Mina's Elderly Care Home 3 Llc
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.
427 Richlee Dr · Campbell, 95008
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
Severity41thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency46thDeficiencies 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
Mina's Elderly Care Home 3 Llc scores B−. Better than 62% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 41th percentile. Repeats: top 0%. Frequency: 46th 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
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
20
Last citation
May 24
Finding distribution
2 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
- 435202664
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Abbasvand, Mina
Inspections & citations
3
reports on file
2
total deficiencies
2
Type A (actual harm)
InspectionApril 9, 2025No deficiencies
Plain-language summary
A routine annual inspection of the facility was conducted, during which the inspector toured the building, reviewed resident and staff records, and checked safety equipment, food storage, medication security, and living conditions. The facility was found to meet all state requirements, with no violations cited. The facility currently serves 6 residents with adequate supplies, functioning safety systems, and clean, properly equipped resident rooms and bathrooms.
View full inspector notes
Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced Required 1-Year inspection and met with Administrator (ADM) Mina Abbasvand. LPA stated the purpose of the visit. ADM states the facility has 6 residents. LPA observed 6 residents, 2 staff and ADM. LPA toured the interior and exterior of the facility with ADM to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. Facility thermostat temperature display was observed at 69 degrees F. All exit and passageways were free and clear of obstruction. LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA measured refrigerator temperature at 40 degrees F and Freezer at 0 degrees F. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 8/27/2024. LPA reviewed the facility first aid supplies. The facility emergency drill log was reviewed. The facility's last drill was on 3/6/2025. LPA toured 5 resident rooms. Page 1 of 2 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 5 out of 5 resident rooms have a bed, clean bedding, functioning lights, dresser/table, and space for personal belongings. LPA toured 2 resident bathrooms. 2 out of 2 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature at 111 degrees F. LPA reviewed 3 resident records. Resident records included but not limited to admission agreement, physician's report, needs and service plans. LPA reviewed 3 resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPA reviewed 3 staff records. Staff records included but not limited to fingerprint background clearance, personnel record, and staff training. No deficiencies were cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Administrator Mina Abbasvand and a signed copy of this report was provided.
InspectionMay 21, 2024Type A2 deficiencies
Inspector: Maria Partoza
Plain-language summary
This was a routine annual inspection on May 21, 2024, and the inspector found several maintenance and safety issues: a raised toilet seat with moisture and black spots, a cracked sink faucet, a sagging window with peeling seal in the staff room, a rusted trash bin, cleaning supplies (including bleach) that were easily accessible to residents, and a fire extinguisher that had not been inspected since August 2023. Staff records, resident files, medications, and fire drill training were all current and complete, and the facility's bedrooms, bathrooms, kitchen, and common areas were generally clean and organized with proper safety equipment like call alarms and fire alarms in working order.
View full inspector notes
On 5/21/2024 at 8:45 a.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza arrived and conducted an unannounced required 1 year inspection visit. LPA was greeted by 2 staff. Administrator, Mina Abbasvand was not present upon LPA's arrival. Staff contacted administrator and arrived shortly thereafter and stated the purpose of the visit. LPA observed a NO SMOKING OXYGEN IN USE sign posted on the door prior to entering the facility and at appropriate area of the facility. ADM stated no resident in care is currently using oxygen. The facility is a Residential Care Facility for the Elderly (RCFE) licensed to serve ages 60 and over 6 non-ambulatory, 1 out 6 may be bedridden and a waiver for 2 hospice care. The facility's has 6 residents (R1 to R6) that have neurocognitive impairment. 2 staff were present at the time of the visit. 6 residents were present at the facility and 3 out of 6 were in the living/dining area. LPA observed 3 out of 6 residents are in the bedroom and 2 out of 6 residents are under hospice care. At 8:55 a.m. LPA toured the facility inside and outside with ADM, including but not limited to the kitchen, bathroom, dining room, living room, residents rooms, staff room, backyard and walkways. LPA observed the Personal Rights disclosure, Long Term Care Ombudsman (LTCO) and Centralized Complaint and Information Bureau (CCIB) of the CA Department of Social Services (CDSS) prominently posted on the wall, visible to visitors, resident and staff. The temperature inside the home was at 68 to 69.8 degrees F. LPA and ADM toured the 5 bedrooms and LPA observed the rooms to be organized and free from debris and has sufficient storage for resident's personal belongings. Resident's bedroom has a call alarm system to alert staff if assistance is needed. Three resident bedrooms (Rooms #2,3 and 5) have exit doors and are free from obstruction. 1 of 5 bedroom is shared by 2 residents. LPA observed 5 out of 5 residents' bedroom are sanitary and free from debris. page 1 - see LIC 809C for page 2 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 continued from page 1 LPA observed that the facility has a wall pull fire alarm system connected to the fire department emergency line and a carbon monoxide alert system that is in good working condition. LPA observed night lights on the hallway. Hallways are free from obstruction. The sliding door going out to the back deck/patio slides easily and free from obstruction. LPA observed ramps and walkways are free from obstruction. LPA observed the backyard area to be free from debris and is maintained. LPA with ADM toured 2 full bathrooms (B1, B2) and 1 half bathroom (B3). LPA observed B1 to have skid mats and grab bars and a raised toilet seat that that ha a clear tape wrapped on the back seat. LPA observed the tape has moisture and has black spots. ADM stated B1 is used by staff, but residents can use the bathroom if needed and the raised toilet seat is for the residents. LPA observed a crack on the base of the sink faucet of B1. ADM stated the residents does not take showers in B1 and trash bin has lid. LPA observed a storage area inside the B1 with accordion door. The facility stores incontinent supplies and unopened, unused cleaning and laundry supplies. LPA observed a lock on the accordion door. LPA with ADM inspected the staff room. LPA observed the horizontal structure of the window inside the staff room is sagging with the seal peeling off. LPA inspected B2 located on the left side of the facility across room 3, 4 and 5 with ADM and observed that the metal trash bin has lid and has signs of rust at the bottom. LPA inspected the bottom cabinet by the sink and found cleaning supplies such liquid bleach (Clorox), and bar powder cleaner (Comet) one of the cabinet door stays locked and one can be opened to access personal products such as lotions, and liquid bath soaps used by residents. LPA observed the bleach was easily accessible at the time of inspection. LPA tested the water temperature for kitchen and bathrooms, water temperature was measured at 109.2 degrees F to 110.9 degree F. Dining and kitchen area and living room area were observed to be sanitary and organized. The facility has sufficient supply of perishable food for 2 days and non-perishable food for 7 days. The fire extinguisher located in the kitchen was last inspected on 8/29/2023. Page 2 see LIC 809C page 3 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 LPA and ADM inspected the laundry area. LPA observed the laundry area has a curtain, washer and dryer are in good working condition, the laundry area has a cabinet above that does not have a lock, and contained laundry detergents. LPA with ADM inspected the medication cabinet. LPA observed the medication room is locked and is not easily accessible. LPA observed first aid kit inside the medication cabinet. LPA observed a staff in the kitchen during the time of visit and staff showed LPA that knives and sharp are locked after use. LPA reviewed facility record, 3 out of 3 staff record and 3 out of 6 resident record. Facility's fire drill training conducted on 1/15/2024, facility records are up to date. Staff training records were up to date. Staff records were reviewed with current first aid certifications, clearance and training. Residents files were reviewed to be complete. Residents' medications are labeled and current. Deficiencies are cited during today's visit based on the California Code of Regulations (CCR) Title 22, see LIC 809D. An exit interview was conducted with administrator Mina Abbasvand. A copy of the report and appeals rights were provided. end of report page 3
Regulation
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.
Inspector finding
Based on observation the licensee did not comply with the section cited above on 2 out of 2 observation. LPA observed the staff room window horizontal structure has water damage, sagging and seal was peeling off. The bathroom faucet sink was cracked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/22/2024 Plan of Correction 1 2 3 4 ADM stated that a maintenance person will be called in as soon as possible to get the window structure in the st…
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 in count 2 of 2. LPA observed a cleaning solution was readily accessible to residents in the B2 (resident's bathroom) and laundry detergents are not locked in the laundry area, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/22/2024 Plan of Correction 1 2 3 4 ADM stated that the all cleaning solutions and laundry detergents will be locked and she/he will conduct …
InspectionJune 29, 2022No deficiencies
Inspector: Ryker Heberle
Plain-language summary
An unannounced annual inspection on June 29, 2022 found the facility in good condition with no deficiencies: all areas were clean and well-maintained, emergency exits were clear, fire safety equipment was operational, bathrooms were properly stocked, and adequate food and protective equipment supplies were available. The facility had completed vaccination requirements for residents and staff and had established infection control procedures and symptom screening at entry.
View full inspector notes
Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 06/29/2022 at 3:40pm. LPA met with facility administrator Mina Abbasvand (Admin). LPA toured the facility including, front hallway, 3 bathrooms, kitchen, dining room, living room, 5 resident bedrooms, medicine/PPE cabinet, and porch visitation area. Admin confirmed that all residents and staff have been vaccinated. Facility infectious control plan has already been submitted and is pending approval. No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Facility water temperature observed to be 107.8*F. Fire extinguisher noted to have received inspection in September 2021. Smoke detectors observed to be operational. Facility observed to have 2 days supply of perishable food and 1 weeks supply of non-perishable food. Facility observed to have designated entry point for universal symptom screening with questionnaire. All restrooms observed to be adequately stocked with paper towels, hand sanitizer, and hand soap. Bathrooms observed to have foot operated trash cans. Facility observed to have adequate supply of PPE. No deficiencies cited during this inspection. This report reviewed with Administrator Mina Abbasvand and a copy of the signed report was 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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