Home Sweet Elsie
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.
280 Elsie Dr · 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
Severity45thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency36thDeficiencies 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
Home Sweet Elsie scores B−. Better than 60% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 45th percentile. Repeats: top 0%. Frequency: 36th 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)
16
Last citation
Jun 24
Finding distribution
3 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
- 079201269
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Home Sweet Care Homes, Inc.
Inspections & citations
2
reports on file
3
total deficiencies
1
Type A (actual harm)
InspectionJuly 8, 2025No deficiencies
Plain-language summary
A routine annual inspection was conducted on July 8, 2025, and found no deficiencies—the facility met requirements for safe conditions, adequate staffing qualifications, proper food and medication storage, and working safety equipment. The inspector toured all areas of the six-bedroom home and reviewed resident and staff records, confirming that bathrooms had grab bars and non-skid mats, lighting and temperature were adequate, and all three staff members had current first aid training.
View full inspector notes
On 7/8/2025 at 2:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Angelo DeLa Cruz and explained the purpose of the visit. Backup Licensee, Christine Soriano arrived at 3:03pm. The facility’s fire clearance was approved for 6 non-ambulatory. LPA toured facility with Licensee, Christine Soriano including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom 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 76 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 bathrooms was measured between 105-120 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. LPA observed centrally stored medication and sharps secured. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 4/9/2025. Emergency Disaster Plan was last posted on 5/28/2025. First aid kit was observed to be complete. LPA reviewed 5 residents records. LPA reviewed 3 staff records and 3 of 3 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.
Other visitJune 20, 2024Type A3 deficiencies
Inspector: Alona Gomez
Plain-language summary
During a routine annual inspection on June 20, 2024, inspectors found that medications were left unlocked and accessible in a resident's bedroom, and that paper towels were unavailable in a bathroom (only a shared hand towel was provided). The facility was also cited for converting a garage room into staff sleeping quarters without proper permits or approval. The facility has until July 1, 2024 to submit updated documentation and correct these issues.
View full inspector notes
On 6/20/2024 at 11:45 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Emilia Estonilo and explained the purpose of the visit. Backup Administrator, Aljolyn Martinez arrived at 1:03pm. The facility’s fire clearance was approved for 6 non-ambulatory. LPA toured facility with Backup Administrator, Aljolyn Martinez including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom 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 bathrooms was measured between 105-120 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. LPA observed centrally stored medication and sharps secured using a baby proof strap lock. LPA advised administrator it needs to be switched to a secured lock that requires a device, code, or key to open it. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 4/18/2024. Emergency Disaster Plan was last posted on 6/20/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/10/2024. At 11:50am, LPA reviewed 6 residents records. At 12:20pm, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. 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: While in the first bathroom LPA observed that no paper towels were available to dry hands and the only available item was a shared hand towel. LPA observed medications in cup unlocked in R3's room in the bedside drawer. R3 has dementia. LPA observed rooms built in the garage for caregivers that are not cleared on the facility sketch and no permit was obtained prior. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 7/01/2024: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report Updated facility sketch 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 R3 having perscription medications in night stand drawer which poses an immediate health, and safety risk to persons in care. POC Due Date: 06/20/2024 Plan of Correction 1 2 3 4 Administrator removed medications.
Regulation
(a) Prior to construction or alterations, all facilities shall obtain a building permit.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in having built 2 bedrooms for staff in the garage without a permit and proper inspection which poses a potential safety risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 By POC Administrator agrees to get an inspection and submit a new facility sketch to CCLD
Regulation
(a) Living accommodations and grounds shall be related to the facility's function...(3) Equipment and supplies necessary for personal care ...(C)Clean linen, including blankets, bedspreads, top bed sheets, bottom bed sheets, pillow cases, mattress pads, bath towels, hand towels and wash cloths.... The use of common wash cloths and towels shall be p…
Inspector finding
Based on observation, the licensee did not comply with the section cited above in having a common use towel for residents to dry hands in bathroom which poses a potential health and safety risk to persons in care. POC Due Date: 06/20/2024 Plan of Correction 1 2 3 4 Administrator removed hand towel and added paper towels to the bathroom
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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