Bonita Springs Care Home
RCFE
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.
853 Geronimo Street · Gilroy, 95020
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 214 California RCFE facilities of similar size, over the last 36 months.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity28thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency23thDeficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Quality grade· click to show how this was calculated
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Bonita Springs Care Home scores C. Better than 50% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 28th percentile. Repeats: top 0%. Frequency: 23th percentile.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general / small beds (214 facilities).
Citation severity over time
↑ worseningWeighted severity score per month · 24 months
Weighted score (24mo)
35
Last citation
Mar 26
Finding distribution
7 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.
What training are all staff required to complete?22 CCR §87411
All direct-care staff must complete:
- 10 hours initial training within the first four weeks of employment.
- 4 hours annual in-service every year thereafter.
- Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.
Ask on tour: Ask when the last staff training was completed and how it's tracked.
How many staff must be on duty overnight?22 CCR §87415
Based on 6 licensed beds:
One qualified staff member must be on call and physically on premises at all times overnight.
Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.
Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.
What health conditions can this facility legally accept or refuse?22 CCR §87612–87615
Restricted — allowed with physician order + care plan
- Supplemental oxygen
- Insulin and injectable medications
- Indwelling or intermittent catheters
- Colostomy / ileostomy
- Stage 1 and Stage 2 pressure injuries
- Wound care (non-complex)
- Incontinence
- Contractures
Prohibited — facility must refuse or discharge
- Stage 3 or Stage 4 pressure injuries
- Feeding tubes (PEG, NG, or J-tube)
- Tracheostomies
- Active MRSA or communicable infections requiring isolation
- 24-hour skilled nursing needs
- Total ADL dependence with inability to communicate needs
A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.
Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.
What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
- ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
- 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
- 24 hrsAbuse without serious bodily injuryWithin 24 hours
- Next dayDeath of a residentPhone by next working day; written within 7 days
- Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
- WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure
Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).
How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
- 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
- 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
- 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
- 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
- 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.
See how these rules have been applied to this specific facility:
View state inspection record and citationsState records
California Dept. of Social Services · Community Care Licensing- License number
- 435202934
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Bonita Springs Care Home Llc
Inspections & citations
4
reports on file
7
total deficiencies
2
Type A (actual harm)
InspectionMarch 18, 2026Type B2 deficiencies
Plain-language summary
On January 16, 2026, inspectors investigated a complaint and found that three residents' care plans were not signed by the resident or their representative, and one resident's required medical assessment was completed 38 days after moving into the facility instead of before admission. During a follow-up visit, the facility explained that the resident's physician was difficult to schedule before the move-in date and came to the facility in mid-February to complete the assessment, and the resident's representative confirmed they had also experienced delays getting the medical records from the physician. The facility was cited for these deficiencies and given a deadline to correct them.
View full inspector notes
Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit to address the deficiencies observed during a complaint investigation on 01/16/2026. LPA Rai met with Administrator, Syeda Haroon and stated the purpose of today's visit. During the complaint investigation, LPA Rai reviewed three resident's file (R1-R3) whose LIC 625 Appraisal/Needs and Services Plan was created by Administrator but it was not signed by resident or resident's responsible party. LPA Rai review one resident's file (R1) whose LIC 602A Medical Assessment for Residential Care Facilities for the Elderly was completed on 02/16/2026 after R1 was moved into the facility on 01/09/2026. During today's visit, Administrator stated R1's physician was hard to get a hold of prior to R1 moving into the facility and Administrator attempted for R1 to be seen by physician and obtain a medical assessment. Administrator stated R1's physician came to the facility on 02/16/2026 and assessed R1 at the facility. During today's visit, LPA Rai spoke with resident R1's responsible party (F1) who signed R1's LIC 625 Appraisal/Needs and Services Plan. F1 stated they had a hard time obtaining the LIC 602A from R1's physician prior to moving the resident into the facility. F1 stated R1's physician visited R1 at the facility and completed the medical assessment on 02/16/2026. Deficiencies were cited per California Code of Regulations, Title 22. See LIC 809-D. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator, Syeda Haroon and a copy of the report was provided. Appeal Rights were provided.
Regulation
87457 Pre-Admission Appraisal (c)(3) The prospective resident, or his/her responsible person, if any, shall be involved in the development of the appraisal. This requirement was not met as evidenced by:
Inspector finding
Based on review of resident records, R1-R3's Apraisal/ Needs and Services Plan was created but it was not signed by the resident or his/her responsible party which poses/posed a potential health, safety or personal rights risk to persons in care.
Regulation
87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record.
Inspector finding
This requirement was not met as evidenced by: Based on review of resident's records, R1's LIC 602A Physician's Assessment for Residential Care Facilities for the Elderly was completed on 02/16/2026 and R1 was moved into the facility prior to the assessment on 01/09/2026 which poses/
Other visitMarch 18, 2026No deficiencies
Inspector: Simranjit Rai
Plain-language summary
This was an investigation of two allegations at the facility: that staff do not assist residents with medications at night, and that staff do not monitor residents' skin for breakdown from incontinence. The Department found both allegations to be unfounded—medication administration records showed all nighttime doses were properly documented and administered, resident interviews confirmed staff assistance with medications and incontinence care, payroll records verified staff presence during evening and night shifts, and no skin rash issues were documented or reported. No violations were cited.
View full inspector notes
Page 2 of 3. Facility staff do not assist residents with medications at night. On 01/23/2026, the Department interviewed 3 staff (S1-S2) including Administrator (ADM) Syeda Haroon. ADM stated there are three staff in charge of administering medication: herself and S1 & S2 in the day time and there are two caregivers at night that will administer the medications to the residents. ADM stated there is a resident on Hospice so there is PRN medication available for the Hospice nurse to administer. ADM stated there are no issues she is aware regarding staff not administering medications at night and residents refusing medication at night. On 01/23/2026, the Department interviewed 4 residents (R1-R4). 1 Out of 4 residents was not available to be interviewed since they were sleeping and 1 Out of 4 residents was not able to provide answers to the questions. 2 Out of 4 residents (R2&R4) stated the staff assist resident with medications and night and both residents stated there have been no issues about medication administration to them or other residents at the facility. Based on review of 4 residents (R1-R4)’s Medication Administration Records (MARs) for December 2025 - January 2026, LPA Rai reviewed the staff initialed for each day and each dose administered to all residents. The MARs for all four residents were complete, and residents did not refuse any medications or any dose that was not accounted for by staff initials. The MARs documented all medications that were administered to the residents at night, and the staff initialed the dose given to the residents. On 3/18/2026, the Administrator provided payroll records for LPA to review to show the staff were present during the evening and night to provide medications to the residents. The Administrator stated she will also provide care and supervision during shifts that staff were not available. 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 Page 3 of 3. Facility staff do not evaluate the condition of skin exposed to urine and stool to ensure skin breakdown, such as rash, is not occurring. On 01/23/2026, the Department interviewed 3 staff (S1-S2) including Administrator (ADM) Syeda Haroon. ADM stated there are 2 residents that need assistance with incontinence care. ADM stated there are no issues with incontinence care with the residents. ADM stated there are no issues with rash occurring on resident’s skin. ADM stated the staff will check the residents every 2-3 hours. ADM stated the facility did not have progress notes on file since there was no change of condition to report on the resident's skin, such as a rash. On 01/23/2026, the Department interviewed 4 residents (R1-R4). 1 Out of 4 residents was not available to be interviewed since they were sleeping and 1 Out of 4 residents was not able to provide answers to the questions. 2 Out of 4 residents (R2&R4) stated the staff assist with incontinence care and they have no skin issues with rash occurring. R2 stated their skin was itchy but their responsible party brought in cream to put on the skin, but R2 stated they did not have a rash. Based on review of 4 residents (R1-R4)’s LIC 602A Medical Assessment for Residential Care Facilities for the Elderly, 3 out 4 residents are both bowel and bladder incontinence and require assistance with toileting needs. 1 Out of 4 residents is bowel incontinence and require assistance with toileting needs. 2 Out of 4 residents have a history of skin conditions or breakdown. Based on review of 5 residents (R1-R5)’s LIC 625 Appraisal/Needs and Services Plan, 4 out 5 residents need assistance with all ADLs. R3 can complete his/her own hygiene tasks but needs assistance with staff providing and preparing the supplies. The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Administrator and a copy of the report was provided.
Other visitAugust 11, 2025Type A5 deficiencies
Plain-language summary
During an unannounced annual inspection on April 25, 2026, inspectors found four violations: hot water temperature exceeded the safe limit of 120 degrees Fahrenheit, two residents were using full-length bed rails without required physician approval, one resident's file lacked a required medical assessment before admission, and ten medications were not properly recorded in the facility's medication log for three residents. Inspectors also noted the facility did not have the required seven days of non-perishable food on hand and had not completed emergency drills for 2026. The facility received advisories on these issues and was instructed to correct them.
View full inspector notes
Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required - 1 year annual inspection. Administrator, Syeda Haroon was contacted but was unavailable during time of visit. LPA met with designated Administrator, Dulce Rose Cera During visit, LPA toured the facility to include 5 resident bedrooms, 2 bathrooms, living room, kitchen, dining room, laundry room, garage, backyard and exterior. All emergency exit routes were free and clear of obstruction. The front door and backyard door observed with operable door alarms. There was 2 staff present to 6 residents. Both staff are fingerprint cleared and associated to the facility. Facility temperature maintained at 77 degrees F. Fire extinguisher last serviced on 06/17/2025. Carbon monoxide detector present and observed operable. Facility has at least 2 days worth of perishables. LPA observed only 24 cans of non-perishable foods in the facility for 6 residents. LPA observed additional items of non-perishable foods to include 3 packages of crackers, 1 pack of cookies, 1.5 packs of apple sauce, and container for cereal. Facility was provided a technical advisory on Title 22 regulation Section 87555 - General Food Service Requirements advising that the facility shall maintain minimum of 7 days worth of nonperishable foods at all times. Refrigerator temperature maintained at 37 degrees F. Freezer temperature maintained at -2 degrees F. Items inside the refrigerator observed covered and labeled. Page 1 of 3. 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 The chemicals, disinfectants, and toxins are stored separately from the food supply. The drawer and cabinet containing sharp objects, chemicals, and disinfectants observed closed with a lock but LPA observed the drawer and cabinets were unlocked upon opening. All resident's are non-ambulatory and require staff assistance when ambulating. During visit, facility staff locked the cabinets and drawers that contains sharps and toxins. Facility was provided a technical advisory on Title 22 regulation on Section 87309(a) - Storage Space and Access. Designated Administrator stated understanding. Resident bedrooms equipped with beds, linens, dressers, night stand, and adequate lighting. Bathroom equipped with grab bars in the shower and next to the toilet and non-slip mats in the shower. Hygiene products and paper supplies observed. Bathroom hot water temperature in the hallway and master bedroom was measured. The hallway hot water temperature measured at 135.6 degrees F and the master bedroom hot water temperature maintained at 136.5 degrees F. A type A deficiency is being cited today in violation of Title 22 Section 87303 - Maintenance and Operation for the hot water temperature exceeding 120 degrees F. There are 2 residents under hospice care. Bedroom #2, #3, and #4 equipped with full bed rails in which 1 out of 3 residents are under hospice care and the physician's order for full rails is listed in the hospice care plan. 2 out of the 3 resident's (R1 & R2) is not under hospice care but utilizes full bed rails. Based on review of the facility file, the facility did not request for an exception for the use of full bed rails nor did the facility obtain a physician's order for the full rails. Facility was advised. A type A deficiency is being cited today in violation of Title 22 Section 87608 - Postural Supports wherein 2 residents who are not receiving hospice care is utilizing full length bed rails which are prohibited unless granted approval from the Department. 4 resident files were reviewed. 3 out of 4 resident files were observed complete and up-to-date. 1 out of the 4 resident's (R1) file did not contain a medical assessment prior to admission. A type B deficiency is being cited today in violation of Title 22 Section 87458 - Medical Assessment wherein the facility did not obtain a physician's report prior to admitting R1. Page 2 of 3. 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 3 out of 4 residents centrally stored medications and centrally stored medication records (CSMR) were reviewed and issues were noted for resident R2 - R4. There was 2 medications not written in the CSMR for R2, 6 medications not written in the CSMR for R3, and 2 medications not written in the CSMR for R4. A type B deficiency is being cited today in violation of Title 22 Section 87506(a) - Resident Records wherein 3 residents (R2 - R4) centrally stored medications were not maintained as there was a total of 10 medications that were not written in the CSMR. 3 staff files were reviewed and observed complete to include an active first aid certification, fingerprint clearance, health screening, TB result, and annual training per Title 22 regulations. Facility has an emergency disaster plan and LPA advised Administrator to update the emergency disaster plan annually. Facility has emergency lighting available when needed. First aid kit observed. Based on record review, the emergency drills were completed in 2024 but during visit, there was no record to show the emergency drills were completed for this year. The last drill completed and recorded was for December 2024. A type B deficiency is being cited today in violation of Title 22 HCS 1569.695(c) as the facility has not completed quarterly emergency drills as required. Deficiencies were cited per California Code of Regulations, Title 22. See LIC809-D. Advisory note also provided. This report was reviewed with designated Administrator, Dulce Rose Cera and a copy of the report and appeal rights were provided. Page 3 of 3.
Regulation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…
Inspector finding
Based on obseration, the licensee did not comply with the section cited above wherein the hot water temperature in the hallway and master bedroom was measured at 135.6 and 136.5 degrees F which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2025 Plan of Correction 1 2 3 4 Licensee will adjust the hot water temperature today. Licensee states going forward, they will create a hot water log for staff to monitor the hot water temperature daily. Li…
Regulation
(a) ... Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (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…
Inspector finding
Based on observation, interview and record review, the licensee did not comply with the section cited above wherein 2 residents who are not receiving hospice care utilizes full bed rails which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/12/2025 Plan of Correction 1 2 3 4 Licensee states a plan to remove the full bed rails today and obtain a physician's order for the bed rails. Licensee will submit a photograph of the bed after the rails have b…
Regulation
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Inspector finding
Based on observation, interview, and record review, the licensee did not comply with the section cited above in wherein there was no record to show that emergency drills were completed this year as the last documented drill was completed in December 2024 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025 Plan of Correction 1 2 3 4 Licensee will complete the emergency drills for this month. Licensee will send the emergency drill log…
Regulation
(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record.
Inspector finding
Based on observation, interview and record review, the licensee did not comply with the section cited above wherein 1 resident who was admitted to the facility did not have a physician's report on file prior to admission which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025 Plan of Correction 1 2 3 4 Licensee will submit a copy of the resident's physician's report as part of the plan of correction, to LPA Kabariti via email by POC due…
Regulation
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.
Inspector finding
Based on observation, interview, and record review the licensee did not comply with the section cited above wherein 3 resident's centrally stored medications records (CSMR) were not maintained as there was a total of 10 medications that was not written in the CSMR which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/18/2025 Plan of Correction 1 2 3 4 During visit, the designated Administrator inputted all the medications that was missing in …
ComplaintJuly 26, 2024No deficiencies
Inspector: Christine Dolores
Plain-language summary
This was a pre-licensing inspection of a facility approved to care for up to 6 non-ambulatory residents, including one bedridden resident. The inspector found the home met all requirements: fire exits were clear, safety equipment was present and functional, bedrooms and bathrooms had appropriate fixtures and safety features, the kitchen was properly equipped and stocked, and medications and records had secure storage. The facility is ready for licensing pending final approval by the state application bureau.
View full inspector notes
Licensing Program Analyst (LPA) Christine Dolores arrived announced to conduct the pre-licensing inspection. LPA met with Dulce Rose Cera and Syeda Mamoona Omer. The facility has an approved fire clearance for 6 non-ambulatory, in which 1 may bed bedridden. Bedridden residents is approved to reside in room #5. During visit, LPA toured the interior to include 5 resident bedrooms, 1 staff bedroom, bathrooms, living room, dining room, kitchen, garage, and exterior. All fire exit routes are free and clear of obstruction. Exit routes contains ramps. Fire extinguisher last serviced on 02/09/2024. Carbon monoxide detector, complete first aid kit, and emergency lightings observed present. The backyard contains a shed and observed with storage items. Interior temperature maintained at 71 degrees Fahrenheit. Kitchen is equipped with a locked cabinet to store items that will be kept inaccessible to residents. LPA observed sufficient cups, plates, bowls, and utensils. Facility is equipped with at least 7 days worth of non-perishables and 2 days worth of perishable foods. Refrigerator temperature maintained at 37 degrees Fahrenheit. Freezer temperature maintained at -1 degrees Fahrenheit. Bedrooms equipped with beds, linens, adequate lighting, chair, night-stand, and dresser. Hot water temperature maintained at 106 degrees Fahrenheit. Bathroom shower contains non-slip mats. Bathroom #1 and #5 observed with a grab bar. Laundry room observed with locked cabinets. Facility has an area to lock medications and records. Posters observed to include the licensing complaint poster, ombudsman, personal rights, rights of resident council, house rules, activities, and emergency disaster plan. COMP III completed with Dulce Rose Cera, Syeda Mamoona Omer, and Syeda Lubna Haroon No issues noted during the pre-licensing inspection. LPA observed the facility is ready to be licensed. However, this report will be submitted to the Central Application Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required. This report was reviewed with Dulce Rose Cera and Syeda Mamoona Omer and a copy of the report was 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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