Trinity Care Home 4
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.
55 San Vicente Court · 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
Severity36thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency52thDeficiencies 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
Trinity Care Home 4 scores B−. Better than 63% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 36th percentile. Repeats: top 0%. Frequency: 52th 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)
26
Last citation
Sep 25
Finding distribution
4 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
- 075601188
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Jeg-vl, Inc.
Inspections & citations
7
reports on file
4
total deficiencies
2
Type A (actual harm)
InspectionNovember 13, 2025No deficiencies
Plain-language summary
On November 13, 2025, state licensing staff made an unannounced visit to check whether the facility was following requirements from a previous stipulation issued in July 2025. The administrator was enrolled in required additional training and was following all aspects of the stipulation, and no violations were found during the visit.
View full inspector notes
On 11/13/2025 at 9:00 AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a case management to ensure that the requirements of the 07/29/2025 stipulation are being followed. LPA met with Gina Licup, Licensee/Administrator and explained the purpose of the visit. During this visit, the LPA observed: (1) Licensee is enrolled for the eequired additional 20hrs of training. Licensee is complying with all aspects of stipulation. No citations issued during visit. Exit interview conducted and a copy of this report provided.
Other visitSeptember 18, 2025Type A3 deficiencies
Plain-language summary
On September 18, 2025, an unannounced annual inspection found that the facility had unlocked prescription medications in a kitchen drawer and used needles in an unlocked container under the sink where residents could access them, as well as hot water temperatures that exceeded safe levels (124–125 degrees Fahrenheit). The facility also had structures in the backyard used by staff that were not fire-cleared and not included on official facility plans. The facility's emergency systems, food supplies, grab bars, and staff first aid certifications were in order.
View full inspector notes
On 9/18/2025 at 11:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Backup Administrator, Marjorie Osia and explained the purpose of the visit. Administrator was out of town during inspection. The facility’s fire clearance was approved for all non-ambulatory of which one may be bedridden. LPA toured facility with Marjorie including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which all bedrooms are 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. 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 124.2 degrees Fahrenheit and 125.1 degrees Fahrenheit in room 4. 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 not locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 12/18/2024. Emergency Disaster Plan was last posted on 9/3/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 9/15/2025. At 12:00pm, LPA reviewed 6 of 6 residents records. At 12:35 am, 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: LPA observed ADUs in the backyard being utilized by staff that are not fire cleared and are not listed on the facility sketch. LPA observed the hot water at 125.1 and 124.2 degrees F LPA observed unlocked prescription medications in medication cups in the kitchen drawer as well as used needles unlocked under the kitchen sink in a plastic container. 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
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…
Inspector finding
Based on observation, the licensee did not comply with the section cited above in the hot water measuring over 120 degrees F which poses an immediate safety risk to persons in care. POC Due Date: 10/01/2025 Plan of Correction 1 2 3 4 By POC facility agrees to adjust the water and test it weekly for 2 weeks and notify CCLD
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 unlocked perscription medications in the kitchen which poses an immediate safety risk to persons in care. POC Due Date: 09/18/2025 Plan of Correction 1 2 3 4 Medications secured by caregiver POC clear
Regulation
(a) Prior to construction or alterations, all facilities shall obtain a building permit.
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited above by having two unapproved ADUs for caregivers in the backyard which poses a potential personal rights risk to persons in care. POC Due Date: 10/01/2025 Plan of Correction 1 2 3 4 By POC facility agrees to notify the fire department and begin the process of getting the ADUs approved and notify CCLD
InspectionAugust 6, 2025No deficiencies
Plain-language summary
On August 6, 2025, state licensing staff held a virtual meeting with Trinity Care Home 4 to review and discuss corrective action agreements that were put in place on July 29, 2025. The facility's representatives and licensing staff reviewed the status of implementing these required improvements and answered any questions about them. This was a follow-up meeting to ensure the facility understood and was working toward compliance.
View full inspector notes
On 8/6/2025 at 9:00 AM, the Oakland CCLD Adult & Senior Care Regional Offices conducted a virtual meeting with representatives for Trinity Care Home 4 to review the Stipulation Agreements for the facilities, dated 7/29/2025. CCLD Licensing Program Manager, CCLD, Oakland ASC, Yvonne Flores-Larios discussed the stipulations and their status implementation; and questions and clarifications were addressed. Meeting Participants: • Yvonne Flores-Larios – Licensing Program Manager, CCLD, Oakland ASC • Alona Gomez – Licensing Program Analyst, CCLD, Oakland ASC • Gina Licup – Licensee/ Administrator, Trinity Care Home 4 • Marjorie Osia – Administrator, Trinity Care Home 4 This report was emailed to Gina Licup for signature, to be returned to CCLD Oakland Regional Office.
Other visitApril 16, 2025Type B1 deficiency
Plain-language summary
During a complaint investigation on April 16, 2025, inspectors found that a staff member married a resident, and the facility's administrator and backup administrator did not report this to licensing as required, even though they knew about it and told the staff member and resident to keep the marriage secret. The facility was cited for failing to meet administrator qualifications standards. The facility has been given a deadline to correct this violation.
View full inspector notes
On 4/16/2025 LPA A Gomez and conducted a case management visit while at the facility for complaints 15-AS-20240715150655. LPA met with Licensee/ Administrator Gina Licup and explained the purpose of the visit. While conducting the complaint investigation LPA found that S1 married R1 and the Licensee/Administrator and backup Administrator found out and did not report it to Licensing. Licensee stated that they did not think that they had to report the incident because R1 did not have a dementia diagnosis however the Administrator did advise S1 and R1 to not disclose the marriage to other residents or staff. Because Licensee/Administrator and backup Administrator failed to report the incident and asked S1 and R1 to not disclose their marriage LPA is citing for "Administrator Qualifications" 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
(d) The administrator shall...apply. (5) Good character and a continuing reputation of personal integrity. This requirement is not met as evidence by:
Inspector finding
Based on LPA's interviews, Licensee failed to report S1 marrying R1 and then advised them not to tell anyone which posed a potential personal rights and safety risk to residents in care.
InspectionOctober 18, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
An unannounced annual inspection was conducted on October 18, 2024, and no violations were found. The facility, which houses six residents, was found to have proper safety equipment, secure medication storage, adequate food supplies, functioning smoke and carbon monoxide detectors, and staff with current first aid training. All bathrooms had grab bars and non-skid mats, passageways were clear, and the facility maintained a comfortable temperature with adequate lighting.
View full inspector notes
On 10/18/2024 at 10:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Backup Administrator, Marjorie Osia and explained the purpose of the visit. Administrator was out of town during inspection. The facility’s fire clearance was approved for all non-ambulatory of which one may be bedridden. LPA toured facility with Marjorie including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which all bedrooms are 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 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 107.2 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 12/07/2023. Emergency Disaster Plan was last posted on 9/20/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 9/20/2024. At 10:40am, LPA reviewed 6 of 6 residents records. At 11:15 am, LPA reviewed 5 staff records and 5 of 5 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.
InspectionDecember 14, 2023No deficiencies
Inspector: Alona Gomez
Plain-language summary
A routine annual inspection was conducted on April 25, 2026, and the facility met requirements in areas including safety equipment, water temperature, bathrooms, food supplies, lighting, and staff first aid training. The inspector reviewed staff and resident records and toured the facility's bedrooms, bathrooms, kitchen, common areas, and outdoor spaces, all of which were found to be in acceptable condition. The facility was asked to submit updated personnel and facility sketch documents to the licensing agency.
View full inspector notes
Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required visit on this date starting at 1:35PM. Upon arrival, LPA met with caregiver Edilberto Cama. Assistant Administrator, Marjorie Osia later arrived at 2:15pm, Administrator, Jessica Licup arrived at 2:20PM and Licensee Gina Licup arrived at 4:00pm. LPA toured the facility with Administrator 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 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 bathroom was measured at 105 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week nonperishable and 2-day perishable supply of food. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/07/2023. Emergency Disaster Plan was last posted on 9/10/2023. First aid kit was observed to be complete. Fire drill was last conducted on 10/15/2023. LPA reviewed 5 staff records and 5 of 5 staff are associated and have current first aid training. LPA reviewed 5 residents record and a sample of resident's medications were reviewed. Report continues on LIC 809-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 Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 12/31/2023: LIC 500 Personnel Report Updated Facility Sketch Exit interview conducted with Licensee and a copy of this report provided.
ComplaintAugust 17, 2022No deficiencies
Inspector: Lizette Francisco
Plain-language summary
This was a complaint-based infection control inspection conducted in August 2022. Inspectors found that the facility had proper screening procedures at entry, adequate supplies of protective equipment and food, sanitized common areas, and staff medical records in order; no violations were identified.
View full inspector notes
On 8/17/2022 at 2:55 PM, Licensing Program Analysts (LPAs) L. Francisco and P. Watson arrived unannounced to conduct Infection Control Inspection. Upon arrival, LPAs met with Gracita Gaza and LPAs explained the purpose of the visit. Administrator, Gina Lucup later arrived at 3:25 PM During the Infection Control Inspection, LPAs 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. Visitors policy is posted on the front entrance. 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. 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 3:35 PM, LPAs reviewed 4 staff records and 4 of 4 have health screening and TB test on file. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted with Administrat and a copy of this report 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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