Tri City Care Home Ii
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.
3416 Isherwood Place · Fremont, 94536
Record last updated April 20, 2026.
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Quick facts
Memory care context
Tri City Care Home II is a California-licensed Residential Care Facility for the Elderly (RCFE) designated for memory care, 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 has cited this facility twice under these dementia-care sections, indicating regulatory attention to its memory care obligations. State records show 7 inspection reports and 15 total deficiencies — 5 Type A citations (actual harm) and 10 Type B citations (potential for harm). One complaint was also filed during the period on file. The most recent inspection occurred on March 19, 2025.
Questions to ask on your tour
Based on Tri City Care Home Ii's state inspection record.
State records show 5 Type A deficiencies, which indicate actual harm to residents — what were the specific circumstances of these citations, and what changes has the facility made in response?
The facility has received 2 citations under §87705 or §87706 related to dementia care requirements — what were these deficiencies, and how has staff training or care planning been modified since?
One complaint was filed with CDSS during the inspection period — what was the subject of that complaint, and was it substantiated?
With 15 total deficiencies across 7 inspections, what systemic changes has BVR, Inc. implemented to reduce recurring compliance issues?
As a 6-bed facility, how many caregivers are on duty during overnight hours, and what is the protocol when the scheduled caregiver is unavailable?
State records
California CDSS · Community Care Licensing Division- License number
- 015601359
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Bvr, Inc.
Inspections & citations
7
reports on file
15
total deficiencies
5
Type A (actual harm)
2
dementia-care citations
Other visitMarch 19, 2025No deficiencies
Inspector: Patricia Manalo
Inspector notes
On 03/19/2025 at 4:58 PM Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen conducted an unannounced Case Management visit. LPAs met with Care Staff, Wilma Bernal, and explained the purpose of the visit. Administrator gave authorization on the phone for staff to sign the report. While LPAS were at the facility for another visit, LPAs observed the following: At 4:31 PM, LPAs observed the refrigerator handle locked with a chain and a key lock. At 4:32 PM, LPAs observed that the kitchen cabinets locked with a paddle lock and a key lock. The following deficiencies was observed (see LIC 809D) and 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.
Other visitMarch 19, 2025Type A6 deficiencies
Inspector notes
On 03/17/2026 at 11:40 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Direct Care Staff, Wenna Bernal, and explained the purpose of the visit. Administrator certificate is current. Administrator gave verbal authorization for staff to sign the report. LPA toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms of which 4 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. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 100.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/14/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/09/2026. At 12:42 PM, LPA reviewed 6 residents records. At 1:17 PM, LPA reviewed 4 staff records and 4 of 4 have current first aid training and associated to the facility. At 3:00 PM, 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 Continued from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/25/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 12:00 PM, LPA observed unlocked eyedrops in the linen closet and unlocked cleaning chemicals in the laundry machine room. At 12:25 PM, LPA observed over ripped bananas. At 12:25 PM, LPA observed that the facility does not have enough perishable food. At 12:30 PM, LPA observed that the hot water temperature is measured at 100.7 degrees Fahrenheit. At 1:30 PM, LPA observed that 6 of 6 residents do not have a complete Appraisal Needs and Services Plan (LIC625). At 2:00 PM, LPA observed that R3 and R5 are missing one of their medications in the facility, there is a missing doctor’s order for R5’s medications, and R5’s supplement dosage does not match the doctor’s order. 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 Bernal. Appeal Rights and a copy of this report provided.
(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 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).
Based on observation, the licensee did not comply with the section cited above by having the hot water temperature measured at 100.7 degrees Fahrenehit which poses a potential health and safety risk to persons in care. POC Due Date: 03/20/2026 Plan of Correction 1 2 3 4 The Administrator agrees to have the water temperature measured within range and send proof to CCLD by POC date.
(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained.
Based on observation, the licensee did not comply with the section cited above by having spoiled bananas in the fridge which posed a potential health and safety risk to persons in care. POC Due Date: 03/20/2026 Plan of Correction 1 2 3 4 Staff threw away the bananas during the visit. Deficiency cleared.
(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 perishable food for the residents' in care which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/20/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to purchase more food and send proof to CCLD.
(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident.
Based on observation, the licensee did not comply with the section cited above by not having a complete Appraisal Needs and Services Plan (LIC625) for 6 of 6 residents which poses a potential safety risk to persons in care. POC Due Date: 03/31/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to complete the LIC625 and send proof to CCLD.
(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 eyedrops in the linen closet and unlocked cleaning chemicals in the laundry machine room which posed an immediate safety risk to persons in care. POC Due Date: 03/18/2026 Plan of Correction 1 2 3 4 Staff locked the items during the visit. Deficiency cleared.
(4) The licensee shall assist residents with self-administered medications as needed.
Based on interview and observation, the licensee did not comply with the section cited above by not having one of the medications for R5 in the facility, missing doctor’s order for R5’s medications, and R5’s dosage for two of the medications does not match the doctor’s order which poses a potential safety risk to persons in care. POC Due Date: 03/27/2026 Plan of Correction 1 2 3 4 By POC date, the Administrator agrees to have the medications in the facility, obtain the doctor's order for R5, a…
InspectionMarch 3, 2025No deficiencies
Inspector: Patricia Manalo
Inspector notes
On 03/19/2025 at 4:25 PM Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen conducted an unannounced Case Management Plan of Correction visit regarding deficiencies that was observed during annual visit on 03/03/2025. LPAs met with Care Staff, Wilma Bernal, and explained the purpose of the visit. Administrator gave authorization on the phone for staff to sign the report. On a previous visit, LPA cited a deficiency on Resident Records, CCR 97506(b) which had a Plan of Correction (POC) due date of 03/17/2025. The facility did not send proof of the plan of correction. During the visit, LPAs reviewed resident's record and observed that it is complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionMarch 21, 2024Type B2 deficiencies
Inspector: Patricia Manalo
Inspector notes
On 03/03/2025 at 8:50 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Belen Rodriguez, and explained the purpose of the visit. Administrator certificate is current. The facility’s fire clearance was approved for all six (6) may be non-ambulatory and one hospice. LPA toured facility with Administrator inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 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. 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 106 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars, non skid shower pan, 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 03/25/2024. Emergency Disaster Plan was last posted on 03/21/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/05/2025. At 9:08 AM, LPA reviewed 6 residents records. At 9:48 AM, LPA reviewed 5 staff records. At 11:47 AM, LPA reviewed 3 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... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/10/2025: 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 9:30 AM, LPA observed during record review that R2 to R5's file was incomplete. At 10:30 AM, LPA observed during record review that S4 and S5's files was incomplete. 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) 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 in having an incomplete file for S4 and S5 which poses a potential health and safety risk to persons in care. POC Due Date: 03/17/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain the documents for the staffs' file 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 in having an incomplete file for R2 to R6 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/17/2025 Plan of Correction 1 2 3 4 The Administrator agrees to obtain all the documents for the residents' and send proof to CCLD by POC date.
InspectionJanuary 27, 2023Type A3 deficiencies
Inspector: Luisa Fontanilla
Inspector notes
On 3/21/2024 at 10:20 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Wilma Bernal. The Administrator was informed over the phone about the purpose of the visit. The Administrator (Administrator cert#6021647740 expiration 12/16/24) arrived at the facility at around 12:50 pm. LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining room, kitchen, living room and outdoor area. The facility’s temperature was maintained at 68 degrees Fahrenheit . Bathroom have grab bars and non-skid mat. The facility has appropriate lighting throughout. Extra linens and towels were observed in the hallway closet. Hot water temperature measured at 115 degrees Fahrenheit. There were sufficient supplies of perishable and non perishable foods. First aid kit was observed complete and updated. Fire extinguisher was observed that appeared full and has purchase date of 3/21/2024. At around 11:00 am, LPA observed Resident 1 (R1) with wound vacuum. Based on interview conducted, R1 is not able to turn from side to side (bedridden). LPA reviewed 5 resident files and 4 staff files. All staff are fingerprint cleared and associated to the facility. All staff have current First Aid and CPR training. There are four residents who are diagnosed with Dementia but do not have current medical assessment. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Civil penalties in the amount of $1,000.00 are assessed for today's visit. Civil penalty determination related to serious injury is pending. continuation 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 Exit interview was conducted and Appeal Rights was provided to Rodriguez . This is an amended copy of the report issued on 3/21/2024 under Tri City Care Home.
(a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity…
Based on observation, the licensee did not comply with the section cited above in retained a resident who is bedridden but facility does not have an approved bedridden fire clearance which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/25/2024 Plan of Correction 1 2 3 4 The Administrator will notify local fire department within 24 hours about the bedridden resident and by POC date, she will submit a request for bedridden clearance to CCL.
(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure sores (dermal ulcers).
Based on observation, the licensee did not comply with the section cited above in having a resident with stage 2 and unstageable pressure injury which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/21/2024 Plan of Correction 1 2 3 4 During the visit, the resident was admitted to hospice care.
(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 file review], the licensee did not comply with the section cited above in having 4 out of 5 residents with dementia but without an uodated medical assessment which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/04/2024 Plan of Correction 1 2 3 4 By POC date, Administrator will submit to CCL updated medical assessment of the 4 residents with dementia.
InspectionMarch 7, 2022No deficiencies
Inspector: Liridon Fici
Inspector notes
On 1/27/2023, at 2:25PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by Belen Rodriguez, Administrator 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 108.0 Degrees F in common area bathroom. Fire extinguisher was last serviced on 8/4/2022. Facilities room temperature is maintained at 69 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 ADM and copy of this report provided.
ComplaintJune 29, 2021Type A4 deficiencies
Inspector: Leslie Ibo
Inspector notes
On 3/7/2022 at 11:30AM, Licensing Program Analysts (LPAs) L. Ibo & L. Fici conducted an infection control annual inspection and explained the purpose of the visit with S2. Administrator arrived at the facility around 12:50PM. LPAs observed 5 residents during the visit. Facility has a completed mitigation plan. LPAs inspected the facility inside and outside. LPAs observed COVID-19 signage posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. LPAs inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining room, kitchen, living room and outdoor area. The facility’s temperature was maintained at 73 degrees Fahrenheit (F). Bathroom have grab bars and non-skid mat. The facility has appropriate lighting throughout. Extra linens and towels were observed in the hallway closet. Infection control designated leader is the Administrator. There was at least 7 days of nonperishable and 2 days of perishable foods. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. Smoke and Carbon monoxide detectors were operational. Continued on next page LIC 809-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 LPAs observed the following: · Facility DOES NOT document daily COVID-19 symptom checks, and any change in condition for staff and residents in order to track spread and why facility took certain steps to prevent and mitigate spread in the facility. (technical assistance provided) · Facility has NOT conducted staff training on infection prevention, symptoms, transmission and PPE use. · Unlock medications (see LIC809D) · Unlock cleaning product (comet) under the kitchen sink (see Lic809D) · Lock side exit gate (see Lic809D) Civil penalty was assessed during the visit. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Belen Rodriguez Exit interview conducted and a copy of this report and appeal rights provided.
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.
Based on observation the licensee did not comply with the section cited above side gate was locked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/07/2022 Plan of Correction 1 2 3 4 Staff unlock side gate Corrected during the visit. Administrator will train all staff regarding the citation, proof of training needs to be submitted on CCL office on 3/11/2022.
87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.
Based on observation the licensee did not comply with the section cited above medicaition was accesible to residents in care, disinfectant cleaner accessible to resident in care which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/07/2022 Plan of Correction 1 2 3 4 Staff locked the disinfectant supplies and medications supplies. Corrected during the visit.
80087 Buildings and Grounds (c) All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction.
Based on observation , the licensee did not comply with the section cited above in deck flooring has obstruction which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/14/2022 Plan of Correction 1 2 3 4 Administrator agreed to fix the deck flooring and replace the wood that has temporary wood patch, Administrator will need to send proof of correction to CCL by POC date.
(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (5) Knowledge necessary in order to recognize early si…
Based on record review, the licensee did not comply with the section cited above in staff has not conducted staff training on infection prevention, symptoms, transmission and PPE usewhich poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/11/2022 Plan of Correction 1 2 3 4 Administrator agreed to train all staff regarding infection prevention, symptoms, transmission and PPE use, proof traning need to be submitted to CCL on the POC date.
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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