquel P Chou and explained the purpose of the visit. The facility's fire clearance was approved for six non-ambulatory. LPA toured facility with Caregiver 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 72 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 105.9 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. Centrally stored medication are locked and inaccessible to residents. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/11/2025. Emergency Disaster Plan reviewed 1/28/2026. First aid kit was observed to be complete. Fire drill was last conducted on 12/11/2025. LPA reviewed 3 staff records and 3 of 3 staff have current first aid training and are associated to the facility. LPA reviewed 5 residents records and 5 of 5 residents have current medical assessment. 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: LPA observed unlocked grey scissors in kitchen drawer by sink 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.

Type ACCR §87309(a)

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 having unlocked scissors in the kitchen drawer which poses an immediate safety risk to persons in care. POC Due Date: 02/24/2026 Plan of Correction 1 2 3 4 Caregivers removed scissors and Locked away POC clear

InspectionJanuary 15, 2025
No deficiencies

Inspector: Alona Gomez

Plain-language summary

An unannounced annual inspection was conducted on April 25, 2026, and no violations were found. The facility met requirements for fire safety, emergency preparedness, medication storage, bathroom safety, food supply, staffing qualifications, and resident medical assessments. All areas inspected—including bedrooms, bathrooms, kitchen, and outdoor spaces—were maintained in safe condition with adequate lighting, temperature control, and grab bars where needed.

View full inspector notes

Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required visit on this date starting at 11:00am. LPA met with Licensee, Steve Chou and explained the purpose f the visit. The facility's fire clearance was approved for six non-ambulatory. LPA toured facility with Caregiver 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 72 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 115.2 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. Centrally stored medication and sharps are locked and inaccessible to residents. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/18/2024. Emergency Disaster Plan is posted. First aid kit was observed to be complete. Fire drill was last conducted on 12/16/2024. LPA reviewed 3 staff records and 3 of 3 staff have current first aid training and are associated to the facility. LPA reviewed 5 residents records and 5 of 5 residents have current medical assessment. No deficiencies cited during visit. Exit interview conducted with Licensee. A copy of this report provided.

InspectionFebruary 15, 2024
No deficiencies

Inspector: Alona Gomez

Plain-language summary

This was a routine annual inspection of the facility on April 25, 2026. The inspector found that the home met requirements across all areas checked, including safe water temperatures, working smoke detectors and carbon monoxide detectors, adequate lighting and food supplies, secure medication storage, and current medical assessments for all residents. No violations were cited, though the facility was asked to submit updated documentation including an emergency disaster plan and staff records by the deadline specified.

View full inspector notes

Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required visit on this date starting at 9:00am. Upon arrival, LPA met with Lead Care Staff Marlon Navarro and explained the purpose of the visit. Licensee, Steve Chou arrived later at 10:30am. The facility's fire clearance was approved for six non-ambulatory. LPA toured facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which six (6) are occupied by the residents and one (1) is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 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 106.7 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. Centrally stored medication and sharps are locked and inaccessible to residents. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/14/2023. Emergency Disaster Plan is posted. First aid kit was observed to be complete. Fire drill was last conducted on 12/12/2023 . LPA reviewed 4 staff records and 3 of 4 staff have current first aid training and associated to the facility. LPA reviewed 5 residents records and 5 of 5 residents have current medical assessment. 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 CCLD by 2/29/2024: · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance No deficiencies cited during visit. Exit interview conducted with Licensee. A copy of this report provided.

Federal summary

CMS Care Compare

Not 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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