StarlynnCare

California · Burlingame

Mills Estate Villa

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.

1733 California Drive · Burlingame, 94010

Quick facts

Licensed beds47
Memory careNot listed
Last inspectionFeb 2026
Last citationFeb 2026
Operated byCalifornia Drive Partners
Map showing location of Mills Estate Villa

Quality snapshot

Updated April 25, 2026

Compared to 15 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
21th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
0th

Deficiencies per inspection

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

Mills Estate Villa scores C−. Better than 40% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 21th percentile. Repeats: top 0%. Frequency: bottom 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 / medium beds (15 facilities).

Citation severity over time

↑ worsening

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

70

Last citation

Feb 26

Finding distribution

7 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLG7HIDEFABCSev 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 47 licensed beds:

One awake caregiver must be on duty, plus one additional caregiver on call who can respond within 10 minutes.

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
415600033
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
47
Operator
California Drive Partners

Inspections & citations

3

reports on file

7

total deficiencies

7

Type A (actual harm)

InspectionFebruary 4, 2026Type A
1 deficiency

Plain-language summary

On February 4, 2026, a licensing analyst conducted a routine unannounced inspection and found the facility well-maintained in most areas, with clean bathrooms, working safety equipment, and secure medication storage. However, the inspector observed that medications for five residents had been removed from their original containers and placed in small plastic cups marked with room numbers—a practice the facility acknowledged should not have occurred, even for medications awaiting destruction. This violation was cited to the facility.

View full inspector notes

On February 4, 2026 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with the administrator and LPA explained the purpose of today's visit. LPA toured the facility with the administrator . The facility is a two story building. No accessible bodies of water or fire safety hazards observed. The indoor and outdoor passageways were free of obstruction. LPA observed all bedrooms with emergency call buttons, adequate furniture, and sufficient lighting. Bathrooms/shower rooms and toilets have grab bars and non-skid mats. Hot water temperature in the kitchen, bathrooms, shower rooms and resident rooms were measured at 105-119 degrees F. LPA toured the kitchen and observed 2-days perishable and 7- days non-perishable present. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient at this time. Medication was locked and inaccessible to residents in care. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on 1/26/2026. Fire drill records observed to be sufficient. 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 At 11:15AM, during the tour of facility with the administrator, LPA observed medications for resident #1 (R1), resident #2 (R2), resident #3 (R3), resident #4 (R4) and resident #5 (R5) were removed from its original container and poured into covered small plastic cups with resident's room number on it. The med tech/shift manager Staff #1 (S1) stated that some of those residents were discharged therefore the medications were for destruction and S1 did not know the reason why those medications were removed from its original containers. The administrator observed and acknowledged that the medications should not have been removed from its original containers even for destruction. A review of (5) resident files was conducted and noted on the LIC 858. A review of (5) staff files was conducted and noted on the LIC 859. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.

Type ACCR §87465(h)(5)

Regulation

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as based on observation and interview, at 11:15AM, during the tour of facility with the administrator, LPA observed medications for resident #1 (R1), resident #2 (R2), resident #3 (R3), resident #4 (R4) and resident #5 (R5) were removed from its original container and poured into covered small plastic cups with resident's room number on it. The med tech/shift manager Staff #1 (S1) state…

InspectionNovember 6, 2025
No deficiencies

Plain-language summary

On November 6, 2025, inspectors conducted a follow-up visit to check on elevator repairs that were underway at the facility. The administrator showed that staffing had been increased, meal service and activities were available on all floors, transportation help was arranged for residents needing medical appointments, and emergency evacuation equipment was in place; no violations were found. The facility had notified residents, their families, and the fire department about the repair work.

View full inspector notes

On 11/6/2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to follow-up on the elevator repair. LPA met with administrator, Delia Montano and explained the purpose of today's visit. On 10/30/2025, the administrator notified CCL that the elevator will undergo repair due to aging and is expected to be completed in about 2 weeks. The administrator submitted a plan of operation during the repair and a copy of the notification that was provided to the residents and their responsible parties. During today's visit, LPA did not observed construction work at the facility as the administrator explained that the physical structure of the elevator is fine and the repair is for the elevator controller. The administrator stated that additional staffing has been implemented during the repair for meal services, activities, etc. The administrator stated that they have informed the local fire department of the repair. The administrator provided a tour of the facility and demonstrated the meal service process for the residents on the 2nd floor. The activity director stated that there are activity programs on both floors during the repair. The administrator stated that the facility has hired several transportation companies to assist residents with going up and down the stairs for their medical appointments. LPA also observed 2 evacuation chairs on each side of the stairwell in case of emergency. No deficiency is cited today. This report is reviewed and discussed with the administrator, a copy is provided.

Other visitJanuary 21, 2025Type A
6 deficiencies

Inspector: Murial Han

Plain-language summary

On January 21, 2025, state licensing staff conducted an unannounced annual inspection and found the facility generally clean and safe, with proper emergency equipment, call buttons in bedrooms, and safety features like grab bars in bathrooms. The inspection identified three problems: grease buildup under the kitchen dishwasher, an expired carton of eggnog in the kitchen, a resident using oxygen in the dining room without a required "No Smoking" warning sign posted in that area, and medications stored in plastic containers without proper organization. The facility was cited for these deficiencies and notified of potential civil penalties if corrections are not made.

View full inspector notes

On January 21, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with Resident Care Coordinator, Anne Tiquez and LPA explained the purpose of today's visit. The administrator arrived during the tour of the facility and assisted with the inspection. LPA toured the facility with the resident care coordinator and the administrator . The facility is a two story building. No accessible bodies of water or fire safety hazards observed. The indoor and outdoor passageways were free of obstruction. LPA observed all bedrooms with emergency call buttons, adequate furniture, and sufficient lighting. Bathrooms/shower rooms and toilets have grab bars and non-skid mats. Hot water temperature in the kitchen, bathrooms, shower rooms and resident rooms were measured at 105-115 degrees F. LPA toured the kitchen and observed 2-days perishable and 7- days non-perishable present. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient at this time. Chemicals, toxins, and sharps objects were locked and inaccessible to residents. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on 2/2/2024. Fire drill records observed to be sufficient. During the tour in the kitchen with the resident care coordinator, LPA also observed the kitchen floor underneath the dishwater sinks appeared to be black with grease stains. In addition, LPA observed an opened carton of egg nog with an expiration date of January 11, 2025. 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 At 9:35AM, during the tour of the facility with the resident care coordinator, LPA observed resident #2 (R2) with oxygen in the dining room with other residents and there was no "No Smoking - Oxygen in Use" sign around the area. According to the resident care coordinator, the "No-smoking - Oxygen in Use" signs are posted by the resident's rooms and not the dining room/dining area. At 9:56AM, during the tour of the facility with the resident care coordinator, LPA observed resident #1 has a bottle of Refresh eardrops at the bedside table. At 10:14 AM, during the tour of the facility with the administrator, LPA observed the medication cart consisted of little plastic containers of medications stored in a few big plastic boxes for the PM shift, HS shift, and AM shift for the following day. A review of (5) resident files was conducted and noted on the LIC 858. A review of (5) staff files was conducted and noted on the LIC 859. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator and the resident care coordinator. A copy of this report and the appeal rights were provided.

Type ACCR §87303(a)(1)

Regulation

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the kitchen floor underneath the dishwater sinks appeared to be black with grease stains which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan in writing to ensure compliance and the plan shall indicate when the floor will be cleaned and send photo(s)…

Type ACCR §87555(b)(8)

Regulation

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed an opened carton of egg nog with an expiration date of January 11, 2025 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan in writing to ensure compliance and the plan shall indicate what is the process that the facility will implement to ensure fo…

Type ACCR §87465(h)(2)

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) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed resident #1 has a bottle of Refresh eardrops at the bedside table which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan in writing to ensure all centrally stored medications are locked and inaccessible to residents in care. The plan shall indicate the…

Type ACCR §87465(h)(5)

Regulation

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the medication cart consisted of little plastic containers with medications stored in a few big plastic boxes for the PM shift, HS shift, and AM shift for the following day which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan in writing to ensure co…

Type ACCR §87608(a)(3)

Regulation

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 3 out of 5 residents have bedrails without a physician's order which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan in writing to ensure compliance and the plan shall indicate the date of the physician's orders will be obtained and provide a copy of …

Type ACCR §87618(b)(3)(B)

Regulation

(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed resident #2 (R2) with oxygen in the dining room with other residents and there was no "No Smoking - Oxygen in Use" sign around the area which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan in writing to ensure compliance and will provide a photo that…

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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