Isherwood Care Iii
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.
1445 Skelton Avenue · Fremont, 94536
Record last updated April 20, 2026.
© Google Street View
Quick facts
Memory care context
Isherwood Care III is a California-licensed RCFE with 6 beds, operator-advertised as providing memory care. California Title 22 requires facilities serving dementia residents to meet standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS records show no citations under §87705 or §87706 for this facility. However, state inspections have documented 8 total deficiencies across 6 reports, including 2 Type A citations (actual harm to residents) and 6 Type B citations (potential for harm). The most recent inspection occurred on July 8, 2025. No complaints are on file with CDSS for this facility.
Questions to ask on your tour
Based on Isherwood Care Iii's state inspection record.
State records show 2 Type A deficiencies indicating actual harm to residents — what were the specific circumstances of each citation, and what changes were implemented afterward?
The 6 Type B deficiencies on file indicate potential for harm — which Title 22 sections were cited, and how has the facility addressed each compliance gap?
As a 6-bed home operated by Lauro & Zoraida Cayabyab, how is continuity of care maintained when a primary caregiver is unavailable due to illness or emergency?
Memory care is operator-advertised but not formally designated in CDSS licensing data — what dementia-specific training have caregivers completed, and how is that documented?
With 6 inspections generating 8 deficiencies on file, what internal monitoring systems are now in place to identify compliance issues before the next state inspection?
State records
California CDSS · Community Care Licensing Division- License number
- 015601315
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Cayabyab, Lauro & Zoraida
Inspections & citations
6
reports on file
8
total deficiencies
2
Type A (actual harm)
InspectionJuly 8, 2025No deficiencies
Inspector notes
On 08/12/2025 at 1:10 PM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a case management visit. LPA met with Direct Care Staff, Carmelita Bontilao, and explained the purpose of the visit. Administrator, Lauro Cayabyab, arrived shortly after. The facility sent an updated Physician's Report dated 07/16/2025 for Resident 1 (R1) on 08/06/2025 which indicated that R1 was bedridden. Record review and staff interview revealed that R1 was admitted to hospice on 11/07/2024. No deficiencies cited. Exit interview was conducted with the Administrator and a copy of this report were provided.
InspectionAugust 19, 2024No deficiencies
Inspector: Patricia Manalo
Inspector notes
While at the facility for the annual inspection on 08/19/2024, Licensing Program Analysts (LPAs) P. Manalo and J. Clancy-Czuleger requested updated copies of the following documents: 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 Administrator Larry Cayabyab agrees to submit the documents to CCLD by // Exit interview conducted and a copy of this report provided.
Other visitAugust 19, 2024Type A7 deficiencies
Inspector notes
On 07/08/2025 at 9:05 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Lauro Cayabyab, and explained the purpose of the visit. Administrator certificate is current and expires on 11/28/2025. LPA toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 08/20/2024. At 9:48 AM, LPA reviewed 5 residents records. At 10:15 AM, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. At 11:45 AM, LPA reviewed two samples of residents’ medications. 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 LIC809... THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:35 AM, LPA observed the hot water temperature measured at 136.2 degrees F. At 9:19 AM, LPA observed cleaning chemicals unlocked in the laundry room and Lysol wipes in bedroom #5. At 9:23 AM, LPA observed unlocked medication in the kitchen fridge, prescribed medications in residents' room, TUMS, and etc. At 10:35 AM, LPA observed a resident occupying the designated staff room. At 10:36 AM, record review showed that all the residents' files were incomplete. At 10:55 AM, record review showed that the facility does not have documentation of emergency drills being conducted. At 12:08 PM, LPA observed R1, R2, and R4 with half bed rail with no doctor's order. At 12:10 PM, record review revealed that there are no doctor's order for residents' 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 Administrator. Appeal Rights and a copy of this report provided.
(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…
Based on observation, the licensee did not comply with the section cited above by having the hot water temperature measured at 136.2 degrees Fahrenheit which poses an immediate health and safety risk to persons in care. POC Due Date: 07/09/2025 Plan of Correction 1 2 3 4 The Administrator agrees to self certify the regulation and send proof of the water within range by POC date.
(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 by having unlocked cleaning chemicals and medications all around the facility which poses an immediate health and safety risk to persons in care. POC Due Date: 07/09/2025 Plan of Correction 1 2 3 4 The Administrator agrees to self-certify the regulation and lock items such as the cleaning chemicals and medications. Proof of correction will be sent to CCLD by POC date.
(2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (B) No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage, storage area, shed or similar detached building.
Based on observation and interview, the licensee did not comply with the section cited above by having a resident occupying the designated staff room per facility sketch which poses a potential health and safety risk to persons in care. POC Due Date: 07/16/2025 Plan of Correction 1 2 3 4 The Administrator agrees to submit an updated facility sketch and LIC200 by POC date.
(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 having incomplete files for all the residents in care which poses a potential safety risk to persons in care. POC Due Date: 07/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to complete all the residents' files and send proof to CCLD by POC date.
(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 by not having documentation of the emergency drills which poses a potential safety risk to persons in care. POC Due Date: 07/23/2025 Plan of Correction 1 2 3 4 The Administrator agrees to conduct emergency drills and send proof to CCLD by POC date.
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.
Based on record review, the licensee did not comply with the section cited above by not having half bed rails order for R1, R2, and R4 which poses a potential safety risk to persons in care. POC Due Date: 07/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain doctor's order for the half bed rails and send proof to CCLD by POC date.
(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following inform…
Based on observation and record review, the licensee did not comply with the section cited above by not having a doctor's order for residents' medications which poses a potential health and safety risk to persons in care. POC Due Date: 07/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain a doctor's order for all the medications and send proof to CCLD by POC date.
InspectionAugust 4, 2023Type B1 deficiency
Inspector: Patricia Manalo
Inspector notes
On 08/19/2024 at 11:20 AM, Licensing Program Analysts (LPAs) P. Manalo and Jill Clancy-Czuleger arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Larry Cayabyab and explained the purpose of the visit. Administrator certificate is current (#700256740). LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 5 bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 75 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 114.6 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 08/16/2023. At 12:10 P.M, LPA reviewed 5 residents records. At 11:45 A.M, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. The following deficiencies were observed: Nail polish remover was found in common area. The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked.
Based on observation, the licensee did not comply with the section cited above by having nail polish remover left out and accessible to residents which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/26/2024 Plan of Correction 1 2 3 4 The administrator agrees to relocate the nail polish remover to a lock location and agrees to submit a written certification indicating the understanding of the regulation. Proof of correction will be sent to CC…
InspectionAugust 19, 2022No deficiencies
Inspector: Liridon Fici
Inspector notes
On 8/4/2023, starting at 12:50 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct 1-Year Annual Required Inspection. LPA met with Lauro, Cayabyab- Administrator (ADM) and explained the purpose of the visit. Administrators certificate (6009286740) is valid and expires on 11/28/2023. The facility’s fire clearance was approved for six (6) residents, which all may be non-ambulatory; hospice waiver approved for two (2) residents only. Upon entry, LPA observed three (3) staff and four (4) resident present during inspection. Starting at 1:10 PM, LPA toured facility with ADM including but not limited to five (5) bedrooms, two (2) bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 bedrooms are private, one room is shared. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 Degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents'. The hot water temperature in residents’ common area bathroom was measured at 114.0 Degrees Fahrenheit. Residents’ bathrooms are equipped non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day supply of perishable foods. Sharps and toxins were locked and inaccessible to residents'. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was observed last serviced on 8/25/2021. First aid kit was observed to be complete. Continue 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 Continued from Lic809 Starting At 1:48PM, LPA reviewed 3 of 3 staff records. At 1:55PM, LPA reviewed 4 of 4 residents' record which are current. At 2:50PM, LPA reviewed 4 of 4 residents' medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 8/11/2023: · LIC 308 Designation of Administrative Responsibility · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 Pages) · Liability Insurance No deficiencies cited during visit. Exit interview conducted with ADM, and a copy of this report provided.
InspectionAugust 23, 2021No deficiencies
Inspector: Liridon Fici
Inspector notes
On today’s date, at 3:20 PM, Licensing Program Analysts (LPAs) L. Fici and C. Lin arrived unannounced to conduct an Annual Infection Control Visit. LPAs was greeted by licensee at front door entrance. During the inspection, LPAs toured facility with licensee including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. All sharps and toxins were locked up and inaccessible to clients in care. Common areas are disinfected frequently throughout the day. Water temperature is measured at 119.2. Fire extinguisher was last serviced on 8/25/2021. Carbon monoxide and smoke detector are operable. 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, LPAs observed facility has a copy of their Infection Control Plan on file. No deficiencies cited during visit. Exit interview conducted with licensee 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.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.