Angel's Crest Home 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.
1864 Camino Ramon · Danville, 94526
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
Severity66thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency57thDeficiencies 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
Angel's Crest Home Ii scores B. Better than 74% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 66th percentile. Repeats: top 0%. Frequency: 57th 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
stableWeighted severity score per month · 24 months
Weighted score (24mo)
0
Finding distribution
1 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
- 079200390
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Angel's Crest Home Ii, Inc.
Inspections & citations
5
reports on file
2
total deficiencies
InspectionJuly 30, 2025No deficiencies
Plain-language summary
An unannounced annual inspection on July 30, 2025 found no violations at this facility. The inspector checked the building's safety features, temperature controls, bathrooms with grab bars, medication storage, and staff qualifications, all of which met requirements. The facility maintains adequate food supplies, working smoke and carbon monoxide detectors, and current emergency plans.
View full inspector notes
On 7/30/2025 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Grace Cuaresma and explained the purpose of the visit. Administrator arrived later during the visit. The facility’s fire clearance was approved for all may be non-ambulatory and a hospice waiver for 2. 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 73 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 106.8 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 7/23/2024. Emergency Disaster Plan was last posted on 7/30/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/10/2025. LPA reviewed 3 of 3 residents records. LPA reviewed 2 staff records and 2 of 2 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.
InspectionSeptember 13, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
On September 13, 2024, an unannounced annual inspection found the facility in compliance with all requirements. The inspector verified that the home maintains safe living conditions, including proper heating, lighting, and bathroom safety features; medications and supplies are securely stored; fire safety equipment is functional; and staff have current first aid training. No violations were cited.
View full inspector notes
On 9/13/2024 at 12:06 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Luz Ayuste and explained the purpose of the visit. LPA spoke with Administrator over the phone who gave permission to caregiver to sign report. The facility’s fire clearance was approved for all may be non-ambulatory and a hospice waiver for 2. 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 73 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 112 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 7/23/2024. Emergency Disaster Plan was last posted on 11/1/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 7/13/2024. At 12:11pm, LPA reviewed 1 of 1 residents records. At am12:20pm, LPA reviewed 2 staff records and 2 of 2 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.
ComplaintApril 25, 2024· SubstantiatedType B1 deficiency
Inspector: Alona Gomez
Plain-language summary
A complaint investigation found that the facility used a restraint on a resident with dementia who was on hospice care, wrapping a wheelchair latch around a bar so the resident could not remove it. The administrator acknowledged the restraint was used improperly and stated they would request permission from the state to use restraints going forward, but the facility's records showed no documented approval for restraint use. The investigator confirmed the restraint was in place through photos and interviews with staff and the resident's family.
View full inspector notes
While interviewing the Administrator they stated that R1 has dementia and kept falling. When R1 was put on hospice their responsible party inquired about options to help R1 from falling out of chairs. Administrator states that they informed the responsible party that restraints are not allowed but that the responsible party said it should be considered protection and comfort since R1 is on hospice. The Administrator acknowledges that the restraint was used improperly and that they will request an exception from CCLD to use a proper restraint. Administrator states that no restraints are/will be in use until an exeption is made. During the investigation LPA reviewed the records, physicians report and care plan for R1. LPA did not observe any documentation allowing restraints. R1 is on hospice. LPA also referenced photos submitted by the RP that shows R1 restrained in their wheelchair with the latch being wrapped around the bar behind the wheelchair where R1 can not reach it and easily get out. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.
Regulation
(a)Based on the individual's preadmission...Postural supports may be used under the following conditions.(2)Postural supports shall be fastened or tied in a manner that permits quick release by the resident.(3)A written order from a physician... The licensing agency shall ... verify the order. This requirement was not met as evidence by:
Inspector finding
Based on interviews, record review, and validated photos R1 was improperly restrained with a lap belt that did not offer quick release and did not have a physicians order.
InspectionAugust 11, 2022Type B1 deficiency
Inspector: Lizette Francisco
Plain-language summary
During an unannounced infection control inspection on August 11, 2022, inspectors found the facility had proper screening procedures at entry, hand washing stations, daily disinfection of common surfaces, adequate PPE supplies, and documented health screenings for residents and staff. One staff member's health screening and TB test records were not on file at the time of inspection. The facility was asked to submit updated administrative and insurance documents by August 19, 2022.
View full inspector notes
On 8/11/2022 at 1:07 PM, Licensing Program Analysts (LPAs) L. Francisco and P. Watson arrived unannounced to conduct Infection Control Inspection. Upon arrival, LPAs met with Care Staff, Mary Urbano and explained the purpose of the visit. LPAs spoke to Administrator over the phone. During the Infection Control Inspection, LPA toured facility with Care Staff including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Hand washing posters were observed. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. At 1:57 PM, LPAs reviewed 2 staff records and 1 of 2 staff have health screening and TB test on file. Facility has a mitigation plan and maintains record of routine screening for residents and staff. 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 CCL by 8/19/2022 LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
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 e…
Inspector finding
Based on record review, the licensee did not comply with the section cited above. LPAs observed S1 does not have health screening and TB test on file on file which poses a potential health and safety risk to persons in care. POC Due Date: 08/22/2022 Plan of Correction 1 2 3 4 By POC date, Administrator will obtain health screening and TB test for S1 and submit a copy to CCL.
ComplaintSeptember 24, 2021No deficiencies
Inspector: Lizette Francisco
Plain-language summary
An unannounced infection control inspection was conducted on September 24, 2021, and found the facility had proper screening procedures at the entrance, adequate supplies of protective equipment and food, and staff wearing appropriate gear. Inspectors observed handwashing stations, health education posters, and documented screening records for residents and staff. No violations were found.
View full inspector notes
On 9/24/2021 starting at 2:38pm, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to conduct Infection Control Inspection. LPA met with Care Staff, Mary Urbano. Administrator was not available during visit. During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted with Administrator, Marivie Fabie over the phone. Administrator authorized Care Staff to sign report. A copy of this report provided with Care Staff.
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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