Always Tlc.
Always Tlc is Ranked in the bottom 7% on citation frequency among California peers with 18 CDSS citations on record; last inspected Aug 2025.
A small home, reviewed on public record.
Compared to 152 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
Always Tlc has 18 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
18 deficiencies on record. Each bar is a month with a citation.
Finding distribution
18 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Always Tlc's record and state requirements.
The facility has 12 serious citations on file across all inspections — can you provide your corrective-action plans for each cited item, and show families any documentation of remediation steps taken?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Three complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility is cited under Title 22 §87705 or §87706 for dementia care — can you provide the written dementia-care program required by §87705, and explain what specific deficiency was cited and how it was corrected?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
5 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-08-28Other VisitType A · 6 findings
Plain-language summary
During an unannounced annual inspection on August 28, 2025, the facility was found to have adequate food, supplies, clean bathrooms, working alarms, and secure medication storage, but an unpermitted storage room in the garage that was supposed to be demolished in January 2025 was still present. The inspector cited the facility for this violation under state regulations and advised that failure to correct it may result in civil penalties. The facility was also asked to submit proof of liability insurance and administrator certification by September 2, 2025.
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above S1's CPR expired in 2024 and S2's personnel file was not available for review which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2025 Plan of Correction 1 2 3 4 The administrator will schedule S1 to complete the CPR training by 8/29/2025 and submit proof of completion to CCL by 8/29/2025.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2025 Plan of Correction 1 2 3 4 The administrator stated that S1's training was completed and will submit a copy of S1's annual training records to CCL by 8/29/2025.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed there was non slip- resistant mats in both bathrooms which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/05/2025 Plan of Correction 1 2 3 4 The Administrator/licensee will provide photos to proof that the non-slip resistant mats are placed in bathrooms by 9/5/2025.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the same illegal storage room in the garage that was observed during the annual inspection in 2024 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/08/2025 Plan of Correction 1 2 3 4 During the annual visit, the administrator stated that since he is not getting any clear instructions from the Local Fire Marshal after many attempts, he has decided to demolish the storage room in one week. The administrator will provide photos to CCL by 9/8/2025 of the garage after the storage room is demolished.”
“87755 Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours. Deficient Practice Statement 1 2 3 4 Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S2 and R4's files were not at the facility for review which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2025 Plan of Correction 1 2 3 4 The administrator/licensee will provide a plan of correction indicating that files are available for inspection by 8/29/2025.”
“87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. Deficient Practice Statement 1 2 3 4 Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as S1 and S2 reported that they reside at the facility and they sleep on the living room couches as well as another female staff who is currently on vacation which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/05/2025 Plan of Correction 1 2 3 4 The administrator/licensee will submit a plan of correction to CCL by 9/5/2025 indicating the sleeping arrangement for facility staff members.”
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On August 28, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Alvin Gomez and explained the purpose of today's visit. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The facility has 4 residents and all of them are in private rooms. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with grab bars but non slip- resistant mats. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 105-115 degrees Fahrenheit. Fire extinguishers were checked. 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 During the facility tour, LPA observed the same storage room in the garage that was observed during the annual inspection last year on 8/6/2024. As the time, the administrator submitted a plan of correction indicating that the facility would be collaborating with the Foster City Building Code Enforcement and the Local Fire Marshall on the steps to legalizing the unit. The Foster City Building Code Enforcer conducted an inspection and deemed the storage room as un-permitted altercation and advised the administrator/licensee to follow-up with the Local Fire Marshal. During the process of collaborating with the Local Fire Marshal and the Foster City Building Code Enforcement, the administrator/licensee reported to LPA that he has not been provided with clear instructions on how to legalizing the storage unit. Therefore, on January 23, 2025, the administrator/licensee informed LPA that the storage room would be demolished in a week. However, during today's visit, LPA observed the same storage unit in the garage. A review of (3) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. During today's visit, LPA was not able to review S2 and R4's files as the caregiver reported that the administrator/licensee has the files and he is in the process of updating the them. The following documents were requested submitted to CCL by 9/2/2025: - Liability Insurance and Administrator Certification. 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 the caregiver. A copy of this report and the appeal rights were provided.
2024-09-04Other VisitNo findings
Plain-language summary
On September 4, 2024, inspectors returned to follow up on a civil penalty of $3,300 that had been imposed after the facility failed to correct three violations found during an August inspection (related to emergency drills, physician orders for bed rails, and staff training). The inspectors confirmed that the facility had corrected all three violations by obtaining required physician orders, conducting an emergency drill, and starting staff training. The civil penalty was stopped as of August 21, 2024, and no new violations were cited.
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On September 4, 2024, Licensing Program Analyst (LPA) Murial Han and Komal Charitra conducted an unannounced plan of correction visit to follow up on a civil penalty that was assessed on 8/20/2024. LPA met with caregiver, Doris Mores and explained the purpose of the visit. The administrator arrived shortly thereafter and assisted with the visit. On 8/ 20/2024, LPA Han conducted an unannounced Plan of Correction visit to follow up on the citations that were issued during the annual inspection on 8/6/ 2024. During the visit, LPA reviewed and validated the plan of correction that was submitted by the administrator/licensee and cleared 9 out of 12 citations However, LPA observed the remaining citations- 1569.695(c) ; 87608(a)(5)(B); 1569.625(b)(2) were not corrected and due to the citations not being corrected, a civil penalty in the amount of $3300 was assessed from 8/8/2024 - 8/20/2024. During today's visit, LPAs reviewed the plan of correction for the following citations: - 1569.695(c)- Emergency drill was conducted on 8/23/2024 and the administrator stated that it will be conducted on a quarterly basis. - 87608(a)(5)(B)- Physician orders were obtained for the residents who have a bed rail by the head of the bed. - 1569.625(b)(2)- Annual training was started for staff on 8/30/2024 and will continue. Civil penalty is being stopped on 8/21/2024 as the above citations are observed to be corrected. No deficiency is cited today. This report is reviewed and discussed with the administrator and a copy is provided.
2024-08-20Annual Compliance VisitNo findings
Plain-language summary
On August 20, 2024, inspectors returned to check whether previously cited deficiencies had been corrected. While some violations were fixed, three deficiencies remained uncorrected, relating to staffing records, infection control, and training documentation. The facility was assessed a civil penalty of $3,300, which will continue to accrue daily until these three issues are resolved.
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On August 20, 2024, Licensing Program Analyst (LPA), Murial Han conducted an unannounced plan of correction visit. Upon entrance, LPA met with caregiver, Doris Mores and explained the purpose of today's visit. The administrator, Tomas Consunji arrived shortly thereafter and assisted with the visit. During today's visit, LPA observed the following deficiencies are corrected: - 87470(b)(2) ; 87202(a) ; 87305(a) ; 87307(d)(6) ; 87456(a)(2) ; 87608(a)(3) ; 87506(b)(17)(E) ; 87456(a)(3); 87458(a) During today's visit, LPA observed the following deficiencies were not corrected: - 1569.695(c) ; 87608(a)(5)(B); 1569.625(b)(2) D ue to the above observation and deficiencies not being corrected, a civil penalty is being assessed in the amount of $100 a day from 8//8/2024 through 8/20/2024 for the deficiencies of ; 1569.695(c) ; 87608(a)(5)(B) and $100 a day from 8/14/2024 through 8/20/2024 for the deficiency of 1569.625(b)(2) and will continue to accrue until corrected. A total civil penalty of $3,300 is being assessed today. This report is reviewed and discussed with the administrator. A copy of this report and the appeal rights were provided.
2024-08-06Complaint InvestigationType A · 12 findings
Plain-language summary
During a routine annual inspection on August 6, 2024, inspectors found that the facility was generally clean and well-maintained, with adequate food supplies, working bathrooms with safety features, locked medication storage, and proper temperature controls; however, a bedroom unit built in the garage was not documented on the facility's approved floor plan and had no building permit on file. The facility was cited for this unpermitted construction and given until August 13, 2024 to submit missing liability insurance and administrator certification documents.
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed that there was no gowns available at the facility while caring for a resident who has a contagious disease which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure appropriate PPE is available at all times to ensure the safety of staff, residents and visitors.The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a unit was built in the garage and according to the San Mateo Consolidated Fire Department and Foster City Building permit, there was no records of a building permit was obtained which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to indicate the steps that the facility will take to be in compliance with the unit in the garage. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a unit was built in the garage and according to the San Mateo Consolidated Fire Department and Foster City Building permit, there was no records of a building permit was obtained which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to indicate the steps that the facility will take to be in compliance with the unit that was built in the garage without a building permit. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed outdoor passageway was blocked by the wooden fence and stored many medical devices and other objects which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure passageways are free of obstruction. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 4 out of 6 residents did not have a pre-admission appraisal which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/08/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure pre-admission appraisal is obtained prior to resident's admission. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 1 out of 6 resident did not have a completed medical assessment/LIC602 on file which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure all the residents have a documentation of a medical assessment, signed by a physician on file. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility was not able to provide any documents that emergency drills were completed accordingly which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to indicate when a drill will be conducted and how often it will be performed moving forward. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 2 out of 6 residents with bed rails by the head of the bed without a physician's order which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator will develop a plan to indicate when a physician's order will be obtained for the device that is being used and will provide a copy of the physician's orders when obtained. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 4 out of 6 residents have bed rails by the head and foot of the bed and according to the staff, these residents are not on hospice which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/07/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to ensure compliance. The administrator/licensee will provide a copy of the plan to CCL by 8/7/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 1 staff did not have any training records for 2023 and 2024 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/13/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to indicate when training will be completed for this staff and on the plan, it shall indicate what steps the facility will take to prevent this from happening again. The administrator/licensee will provide a copy of the plan to CCL by 8/13/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 6 out of 6 residents did not have a copy of the reappraisals which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/13/2024 Plan of Correction 1 2 3 4 The administrator/licensee will develop a plan to indicate when the reappraisals will be completed for all the residents and will provide a copy of the completed reappraisals. The administrator/licensee will provide a copy of the plan to CCL by 8/13/2024.”
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed resident with diagnosis of dementia did not have a recent medical assessment which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/13/2024 Plan of Correction 1 2 3 4 The administrator will develop a plan to indicate when an updated medical assessment will be completed for the residents who are diagnosed with Dementia. The administrator/licensee will provide a copy of the plan to CCL by 8/13/2024.”
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On August 6, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Adoracion "Doris" Mores and explained the purpose of today's visit. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The outdoor passageway was observe to be obstructed with a wooden fence and many medical devices. The facility has 6 residents and all of them are in private rooms. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 108-119 degrees Fahrenheit. Fire extinguishers were checked. During tour of the facility, LPA observed a unit was built in the garage that was not indicated on the facility sketch and according to the San Mateo Consolidated Fire Department and Foster City Building Department, there is no records that a building permit as obtained. 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 A review of (6) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. The following documents were requested submitted to CCL by 8/13/24: - Liability Insurance and Administrator Certification. 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 the caregiver. A copy of this report and the appeal rights were provided.
2023-09-05Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint about cockroaches at the facility was investigated, and the facility was already aware of the problem and working with a pest control company to address it. Staff reported cleaning the resident's room twice daily, and pest control service visits were scheduled for September 5, 2023, and monthly thereafter. The investigator found no violation based on the facility's documented efforts to resolve the issue.
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LPA interviewed staff #1 (S1) who stated that they are aware of the cockroach problem in the facility and the administrator is working with a pest control company to resolve it. LPA interviewed resident #1 (R1) and R1's responsible party who stated that staff does a good job with ensuring the facility is cleaned and tidy and they are aware of cockroaches at the facility and the administrator is actively working with a pest control company to take care of this issue. In addition, R1 stated that the room is always cleaned and staff mops the floor twice daily. Based on documents provided, LPA observed a service slip from a pest control company showing the service was provided on July 27, 2023, and on August 18, 2023, administrator reported to the pest control company that R1 spotted roaches in R1's room which triggered a service scheduled for today (September 5, 2023) and monthly thereafter. Based on observation, interviews and record review, this allegation is unsubstantiated as the facility discovered the problem prior to this complaint and the administrator has been working with a pest control company to resolve the problem. Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. This report is discussed with the administrator who arrived during the exit meeting. A copy is provided.
2 older inspections from 2022 are not shown in the free view.
2 older inspections from 2022 are not shown in the free view.
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