Five Star Care 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.
789 Niantic Drive · Foster City, 94404
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
Severity4thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency4thDeficiencies 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
Five Star Care Home Ii scores D. Better than 36% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 4%. Repeats: top 0%. Frequency: bottom 4%.
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)
126
Last citation
Jul 25
Finding distribution
14 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
- 415600705
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Melkonyan, Evelina
Inspections & citations
3
reports on file
14
total deficiencies
12
Type A (actual harm)
InspectionJuly 11, 2025No deficiencies
Plain-language summary
On July 11, 2025, inspectors returned to follow up on violations found during a June 17 annual inspection and a July 3 follow-up visit. The facility had not corrected several violations related to postural supports and other requirements, resulting in a $3,300 civil penalty imposed between June 18 and June 28. During the July 11 visit, inspectors found that all previously cited violations, including issues with criminal background clearance procedures, had been corrected.
View full inspector notes
On 7/11/2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced plan of correction visit to follow on a civil penalty that was assessed on 7/3/2025. LPA met with the caregiver, Irma Perez and explained the purpose of today's visit. On 7/3/2025, LPA conducted an unannounced Plan of Correction visit to follow up on the citations that were issued during the annual visit on 6/17/2025. During the visit, LPA observed these deficiencies were not corrected:1569.625(b)(2)Other Provisions, 1569.695(c) Other Provisions, 87608(a)(3) Postural Supports, therefore, a civil penalty in the amount of $3300 was assessed from 6/18/2025 - 6/28/2025. During today's visit, LPA observed the above citations were corrected and civil penalty has been stopped on 6/29/2025. In addition, LPA also observed the citation that was cited on 7/3/2025 87355(a) Criminal Background Clearance has been corrected. This report is reviewed and discussed with caregiver; A copy is provided.
Other visitJuly 3, 2025Type A1 deficiency
Plain-language summary
During a follow-up visit on July 3, 2025, inspectors found that the facility had corrected eight deficiencies from the June annual inspection but had not corrected three others related to staff qualifications and resident care practices. Inspectors also discovered that a staff member who had started working at the facility on July 1, 2025, did not have a completed criminal background clearance, and the facility was assessed a total civil penalty of $3,500 for this violation and the uncorrected deficiencies.
View full inspector notes
On July 3, 2025, Licensing Program Analyst (LPA) Murial Han conducted a plan of correction visit for the annual inspection that was conducted on June 17, 2025. LPA met with caregiver, Irma Perez and explained the purpose of today's visit. The administrator arrived and assisted with the visit. During today's visit, LPA toured the common areas, garage, bath/shower room, dining room, living room, resident room, etc., reviewed plan of correction documents that were submitted by the administrator: The following deficiencies , which were cited on 4/1/2025 are corrected: - 87303(e)(2) Maintenance and Operation - 1569.618(c)(3) Other Provisions - 87465(c)(3) Incidental Medical and Dental Care Services - 87456(a)(2) Evaluation of Suitability for Admission - 87618(b)(3)(B) Oxygen Administration - Gas and Liquid - 87633(a)(1) Hospice Care for Terminally Ill Residents - 87303(a) Maintenance and Operation - 1569.696(a) Other Provisions - 87618(b)(3)(A) Oxygen Administration - Gas and Liquid The following deficiencies are not corrected: - 1569.625(b)(2) Other Provisions - 1569.695(c) Other Provisions - 87608(a)(3) Postural Supports During today's visit, LPA observed staff #1 (S1) did not have a completed Criminal Record Clearance. According to S1, S1 started working at the facility since 7/1/2025 and the administrator stated that S1 was a reliever and was being trained at the facility. 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 Due to the above observation and deficiency not being corrected, a civil penalty is being assessed in the amount of $100 a day from 6/18/2025 through 6/28/2025 and will continue to accrue until corrected. A total civil penalty of $3500 ( $3300 and $200 for incomplete criminal background clearance for S1) is being assessed. 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 additional civil penalties. This report is reviewed and discussed with the administrator and caregiver. A copy of this report and the appeal rights were provided
Regulation
87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve..or employment, ..
Inspector finding
Based on observation, interview and record review, LPA observed S1 caring for resident but criminal record clearance was incomplete which poses an immediate health and safety risks for residents in care.
InspectionJune 17, 2025Type A13 deficiencies
Plain-language summary
During a routine unannounced annual inspection on June 17, 2025, the facility was found to have cleanliness issues including strong urine odor in resident rooms, black dust on the kitchen vent, and dirty floor edges throughout the building, as well as cluttered resident rooms. The facility met requirements in other areas including adequate food and supplies, clean bathrooms with safety equipment, secure medication storage, and proper water temperature. The state assessed a $1,250 civil penalty for five repeat violations and is requiring the facility to correct the cleanliness deficiencies.
View full inspector notes
On June 17, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Irma Perez and LPA explained the purpose of the visit. The administrator was notified by phone of LPA's visit. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. A tour of resident's room was conducted and observed to have sufficient furniture and furnishings. 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. 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 138-143 degrees Fahrenheit. Fire extinguishers were checked. During the tour, LPA observed strong urine odor in resident rooms, a layer of black dust on top of the kitchen vent, dirty floor edges in the kitchen and around the facility, resident rooms were cluttered, etc. 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 (5) 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 6/19/2025 - LIC 500, Liability Insurance, Administrator Certification A civil penalty of $ 1,250.00 is being assessed today for 5 repeat violations that were cited during the annual visit on June 17, 2024. 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 additional civil penalties. This report is reviewed and discussed with the caregiver. A copy of this report and the appeal rights were 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) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed water temperature in the kitchen and the resident bathroom were measured at 139-143 F which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure water temperature is within the range of 105-120 and will take daily temperature for the next 10 days…
Regulation
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staf…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S1 and S2's CPR/Fire aid training expired May 2024 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure at least one staff member has CPR and First aid training on duty and will submit a copy of the plan to CCL by 6/18/2025. The administrat…
Regulation
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed 2 out of 2 staff did not have their training records which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure required training is completed for all staff and will submit the plan to CCL by 6/18/2025. The plan shall indicate the date…
Regulation
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following:
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed 2 out of 2 staff did not have their training records which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure required training is completed for all staff and will submit the plan to CCL by 6/18/2025. The plan shall indicate the dat…
Regulation
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R4 was admitted in May 2025 and there is no medication record which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure the facility maintains a medication record for all the residents and the plan shall indicate the date that this…
Regulation
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R4 was admitted in May 2025 and there is no pre-admission appraisal which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure the facility maintains a pre-admission appraisal for all the residents and the plan shall indicate the da…
Regulation
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R4 was admitted in May 2024 and the facility did not have a copy of the recent medical assessment which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure the facility maintains a recent medical assessment for all the residents an…
Regulation
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility was not able to provide proof that the emergency drills were completed accordingly which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure the facility is conducting emergency drills accordingly and the plan shall indicate the da…
Regulation
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R2 and R4 have bed rails without a physician's order which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will develop a plan of correction to ensure the facility obtains a written order from a physician indicating the need for the postural support and the plan shall i…
Regulation
(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA did not observed any "No Smoking - Oxygen in Use" signs inside and outside of the facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator will post signs in the appropriate areas by 6/18/2025 and will send photos to CCL by 6/18/2025.
Regulation
(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following condition…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility has an approved hospice waiver for 1 but currently has 2 residents who are on hospice which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The administrator shall develop a plan to ensure compliance and will provide a copy of the plan to CCL by 6/18/2025.
Regulation
(a) 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) (interview) (record review)], the licensee did not comply with the section cited above as during the tour, LPA observed strong urine odor in resident rooms, a layer of black dust on top of the kitchen vent, dirty floor edges in the kitchen and around the facility, resident rooms were cluttered, etc. which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/24/2025 Plan of Correction 1 2 3 4 The administrator will develop a…
Regulation
(3) Ensuring that the use of oxygen equipment meets the following requirements: (A) A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 2 residents with Oxygen in their room and the facility was not able to provide proof that the local fire jurisdiction was notified which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/24/2025 Plan of Correction 1 2 3 4 The administrator will provide proof that the local fire jurisdiction was notified and provide copy…
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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