Welcome Home Senior Residence (alamo Ii)
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.
10 Castle Crest Road · 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
Severity38thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency34thDeficiencies 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
Welcome Home Senior Residence (alamo Ii) scores C. Better than 57% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 38th percentile. Repeats: top 0%. Frequency: 34th 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
↑ worseningWeighted severity score per month · 24 months
Weighted score (24mo)
3
Last citation
Dec 25
Finding distribution
5 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
- 075601472
- 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
5
total deficiencies
1
Type A (actual harm)
InspectionDecember 10, 2025Type B1 deficiency
Plain-language summary
A routine annual inspection was conducted on December 10, 2025, and the facility was found to meet most requirements including adequate safety equipment, temperature control, food supplies, and staff training. One violation was found: medications stored in a refrigerator were not locked, including insulin pens and eyedrops that residents could access. The facility was required to submit updated administrator documents by December 20, 2025.
View full inspector notes
On 12/10/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. Upon arrival, LPA met with Caregiver Apple Pedullon and explained the reason of the visit. Administrator Steve Chou arrived at 10:15AM. The facility's fire clearance was approved for six non-ambulatory of which one may be bedridden in room 5 only. LPA toured facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (5) total bedrooms which all occupied by the residents. 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. LPAs 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 115.9 and 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. Sharps are locked and inaccessible to residents. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/11/2025. Emergency Disaster Plan last updated 11/11/2025. First aid kit was observed to be complete. Fire drill was last conducted on 11/11/2025. LPA reviewed 3 staff records and 3 of 3 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. 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 medications in refrigerator (ie pre-filled insulin pens, and eyedrops) Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/20/2025: Updated Administrator’s Documents 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
(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 unsecured insulin and eyedrops in the kitchen refridgerator which posed a potential safety risk to persons in care. POC Due Date: 12/10/2025 Plan of Correction 1 2 3 4 Medications locked and secured POC clear.
InspectionOctober 23, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
This was an annual inspection conducted on October 23, 2024, at which no violations were found. The facility met requirements for fire safety, emergency preparedness, medication storage, staff training, resident medical assessments, bathroom safety equipment, food supply, and overall cleanliness and comfort.
View full inspector notes
On 10/23/2024 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. Upon arrival, LPA met with Caregiver Engracia De Jesus and explained the reason of the visit. Licensee Steve Chou arrived at 10:12AM. The facility's fire clearance was approved for six non-ambulatory of which one may be bedridden in room 5 only. LPA toured facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (5) total bedrooms which all occupied by the residents. 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. LPAs 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 106.6 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 9/30/2024. LPA reviewed 3 staff records and 3 of 3 staff have current first aid training and associated to the facility. LPA reviewed 4 residents records and 4 of 4 residents have current medical assessment. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionNovember 3, 2023Type A4 deficiencies
Inspector: Alona Gomez
Plain-language summary
During a routine annual inspection on this date, inspectors found several deficiencies: one staff member was missing required physician reports and TB testing documentation, the fire extinguisher had not been serviced since December 2021, a bedridden resident was placed in a room not approved for bedridden care, and the facility administrator's certificate was not on file. The facility was issued an immediate $500 civil penalty for the fire clearance violation, and the facility must submit updated documentation by the deadline specified in the report.
View full inspector notes
Licensing Program Analysts (LPAs) A. Gomez and L. Hall arrived unannounced to conduct 1-Year Annual Required visit on this date starting at 1:20pm. Upon arrival, LPA met with Caregiver Engracia De Jesus and explained the reason of the visit. Administrator unavailable. 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 six (5) total bedrooms which all occupied by the residents. 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 Fahrenheit. LPAs 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 107.6 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 12/01/2021 . Emergency Disaster Plan is posted. First aid kit was observed to be complete. Fire drill was last conducted on 12/30/2023 . LPA reviewed 4 staff records and 3 of 4 staff have current first aid training and associated to the facility. LPA reviewed 4 residents records and 4 of 4 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 The following deficiencies were observed: At 1:50pm during staff file review LPA's observed 1 (S4) missing physicians reports and TB test At 2:00pm LPA's observed fire extinguisher to have been last serviced 12/01/2021 At 3:00pm LPA's observed bedridden resident placed in room 2. Room 5 is only room cleared for bedridden At 3:20pm LPA's observed that there is no current administrator certificate on file Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 11/20/2023: · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance . Updated Facility Sketch *An immediate civil penalty of $500.00 will be assessed on today's date for a fire clearance violation* The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct these deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with Caregiver. A copy of this report, LIC421M and appeal rights provided.
Regulation
Fire Clearence 87202 (a)All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and o…
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited above by having a bedridden resident in an unapproved room which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/04/2023 Plan of Correction 1 2 3 4 By POC date licensee agrees to submit a plan to move bedridden residents to fire clearence approved room to CCLD
Regulation
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.
Inspector finding
Based on observation the licensee did not comply with the section cited above by having a fire extinguisher that is not up to date on being serviced which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/13/2023 Plan of Correction 1 2 3 4 By POC date licensee agrees to have fire extinguisher serviced and submit photographic proof to CCLD
Regulation
(a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of…
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited aboveby having an expired administrator certificate which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/13/2023 Plan of Correction 1 2 3 4 By POC date Licensee agrees to submit all documents required to add a new administrator to CCLD.
Regulation
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after …
Inspector finding
Based on record review, the licensee did not comply with the section cited above by caretaker not having a TB test on record which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/13/2023 Plan of Correction 1 2 3 4 By POC date licensee agrees to submit a copy of S4's TB test to CCLD
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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