Common Destiny
What is an RCFE with Memory Care?
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 help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
34209 Sylvester Drive · Fremont, 94555
Record last updated April 20, 2026.
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Quick facts
Memory care context
Common Destiny is a California-licensed Residential Care Facility for the Elderly (RCFE) with a memory care designation, licensed for 6 residents. California Title 22 requires facilities serving dementia residents to meet specific standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS records show one citation under §87705 or §87706 (dementia care regulations) among the facility's inspection history. State records document 5 inspections with 14 total deficiencies: 5 Type A citations (actual harm) and 9 Type B citations (potential for harm). The most recent inspection occurred on January 30, 2025. The presence of Type A deficiencies indicates documented instances where residents experienced actual harm.
Questions to ask on your tour
Based on Common Destiny's state inspection record.
State records show 5 Type A deficiencies (actual harm citations) — what were the specific circumstances of each, what harm occurred, and what corrective actions were implemented?
The facility was cited under §87705 or §87706 for dementia care — what was the specific violation, and how have you changed your dementia care practices in response?
With 14 total deficiencies across 5 inspections, what systemic changes has Common Destiny, LLC made to reduce recurring compliance issues?
For a 6-bed home, what is the staffing level during overnight hours, and how do caregivers respond to multiple residents needing assistance simultaneously?
Given the January 2025 inspection findings, what documentation can you provide showing that all cited deficiencies have been fully corrected?
State records
California CDSS · Community Care Licensing Division- License number
- 015601481
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Common Destiny, Llc
Inspections & citations
5
reports on file
14
total deficiencies
5
Type A (actual harm)
1
dementia-care citations
Other visitJanuary 30, 2025Type B1 deficiency
Inspector notes
On 1/6/2026 at 9:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Administrator Leonora Maquilan. At approximately 10:45 AM, Administrators Marvin Tom and Evelyn Hong Yuan arrived at the facility. The LPA toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common areas and the backyard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the kitchen was measured at 68.7 degrees Fahrenheit at 10:15 AM. The maximum hot water temperature was measured at 115.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and slip-resistant mats. No smoking signs posted for residents on oxygen. There is more than the minimum of a one-week supply of nonperishable food and 2 days of perishable food. Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care. The LPA observed the required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguisher was fully charged and serviced within one year on 8/28/2025. The Emergency Disaster Plan was last reviewed on 5/1/2025. First aid kit was observed to be complete. Liability insurance expires on 12/7/2026. Facility cited because emergency, disaster, and fire drills were not conducted on a quarterly basis. The most recent drill was conducted on 5/1/2025. The LPA reviewed 5 resident records and 5 staff records. 1 B Type citation was issued during the inspection. Exit interview conducted and a copy of this report provided.
(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,…
Based on record review, the licensee did not comply with the section cited above. They conducted 1 of the 4 emergency/disaster drills annually, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/13/2026 Plan of Correction 1 2 3 4 On or before due date, the Licensee will (1) conduct their first quarterly emergency/disaster drill of 2026 and (2) create a schedule for quarterly emergency/disaster drills for the future.
InspectionJanuary 7, 2025No deficiencies
Inspector: Patricia Manalo
Inspector notes
On 01/30/2025 at 1:35 PM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct a Case Management visit. LPAs Care Staff, Leonora Maquilan, and explained the purpose of the visit. The Administrator/ Licensee was unable to come during the visit. On the annual inspection conducted on 01/07/2025, LPAs observed that R1 was on insulin on a sliding scale. Administrator requested an exception to retain R1 at the facility. During the visit, LPAs interviewed R1 to verify if resident is able to read and identify the amount of insulin the resident needs based on the reading. R1 stated that they are able to read the number on monitor, however, R1 is unable to determine the correct amount of insulin needed for the particular reading. R1 stated that they are unable to read the numbers on the insulin pen and stated that staff will help with dialing the number and poking the resident. Exit interview conducted and a copy of this report provided.
InspectionJanuary 25, 2024Type A8 deficiencies
Inspector: Patricia Manalo
Inspector notes
On 01/07/2025 at 09:00AM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Care Staff, Leonora Maquilan, and explained the purpose of the visit. Care Staff stated that the Licensee/ Administrator has been out of the country since 12/19/2024 and not available. LPAs toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which all 5 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 68 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature was measured at 110.7 degrees Fahrenheit. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/12/2024. First aid kit was observed to be complete. Staff does not have access to the staff and resident files. Files were not available for review during the visit. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 01/21/2025 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 Infection Control Plan Continue to 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 Continue from LIC 809.. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:10 AM, LPAs observed unlocked knives in the kitchen and unlocked insulin in the kitchen fridge accessible to residents. At 9:05 AM, LPAs observed that all staff and resident files were not available during the visit. At 9:15 AM, LPAs observed trash bags in the backyard and inside the garage that is not in the garbage bin due to an overflow. At 9:17 AM, LPAs observed the left side gate with a paddle lock. Staff admits that they lock the gate at night. Civil penalty of $500 is being assessed. At 9:20 AM, LPAs observed washing machine, stove, wheelchair, shower chair, RV, etc in the backyard. At 10:00 AM, LPAs observed R3 is on insulin sliding scale and unable to determine amount of insulin needed due to poor vision. At 10:15 AM, LPAs observed the Medication Administration Record not having an accurate record of dosages of medications The Facility was 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 with care staff. Appeal Rights and a copy of this report provided.
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fi…
Based on observation, the licensee did not comply with the section cited above in having a paddle lock in the side gate which poses an immediate health and safety risk to persons in care. POC Due Date: 01/08/2025 Plan of Correction 1 2 3 4 Staff agrees to remove the paddle lock from the gate and send proof to CCLD by POC date. Civil Penalty of $500 is assessed.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Based on observation, the licensee did not comply with the section cited above in having unlocked knives in the kitchen drawer and unlocked insulin in the kitchen fridge which poses an immediate health and safety risk to persons in care. POC Due Date: 01/08/2025 Plan of Correction 1 2 3 4 Staff agrees to remove the items and placed it in a lock storage and send proof to CCLD by POC date.
(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:
Based on interview conducted with R3 who is diabetic and on sliding scale of insulin, R3 states that R3 is unable to see how much insulin is needed due to very poor vision. R3 states staff twists the pen for the correct dose of insulin and guides hand to the stomach and R3 presses pen. The facility doe snot have an approved exception for R3. POC Due Date: 01/21/2025 Plan of Correction 1 2 3 4 By POC date, the Administrator will send CCL plan on R3's restricted condition.
(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (D) Facility items th…
Based on observation, the licensee did not comply with the section cited above by having trash bags in the backyard and in the garage, and not in the trash bin poses a potential health and safety risk to persons in care. POC Due Date: 01/21/2025 Plan of Correction 1 2 3 4 Administrator agrees to remove the trash bags and obtain a bigger trash bin and send proof to CCLD by POC date.
(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.
Based on observation, the licensee did not comply with the section cited above in having a washing machine, stove, wheelchair, shower chair, RV, etc. in the backyard which poses an immediate health and safety risk to persons in care. POC Due Date: 01/21/2025 Plan of Correction 1 2 3 4 Administrator agrees to remove the items and send proof to CCLD by POC date.
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:
Based on record review, the licensee did not comply with the section cited above by not having the staff files available during the annual visit which poses a potential health and safety risk to persons in care. POC Due Date: 01/21/2025 Plan of Correction 1 2 3 4 The Administrator will to self certify to give access to the designated person of all the records when Administrator is on leave and send proof to CCLD of the POC.
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility.
Based on observation and file review, the licensee did not comply with the section cited above in not having an accurate record of dosages of medications which poses a potential health and safety risk to persons in care. POC Due Date: 01/31/2025 Plan of Correction 1 2 3 4 BY POC date, the Administrator will review MARs and doctor's order for all residents' medications and submit corrected copy to CCL.
(b) Each resident's record shall contain at least the following information:
Based on record review, the licensee did not comply with the section cited above by not having the resident files available during the annual visit which poses a potential health and safety risk to persons in care. POC Due Date: 01/21/2025 Plan of Correction 1 2 3 4 The Administrator will to self certify to give access to the designated person of all the records when Administrator is on leave and send proof to CCLD of the POC.
InspectionJanuary 27, 2023Type A5 deficiencies
Inspector: Luisa Fontanilla
Inspector notes
Licensing Program Analyst (LPA Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA was met by staff Leonora Maquilan. LPA explained to staff the purpose of the visit. Administrator Marvin Tom was informed about the visit via telephone. Administrator arrived at approximately 12 noon. During the visit, LPA inspected the facility inside and out including but not limited to bedrooms, bathroom, kitchen, dining area, garage and backyard. Hot water in the kitchen measured at 109.7 Fahrenheit. A fire extinguisher that appeared full and last inspected on September 2023 was observed. Smoke detectors and carbon monoxide were tested and observed operational. First aid kit was reviewed and observed complete. At 11:15am, LPA reviewed 5 resident files and 4 staff files. At 3:10 pm, LPA interviewed 2 staff. The following deficiencies were observed: windows were observed with cobwebs/mold on window frame/certain screen windows with holes R5 is diabetic and on insulin but unable to manage own insulin and no approved exception S3 has Dementia; last Physician's Report date is 11/15/2021 No Resident Rights, Non discrimination and Resident Family Council posters The following records will need to be submitted to CCL by Monday, 1/29/24: Emergency Disaster Plan, Lic 500, Resident Roster and Disaster Drill. Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted and Appeal Rights was provided
(b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition.
Based on interview and record review, the licensee did not comply with the section cited above in not having documentation on R5's current health condition/medical reports in regards to diabetes management which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/01/2024 Plan of Correction 1 2 3 4 Administrator will schedule R5 for medical assessment to get medical reports updated and submit a copy to CCL by POC date.
(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professio…
Based on interview and record review, the licensee did not comply with the section cited above in having an approved exception for R5's diabetes management which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/01/2024 Plan of Correction 1 2 3 4 Administrator will submit request for exception for R5's restricted condition - diabetes management and submit to CCL by POC date.
(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (B) Walls and window …
Based on observation the licensee did not comply with the section cited above in having cobwebs, mold and screen windows with holes which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/05/2024 Plan of Correction 1 2 3 4 Administrator will get screen windows fixed and cleaned and submit photo proof to CCL by POC date.
(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (1) The personal rights of residents specified in Sections 87468.1, Personal Rights of Residents in All Facilities and 87468.2, Additional Personal Rights of Residents in Priva…
Based on observation, the licensee did not comply with the section cited above in not posting personal rights, nondiscrimination information, Resident Family Council which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/05/2024 Plan of Correction 1 2 3 4 Administrator will post required personal rights, non discrimation,and Resident Council posters in areas accessible to residents, representative and public and submit photo proof to CCL by P…
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care …
Based on record review, the licensee did not comply with the section cited above in not having an updated medical assessment for R3 who has Dementia which poses/posed a potential health, safety or personal rights risk to persons in care. Last assessment was in 2021. POC Due Date: 02/09/2024 Plan of Correction 1 2 3 4 Administrator will schedule R3 for updated medical assessment and submit proof to CCL.
InspectionMay 16, 2022No deficiencies
Inspector: Liridon Fici
Inspector notes
On 1/27/2023, at 3:50 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by Tom Marvin and Yuan Hong- Licensees and explained the purpose of todays visit. During the inspection, LPA toured facility including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. Facility has a sufficient 2-day perishable and 7-days non-perishable food supply. All sharps and toxins were locked up and inaccessible to residents in care. Common areas are disinfected frequently throughout the day. Water temperature is measured at 110.2 Degrees F in common area bathroom. Fire extinguisher was last serviced on 9/28/2022. Facilities room temperature is maintained at 68 Degrees F. First aid kit is complete. Carbon monoxide and smoke detectors are functional. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care. During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file. No deficiencies cited during today's visit. Exit interview conducted with Licensees and 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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