Merisol Care
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.
35002 Vincente Ct. · Fremont, 94536
Record last updated April 20, 2026.
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Quick facts
Memory care context
Merisol Care is a California-licensed Residential Care Facility for the Elderly (RCFE) with a memory care designation, licensed for 6 beds. 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 the dementia-care regulations (§87705 or §87706). The facility has a notable inspection history: across 6 inspection reports on file, CDSS documented 24 total deficiencies, including 8 Type A citations (actual harm to residents) and 16 Type B citations (potential for harm). The most recent inspection was October 7, 2025. No complaints appear in the public record.
Questions to ask on your tour
Based on Merisol Care's state inspection record.
The facility has 8 Type A deficiencies on record, indicating actual harm to residents — can you explain what incidents led to each of these citations and what corrective actions were implemented?
CDSS cited the facility under §87705 or §87706 for dementia care — what was the specific nature of this violation, and what changes have been made to dementia care protocols since?
With 24 total deficiencies across 6 inspections, what systemic changes has the operator, Antonia Mari, put in place to address recurring compliance issues?
Given the 6-bed capacity and memory care designation, how many direct-care staff are on duty during overnight hours, and what is their specific training in dementia care as required by Title 22 §87705?
What was the outcome of the October 2025 inspection, and were any of the previously cited deficiencies found to be recurring?
State records
California CDSS · Community Care Licensing Division- License number
- 015601480
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Mari, Antonia
Inspections & citations
6
reports on file
24
total deficiencies
8
Type A (actual harm)
1
dementia-care citations
Other visitOctober 7, 2025No deficiencies
Inspector notes
On 02/24/2026 at 1:55 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported death report. The facility sent in a death report on 02/18/2026 that indicated that R1 passed away on 02/08/2026 at 1:05 PM. LPA met with Administrator (ADM), Antonia Mari, and explained the purpose of the visit. During the visit, LPA reviewed facility’s incident report, death report, physician report, appraisal needs and services plan, hospice binder, and Physician Orders for Life-Sustaining Treatment (POLST). LPA spoke with ADM who stated that R1 was on hospice and R1's health was declining. ADM stated that R1 on puree diet and was not consuming much. During the visit, LPA and ADM spoke with hospice agency to obtain progress notes of R1 while on hospice. LPA may return at a later time. The following deficiencies were observed: At 2:05 PM, LPA observed Peridex in the bathroom. At 2:25 PM, LPA observed that the death report was reported to CCLD on 02/18/2026 but R1 passed away on 02/08/2026. 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 staff. Appeal Rights, LIC421FC, and a copy of this report provided.
Other visitJune 20, 2025No deficiencies
Inspector notes
On 10/07/2025 at 9:05 AM, Licensing Program Analysts (LPAs) P.Manalo and K.Nguyen arrived unannounced to conduct a Case Management visit to follow up on the admission of Resident 1 (R1). Direct Care Staff, Emma Ang, contacted Teresita Collong and explained the purpose of the visit. Administrator was unavailable to come to today's visit and gave authorization for Teresita to sign the report. During the visit, LPAs reviewed R1's physician report, appraisal needs and services plan, and hospice binder. Record review showed that R1 was admitted to hospice on 09/24/2025. Physician report showed that R1 is non-ambulatory and has a contracture. LPAs observed the following deficiencies during the visit: Record review showed that R1 is on hospice and the facility did not send hospice notification to licensing. Physician report dated 09/22/2025 showed that R1 is diagnosed with contracture without prior exception approval from the department. Record review showed that R1's hospice binder is incomplete and not available for review during the visit. 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 staff. Appeal Rights and a copy of this report provided.
InspectionMay 28, 2025No deficiencies
Inspector notes
On 06/20/2025 at 8:30 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to deliver an amended report from the annual visit that occurred on 05/28/2025. LPA met with Direct Care Staff, Teresita Collong, and explained the purpose of the visit. Amended report delivered. Exit interview conducted and a copy of this report provided.
InspectionJune 12, 2024Type A17 deficiencies
Inspector notes
On 05/28/2025 at 9:45 AM, Licensing Program Analyst (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Antonia Mari, and explained the purpose of the visit. Administrator certificate is current. LPA toured facility with inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. There are no bodies of water observed. A comfortable temperature is maintained at 71 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 116.3 degrees Fahrenheit. 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 06/24/2024. Emergency Disaster Plan was last posted on 09/01/2024. At 10:07 AM, LPAs reviewed 6 residents records. At 10:32 AM, LPAs reviewed 3 staff records and all are associated to the facility. At 12:30, LPAs reviewed a sample of resident’s 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... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/04/2025: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:00 AM, LPA observed Robitussin Cough Medicine unlocked in the fridge. At 11:03 AM, LPA observed that all the residents’ files were incomplete including the Appraisal Needs and Services, Physician's Report, Emergency ID form, Consent Form etc. At 11:32 AM, during record review and interview, there is no emergency drills conducted. At 12:07 PM, LPA observed that R3 and R5 have full bed rails with no doctor's order. At 12:08 PM, LPA observed that R1, R2, R4, R6 did not have doctor's order for the 1/2 bed rails. 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-C... At 12:24 PM, LPAs observed that the facility's side gate is locked. Staff interview indicated that the staff locks the gate at night. At 12:30 PM, LPAs observed that that the PRN Medications did not have a doctor's order. At 12:32 PM, LPAs observed the facility does not have a full first aid kit. At 11:40 AM, LPAs observed that all 3 staff do not have CPR certification. At 11:43, LPAs observed that the facility did not have the Personal Rights poster and Ombudsman poster. At 11:52 AM, LPAs observed uneven pavement towards the side gate exit from the ramp. At 11:57 AM, LPAs observed that all 3 files were incomplete during record review. At 11:59 AM, during record review and interview, there was no training's documented for staff. At 12:00 PM, LPAs observed trash bags filled with diapers outside the trash bin in the backyard side gate area. At 12:10 PM, LPAs observed the facility has two hospice residents and only has a hospice waiver approved for one. At 12:12 PM, LPAs observed the facility did not have enough canned goods. 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.
(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 the facility's side gate is locked. Staff interview indicated that the staff locks the gate at night which poses an immediate health and safety risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to remove the lock and send proof to CCLD by POC date.
(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents.
Based on observation, the licensee did not comply with the section cited above by having trash bags filled with diapers outside the trash bin in the backyard side gate area which poses an immediate health and risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to remove the trash bags and send proof to CCLD by POC date.
(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…
Based on record review, the licensee did not comply with the section cited above by not having CPR Certification for S2 and S3 which poses an immediate health and safety risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain CPR certification for both staff and send proof to CCLD by POC date.
(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.
Based on observation, the licensee did not comply with the section cited above in having Robitussin Cough Medicine unlocked in the fridge which poses an immediate health and safety risk to persons in care. POC Due Date: 05/29/2025 Plan of Correction 1 2 3 4 Administrator removed the medication from the fridge during the visit. Deficiency cleared.
(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 by having uneven pavement towards the side gate exit from the ramp which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 The Administrator agrees fix the uneven pavement 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 having all 3 files incomplete which poses a potential health risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 The Administrator agrees to make sure each staff has LIC501, LIC503, TB Test, and First Aid/ CPR Certification. Proof of correction will be sent to CCLD by POC date.
(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…
Based on record review, the licensee did not comply with the section cited above by not having trainings conducted for all the staff which poses a potential health and safety risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to have staff trainings conducted and send proof to CCLD by POC date.
(d) Licensees shall post the personal rights, nondiscrimination notice, and complaint information specified above in English, and, in any other language in which at least five (5) percent of the residents can only read that other language.
Based on observation, the licensee did not comply with the section cited above by not having the Personal Rights Poster and Ombudsman poster which poses personal rights risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain the posters and send proof to CCLD by POC date.
(8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following:
Based on observation, the licensee did not comply with the section cited above by not having a complete First Aid Kit which poses a potential safety risk to persons in care. POC Due Date: 06/04/2025 Plan of Correction 1 2 3 4 The Administrator agrees to purchase a new First Aid Kit and send proof to CCLD by POC date.
(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…
Based on observation, the licensee did not comply with the section cited above by not having a doctor's order for the PRN medications which poses a potential health and safety risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain doctor's order for the PRN medications and send proof to CCLD 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 not having a complete file for each residents which poses a potential health and safety risk to persons in care. POC Due Date: 06/18/2025 Plan of Correction 1 2 3 4 The Administrator agrees to complete the residents' files including the Appraisal Needs and Services, Physician's Report, Emergency ID form, Consent Form etc. 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 conducting emergency drills which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 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.
*****THIS IS AN AMENDED REPORT FROM VISIT 05/28/2025**** Based on record review, the licensee did not comply with the section cited above by not having half bed rail orders for R1, R2, R4, and R6 which poses a potential health and safety risk to persons in care. POC Due Date: 06/25/2025 Plan of Correction 1 2 3 4 The Administrator agrees to send proof of the half bed rail orders for the residents and send proof to CCLD by POC date.
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.
*****THIS IS AN AMENDED REPORT FROM VISIT 05/28/2025***** Based on record review, the licensee did not comply with the section cited above in having a full bed rail orders for R3 and R5 which poses a potential health and safety risk to persons in care. POC Due Date: 06/25/2025 Plan of Correction 1 2 3 4 The Administrator will request an exception for R3 for the full bed rail and will obtain a full bed rail order for R5 from hospice. Proof of correction will be sent to CCLD by POC date.
(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.
Based on observation, the licensee did not comply with the section cited above by not having enough canned goods for the facility which poses a potential health and safety risk to persons in care. POC Due Date: 06/04/2025 Plan of Correction 1 2 3 4 The Administrator agrees to buy more canned goods and send proof to CCLD by POC date.
(a) ...The licensee shall have obtained a facility hospice care waiver from the Department. To obtain this waiver the licensee shall submit a written request for a waiver to the Department on behalf of any residents who may request retention, and any future residents who may request acceptance, along with the provision of hospice services in the …
Based on record review, the licensee did not comply with the section cited above by having two residents in hospice and only approved for one hospice waiver which poses a potential health and safety risk to persons in care. POC Due Date: 06/11/2025 Plan of Correction 1 2 3 4 The Administrator will request for an increase of hospice waiver and send proof to CCLD by POC date.
(B) The grounds showing buildings, driveways, fences, storage areas, pools, gardens, recreation area and other space used by the residents. (7) Sketches, showing dimensions, of the following:
Based on observation, the licensee did not comply with the section cited above by not having the facility sketch not matching the physical plant which poses a potential safety risk to persons in care. POC Due Date: 06/04/2025 Plan of Correction 1 2 3 4 The facility agrees to submit a LIC200, updated facility sketch, and have the fire inspectors inspect the facility. Proof of correction will be sent to CCLD by POC date.
InspectionJuly 3, 2023Type A7 deficiencies
Inspector: Jill Clancy-Czuleger
Inspector notes
On 06/12/2024 at 09:20 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Licensee Antonia Mari and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. At 10:02 am LPA reviewed 6 residents records. At 10:45 am, LPA reviewed 3 staff records and 3 of 3 were fingerprint cleared and associated to the facility. Continued on LIC 809C... 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 LIC 809 The following deficiency was observed during the visit: Medication unlocked Complaint Poster incorrect size No updated medical assessment for R5 with dementia No medical assessment for R2, R3, R4 No staff record for S2 Administrator certificate expired/not renewed Fire Extinguisher has not been serviced or replaced since May 9th 2023 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) 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 interview record review, the licensee did not comply with the section cited aboveby not having a staff record for S2 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024 Plan of Correction 1 2 3 4 Licensee agrees to complete a staff record for S2. Proof of correction will be sent to CCLD by POC date.
(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.
Based on observation, the licensee did not comply with the section cited above by leaving the medication cabinet unlocked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/14/2024 Plan of Correction 1 2 3 4 Licensee agrees to lock the medication cabinet and review the regulation. Proof of correction will be sent to CCLD by POC date.
(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.
Based on record review, the licensee did not comply with the section cited above by not having a medical assessments done for R2 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to get medical assessments for all residents. Proof of correction will be sent to CCLD by POC date.
(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 by not having a updated medical assessment for R5 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to get medical assessment for resident 5. Proof of correction will be sent to CCLD by POC date.
(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 because the Fire Extinguisher has not been serviced or replaced since May 9th 2023 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to get the Fire Extinguisher serviced. Proof of correction will be sent to CCLD by POC date.
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements.
Based on record review, the licensee did not comply with the section cited above by having expired administrator certificates for both the licensee and the administrator which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/26/2024 Plan of Correction 1 2 3 4 Licensee agrees to hire a licensed administrator. Proof of correction will be sent to CCLD by POC date.
(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (…
Based on observation, the licensee did not comply with the section cited above by having the PUB 475 the wrong size which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/03/2024 Plan of Correction 1 2 3 4 Licensee agrees to get a new poster in the correct size of 20” x 26” inches. Proof of correction will be sent to CCLD by POC date.
InspectionApril 29, 2022No deficiencies
Inspector: Liridon Fici
Inspector notes
On 7/3/2023 starting at 10:00 AM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct 1-Year Annual Required Inspection. LPA met with Teresita Collong, Administrator (ADM) and explained the purpose of the visit. Administrators certificate (6037999740) is valid and expires on 12/2/2023. The facility’s fire clearance was approved for all six (6) non- ambulatory residents, which one resident may be on hospice. Upon entry, LPA observed two (2) staff and three (3) residents present during inspection. At 10:35 AM, Licensee, Antonia Mari arrived to the facility and greeted LPA. Starting at 10:18 AM, LPA toured facility with ADM including but not limited to seven (7) bedrooms, three (3) bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are private, and one staff room. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 75 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 106.4 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 detector were in operating condition during visit. Fire extinguisher was observed last serviced on 5/9/2023. 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 10:57AM, LPA reviewed 3 of 3 staff records. At 11:30 AM, LPA reviewed 5 of 5 residents' record. At 12:05 PM, LPA reviewed a sample of 5 of 5 clients' medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 7/10/2023: · 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 Licensee, 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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