Bloomstone Family Home Llc
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.
674 Gleneagle Avenue · Hayward, 94544
Record last updated April 20, 2026.
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Quick facts
Memory care context
Bloomstone Family Home is a California-licensed Residential Care Facility for the Elderly (RCFE) with 6 beds. The operator advertises memory care services, though this designation is not formally documented in CDSS licensing data. California Title 22 requires RCFEs serving residents with dementia to meet standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. State records show five inspections on file with one deficiency — a Type A citation, indicating actual harm occurred. No dementia-specific citations under §87705 or §87706 appear in the inspection history. No complaints have been filed with CDSS during the period on record. The most recent inspection was December 18, 2025.
Questions to ask on your tour
Based on Bloomstone Family Home Llc's state inspection record.
State records show one Type A deficiency (actual harm) — what was the nature of this citation, what harm occurred, and what corrective actions were implemented?
Memory care is advertised but not formally designated in state licensing records — what documentation can you provide showing staff have completed California's required dementia-specific training under §87705?
With only 6 beds, how do you ensure residents with varying stages of dementia receive appropriately individualized care plans as required by Title 22?
The most recent inspection was December 2025 — have there been any incidents, complaints, or operational changes since that inspection that families should be aware of?
State records
California CDSS · Community Care Licensing Division- License number
- 019201376
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Bloomstone Family Home Llc
Inspections & citations
5
reports on file
1
total deficiencies
1
Type A (actual harm)
InspectionDecember 18, 2025No deficiencies
Inspector notes
On 1/19/2026, at around 9:50 am, LPA arrived unannounced to conduct case management regarding an overdue license fee. Left rang the doorbell and was greeted by care staff, Flor Natnat. LPA spoke with Administrator (ADM) Coelestis Chan via phone and explained the purpose of the visit. ADM was not available at the time of the visit. ADM gave permission to Flor to sign the report. ADM was able to show proof via text that ADM paid the Annual Fee dated 1/29/2026 of $742. No deficiency issue on today's date. An exit interview was conducted, and a copy of this report was provided.
Other visitNovember 18, 2024No deficiencies
Inspector: Kelly Nguyen
Inspector notes
An Comp III associated with Pre-Licensing Inspection done on 11/18/2024 at 10:30 AM was conducted by Licensing Program Analyst (LPA) K. Nguyen. Comp III was attended by Coelestis Chan Applicant. LPA concluded Comp III. No citation made during this visit. Exit interview conducted and a copy of this report provided.
Other visitNovember 18, 2024Type A1 deficiency
Inspector notes
On this date, 12/18/2025, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced annual inspection, and met with Coelestis Chan, Administrator (ADM). Administrator application is for 6 (six) total capacity, 6 non-ambulatory (all). ADM hold a certificate number 6070156740 effective 5/6/24 to 9/4/2026. LPA toured the facility with the ADM. There is no body of water. Bedrooms were observed to be appropriately furnished with adequate lighting. Supplies of towels, bed sheets, linens were adequate. Equipment and supplies for residents' personal hygiene were available and on site. Food supplies were observed adequate for seven days of non-perishables. Facility is equipped with refrigerator, microwave, dishwasher, washer and dryer. Storage where knives and medications is centrally stored was observed. Fire extinguisher checked, observed fully charge with tag showed serviced 04/29/2025. First aid kit checked and observed complete with manual. Hot water temperature was tested in one of the common bathrooms and measured at 110 degrees Fahrenheit. Carbon monoxide and smoke detectors were tested and observed operational. Facility liability insurance effective from 5/1/25 to 5/12/26. LPA reviewed 4 residents files and 3 staff files. All staff are fingerprint cleared and associated with the facility. They have current first aid and CPR training. Deficiency observed: At around 1:25PM, LPA observed Lysol left on top of resident drawer, and chemicals are left unlock under sink. The following records need to be submitted to CCL by 12/31/2025: Lic 500, Roster of Resident, Disaster Plan, Infection Control Plan. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. An exit interview is conducted, and a copy of the appeal rights and report is provided.
(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 Lysol left on top of resident drawer, and chemicals are left unlock under sink. which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/19/2025 Plan of Correction 1 2 3 4 Administrator remove lyson and locked away chemical. Cleared during inspection.
Other visitOctober 16, 2024No deficiencies
Inspector: Kelly Nguyen
Inspector notes
On 11/18/2024 at 9:30am, Licensing Program Analyst (LPA) K. Nguyen conducted a second unannounced pre-licensing visit. LPA met with Coelestis Chan, Applicant Administrator, and explained the purpose of the visit. Administrator application is for 6 (six) total capacity, 6 non-ambulatory (all). LPA inspected the issues that were noted during the second pre-licensing visit. All issues are corrected and observed. COMP III will be conducted No issues were noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications 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. Exit interview conducted with Licensee and a copy of this report provided.
Other visitSeptember 19, 2024No deficiencies
Inspector: Kelly Nguyen
Inspector notes
On this date, October 16, 2024, Licensing Program Analysts (LPAs) K. Nguyen and P. Manalo conducted an unannounced pre-licensing inspection, and met with Coelestis Chan, applicant administrator. Administrator application is for 6 (six) total capacity, 6 non-ambulatory (all). LPA toured the facility with the applicant. Physical plant is consistent with the facility sketches submitted to Centralized Application Bureau (CAB). There is no body of water. Bedrooms were observed appropriately furnished with adequate lighting. Supplies of towels, bed sheets, linens were adequate. Equipment and supplies for residents' personal hygiene were available and on site. Food supplies were observed adequate for seven days of non-perishables. Facility is equipped with refrigerator, microwave, dishwasher, washer and dryer. Storage where knives and medications is centrally stored was observed. Fire extinguisher checked, observed fully charge with tag showed serviced April 22, 2024. First aid kit checked and observed complete with manual. Hot water temperature was tested in one of the common bathrooms and measured at 106 degrees Fahrenheit. Carbon monoxide and smoke detectors were tested and observed operational. ......continued next page 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: LPAs observed no indicator of specific resident live in units. LPAs observed resident bed blocking the exit way. LPAs observed the poster is not 20 x 26. LPAs observed medication was cabinet was unlocked. LPAs observed broken drawers, hole in the wall, broken fence in the backyard, trash need to be clear on both side of the facility, broken sink side panel, recliner chair need to be removed on the patio, and residents need to be kept clean/ sanitary. Applicant to submit proof by October 30, 2024 showing all the 5 items are corrected. LPA will inform CAB analyst upon receipt of proof of corrections. Final review of application, and license to be granted by CAB analyst. Exit interview conducted and copy of this report provided.
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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