Continuance Care Home Llc.
Continuance Care Home Llc is Ranked in the top 40% of California memory care with 17 CDSS citations on record; last inspected Oct 2025.

16-Bed Memory Care Home in Hayward's Schafer Road Neighborhood, reviewed on public record.

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Compared to 152 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
Continuance Care Home Llc has 17 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
17 deficiencies on record. Each bar is a month with a citation.
Finding distribution
17 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
RCFEs may accept residents with most chronic conditions, including supplemental oxygen, insulin and injectable medications, indwelling catheters, colostomy/ileostomy, Stage 1–2 pressure injuries, wound care, incontinence, and contractures — with a physician order and care plan. Prohibited conditions (facility must refuse or discharge): Stage 3–4 pressure injuries, feeding tubes, tracheostomies, active MRSA or communicable infections requiring isolation, 24-hour skilled nursing needs, and 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.
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“If my parent's condition changes, what triggers a transfer out — and how does the discharge process work?”
Questions to ask before you visit.
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State records show three Type A deficiencies (actual harm citations) — what were the specific circumstances of each, and what corrective actions were implemented?
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Five complaints have been filed with CDSS — how many were substantiated, what were they about, and what changes resulted from each investigation?
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With 11 total deficiencies across 15 inspection reports, what systemic changes has management made to reduce recurring compliance issues?
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Every inspection visit, verbatim.
10 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-10-15Other VisitNo findings
Plain-language summary
On October 15, 2025, state inspectors conducted an unannounced visit to review case management practices and verify the administrator's credentials. The administrator held a current and valid certificate, and no violations were found.
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On 10/15/2025, LPAs K. Nguyen and L. Alexander arrived unannounced to conduct a case management and explained the purpose of the visit to Administrator Shirley Marshall. Based on the record reviewed, LPAs K. Nguyen and L. Alexander confirmed that Administrator Shirley Marshall currently has an active administrative certificate #703581740, effective 6/27/2025 – 6/26/2027. No deficiency issue on today's dates. An exit interview is conducted copy of this report is provided.
2025-10-15Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigation into a complaint that staff prevented residents from attending a scheduled dental appointment found no violation — the resident did not attend because the resident's power of attorney was not notified of the appointment. A second allegation that staff refused to provide facility contact information to a resident's representative was also unsubstantiated; records showed staff provided this information through the contact log.
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Allegation: Staff prevented residents from attending a scheduled dental appointment- Unsubstantiated It was alleged that staff prevented residents from attending a scheduled dental appointment. Based on interviews and record review, R1 stated that R1 didn’t want to go to the dentist’s appointment because R1 didn’t know that R1 had a dental appointment. The record showed that POA did not notify of the R1 dental appointment. S4 stated S4 confirmed with POA that there was no notification of R1 dental appointment. Allegation: Staff did not provide facility contact information to the resident’s representative when requested- Unsubstantiated It was alleged that staff did not provide facility contact information to the resident’s representative when requested. Based on the record review and interview staff provided the facility contact information to the resident’s representative via the contact log. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED. Exit interview conducted, and a copy of this report provided.
2025-08-21Annual Compliance VisitNo findings
Plain-language summary
This was a follow-up inspection to check that previously identified problems had been corrected. The inspector found that the facility had fixed or removed the issues, including securing medications and cleaning products, removing hazardous items from resident rooms, fixing bathroom damage and patio hazards, and cleaning up storage areas. All deficiencies were cleared.
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At around 8:30 am, Licensing Program Analyst (LPA) K. Nguyen arrived to conduct POC visit inspection and met with Administrator, Shirley Marshall explained the purpose of the visit. LPA checked: - trash bins on driveway is not overflow with trashed - inside the dishwasher and are not being used as storage. - Activities and resident drawer handle have been fix/ replaced - observed shared bathroom are clean - observed broken title in the share bathroom - observed in resident room that Corinz and cleaning product on top of the drawer (Shared room) have been removed - observed Isopropyl Alcohol and dry shampoo in resident drawer (shared room) is removed and cleared - observed one nail polished inside the med chart, and multiple nail polishes left unlock on the shelve have been cleared and removed Report 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 -observed resident medication are locked in the drawer - observed that Lysol cleaning wipe are locked in cabinet - observed room 3 shared closet is clear - observed room 7, 6, and 4 have do not have a strong odor - observed chemical lock in the drawer near the laundry room - observed the wood on the patio have a whole and lift up have be fix - observed that all the piles of wood in between the two building have been removed LPA cleared deficiencies. Copy of report provided to the Administrator.
2025-05-19Other VisitType A · 2 findings
Plain-language summary
During a pre-license inspection on May 19, 2025, inspectors found multiple safety and cleanliness issues: trash overflowing in the driveway, shared bathrooms that were unclean with broken tile, cleaning chemicals and medications stored unlocked and accessible in resident rooms and drawers, nail polish left unsecured near medication records, strong odors in several rooms, and structural damage to a porch. The facility was assessed a $250 civil penalty.
“Based on observation, the licensee did not comply with the section cited above in by having unlock chemicals such as disinfectant cleaner in residents room, and Clorox whips, medication, sharps which poses an immediate health, safety or personal rights risk to persons in care.”
“Based on observation, the licensee did not comply with the section cited above in by having resident shared bathroom are not clean, trash bins on driveway is overflow with trashed and on the ground, and room 7, 6, and 4 have a strong odor”
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On 5/19/25 during a pre-license LPA observed the following deficiencies: At around 10am, LPA observed trash bins on driveway is overflow with trashed and on the ground At around 10:10am, LPA observed pizza slicer inside the dishwasher. Dishwasher used as storage. At around 10:33am, LPA observed shared bathroom are not clean At around 10:35am, LPA observed broken title in the share bathroom At around 10:40am, LPA observed in resident room contain a Corinz and cleaning product on top of the drawer (Shared room) At around 10:45am, LPA observed Isopropyl Alcohol and dry shampoo in resident drawer (shared room) At around 10:50am, LPA observed one nail polished inside the med chart, and multiple nail polishes left unlock on the shelve At around 10:51am, LPA observed resident medication left unlocked in the drawer At around 10:50am, LPA observed Lysol cleaning wipe outside in the back of the facility At around 10:55am, LPA observed room 3 shared closet is being used as a storage At around 10:55am, LPA observed room 7, 6, and 4 have a strong odor At around 10:55am, LPA observed chemical left unlock in the drawer near the laundry room At around 11:am, LPA observed the wood on the pouch have a whole and lift up Civil Penalty is being assess of $250 Exit interview conducted and a copy of appeal right, LIC 421FC(7/17), and report is provided.
2025-02-18Annual Compliance VisitType A · 4 findings
Plain-language summary
On February 18, 2025, inspectors conducted a routine annual inspection and found several problems: hazardous chemicals and batteries left unsecured on the porch, a broken front door frame and window screen, and a hole in the wall near an emergency exit. Staff files were also incomplete, with two of five staff members missing required training and CPR certification documentation. The facility corrected the chemical storage issue during the visit, and inspectors informed management of the other violations and the requirement to submit a plan to fix them.
“Based on observation, the licensee did not comply with the section cited above in by having unlock chemicals such as disinfectant cleaner, a tub of fast setting cement patcher, and a battery left under the sun on the porch that label (danger/ poison), which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/18/2025 Plan of Correction 1 2 3 4 Administrator (staff) lock up chemical during inspection. Deficiency cleared during inspection.”
“Based on observation, front door frame are broken, and the third window screen is broken. Between the emergency door there is a hole on the left side bottom wall. the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/04/2025 Plan of Correction 1 2 3 4 Administrators agree to fix broken door frame, window screen, and patch the hold on the wall. Administrators agree to send in picture via email to CCLD by POC date 3/4/2025”
“Based on interview, record review, the licensee did not comply with the section cited above by not having a complete staff files which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/25/2025 Plan of Correction 1 2 3 4 Administrators agree to have all staff files complete and submit documentation via email to CCLD by POC date 2/25/2025.”
“Based on interview, and record review, the licensee did not comply with the section cited above by not having staff training on records which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/25/2025 Plan of Correction 1 2 3 4 Administrators agree to have all staff training on files submit documentation via email to CCLD by POC date 2/25/2025.”
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On 2/18/2025 at 10:00AM, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced 1-Year Required inspection. LPA met with Sarah Horny, Caregiver, and explained the purpose of the visit. LPA spoke to Administrator Shirley Marshall currently holds a certificate (#6005261740) that expired on 06/26/2025. The facility’s fire clearance was approved for sixteen (16) non-ambulatory residents. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, and side yard. The facility consists of five (8) room total and two (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 68 Degree F.. 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 109.9 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/29/2024. Emergency Disaster Plan was updated on 2/1/2025 and posted. First aid kit was observed to be complete. Facility liability insurance policy term effective date: 6/13/2024 to 6/13/2025. Fire drill was conducted on 2/3/25. Staff files was incomplete and two (2) of the (5) staff files are missing CPR and education/training which is considered incomplete. Report continue from 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 LPA observed the following deficiencies: · At 11:59am, LPA observed unlocked chemicals such as disinfectant cleaner, fast setting cement patcher, and a battery left under the sun on the porch that label (danger/ poison). Deficiency clear during visit. · At 12:15pm, LPA observed front door frame are broken, and the third window screen is broken. Between the emergency door there is a hole on the left side bottom wall. · At 1:50pm, LPA observed staff files incomplete including training records.. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy this report and appeal rights provided.
2024-07-23Complaint InvestigationUnsubstantiatedNo findings
2024-02-17Other VisitType A · 7 findings
Plain-language summary
A routine annual inspection was conducted on February 17, 2024, and found multiple deficiencies: an expired fire extinguisher, unsafe storage of cleaning chemicals in an unlocked laundry room accessible to residents, broken furniture and drawers in resident rooms, clutter including a motorcycle and mattress in the outdoor yard, incomplete staff training files, and hot water temperature above safe levels. The facility was also cited for incomplete administrator files and missing staff CPR certifications. The facility was required to submit corrections by February 26, 2024.
“Based on observation, the licensee did not comply with the section cited above by having the hot water temperature at 135.5 which poses an immediate health and safety risk to persons in care. POC Due Date: 02/18/2024 Plan of Correction 1 2 3 4 Administrator agreed to have the hot water heater adjusted and submit a video via text or email to CCL by the POC date.”
“Based on observation, the licensee did not comply with the section cited above by having the laundry room unlocked and accessible to residents which poses an immediate health and safety risk to persons in care. POC Due Date: 02/18/2024 Plan of Correction 1 2 3 4 Administrator agreed to lock and keep the laundry room locked at all times. Staff locked laundry room door which contained the chemicals. DEFICIENCY CLEARED DURING VISIT.”
“Based on observation and interview with staff, the licensee did not comply with the section cited above by using resident occupied rooms as storage spaces rooms 3 and 7 which poses a potential health and safety risk to persons in care. POC Due Date: 03/01/2024 Plan of Correction 1 2 3 4 Administrator agreed to remove all storage from the rooms listed above by POC date and submit photo copies via email to CCL by POC date.”
“Based on observation, the licensee did not comply with the section cited above by haven broken chest of drawers, off track drawers and missing handles in residents occupied rooms #'s 3, 4, 5 and 6 which poses potential health and safety risk to persons in care. POC Due Date: 03/01/2024 Plan of Correction 1 2 3 4 Administrator agreed to fix or replace the chest of drawers handles and replace the chest of drawers in room #5.”
“Based on observation, the licensee did not comply with the section cited above not having the fire extinguishers serviced yearly which poses a potential health & safety risk to residents in care. POC Due Date: 02/23/2024 Plan of Correction 1 2 3 4 Administrator agreed to purchase or have current fire extinguishers serviced and submit photo copies to CCL by POC date.”
“Based on interview, the licensee did not comply with the section cited above by not conducting emergency disaster drills quarterly which poses a potential health and safety risk to persons in care. POC Due Date: 02/23/2024 Plan of Correction 1 2 3 4 Administrator agreed to conduct a disaster drill, document and email a copy of document to CCLD no later than the POC date.”
“Based on record review of four staff files, the licensee did not comply with the section cited above in having incomplete employee files for 4 of 4 employees records reviewed which poses a potential health and safety risk to persons in care. POC Due Date: 03/01/2024 Plan of Correction 1 2 3 4 Administrator agrees to review and update all employee files and provide a checklist and a sample of all required documents for each file to CCLD by POC date.”
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On 2/17/2024 at 9:45AM, Licensing Program Analyst (LPA) C. Fowler conducted an unannounced 1-Year Required inspection. LPA met with Sarah Horny, Caregiver, and explained the purpose of the visit. LPA spoke to Administrator Shirley Marshall currently holds a certificate (#6005261740) that expired on 06/26/2023 Administrator. The facility’s fire clearance was approved for sixteen (16) non-ambulatory residents. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, and sideyard. The facility consists of five (5) total and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained. 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 135.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 08/4/2022. Emergency Disaster Plan was posted. First aid kit was observed to be complete. Administrator file was incomplete and two (2) of the (3) staff files are missing CPR and education/training which is considered incomplete. Both resident files are complete. Continued on LIC809C. 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 LIC 809 LPA observed the following deficiencies: · At 11:05am, LPA observed fire extinguisher expired. · At 11:09am, LPA observed resident room #7 a corner being used for storage of commode, and boxes, resident room #3 a corner of the closet being used for storage of a bed frame, resident room #6 chest of drawers handles broken, resident room #4 bottom drawer off track, resident room #5 closet door is off track and chest of draws are broken. · At 11:20am, LPA observed unlocked laundry room with chemicals such as Tide laundry soap, Pinalen Multipurpose cleaner, Fabuloso, Bleach, and Bug spray. · At 12:20pm, LPA observed sideyard had motor bike, boxes, cubicle partitions, mattress, drawers, and a walker. · At 11:50pm, LPA observed staff files incomplete. · At 12:15pm, LPA observed hot water temperature at 135.5 degrees F. LPA requested the following documents to be submitted to CCLD by 2/26/2024. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance Continued on LIC809C. 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 LIC809C. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy this report and appeal rights provided
2023-11-29Other VisitType A · 3 findings
Plain-language summary
During a follow-up case management visit in November 2023, inspectors found that two residents developed pressure injuries that the facility failed to report to their families or to the state. One resident was hospitalized due to an unstageable pressure wound to the coccyx, and staff caring for the wounds had received no formal training—instead copying techniques they observed from home health nurses. The facility was assessed a $500 civil penalty with notice that additional penalties were being determined.
“This requirement was not met and evidenced by: Based on interviews and records review, the facility did not report to the department that multiple residents developed pressure injuries”
“Based on interviews and records review, the facility did not inform the residents representative/family about the residents’ change of condition”
“This requirement is not met as evidence by: Staff stating has never received formal training on how to care for wounds and was mimicking what she saw Home Health do with other clients.”
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On 11/29/23 at 09:15 am Licensing Program Analyst (LPA) J. Clancy-Czuleger arrived unannounced to conduct a case management visit. LPA met with staff member Wyrek Fagin to address violations that were found during an investigation conducted by the Department. Administrator Sherley Marshall was called to be informed but was unable to come to the facility and Licensee Mandar Kulkarni was called and joined later. During the course of the complaint investigation, Complaint Control No. 15-AS-20230522092645, the following additional information and deficiencies were identified. Resident 2 (R2) was discovered to have had an unstageable pressure injury to his coccyx. R2 was sent to the hospital same day as R1 (05/18/2023), stating the facility could not provide the level of care that was needed for the wound. Staff (S2) interviewed acknowledged that she was caring for the wounds by copying what she had seen other home Health nurses do. S2 reported she has never received formal training on how to care for wounds. Based on interviews and records review the facility did not report to the department that R1 and R2 developed pressure injuries and that R2 went to the hospital as a result of the pressure injuries. Based on interviews and records review the facility did not report to R1 and R2’s families the residents change of condition of pressure injuries and hospital visits as a result of the pressure injuries. In an interview with Reporting Party (RP) they state that she and other family members visited on a regular visits and were not notified of the change in condition of the resident. A $500.00 immediate civil penalty is assessed on this day. Licensee was informed that an additional civil penalty is still being determined based on Health & Safety Code 1569.49(f) The following deficiency observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
2023-11-29Complaint InvestigationMixedType A · 1 finding
Plain-language summary
A complaint investigation found that a resident developed multiple severe pressure injuries between October 2021 and May 2023 that were not reported to the family or treated by a doctor until the resident was hospitalized in May 2023; staff said they had no formal wound care training and the administrator did not seek medical attention, stating the wounds "got away from me." The investigation also found that the facility administrator has been absent from daily duties since at least March 2023 due to her own medical issues. The facility was cited for violations and assessed a $500 penalty, with additional penalties still being determined.
“Based on interviews, records review and observations, licensee did not comply with the above regulation. Facility administrator, Shirley Marshall, has not been involved in her administrative duties at least since March 2023, which poses a health and safety risks to persons in care”
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...Continued from LIC 9099 R1 was admitted to this facility in October 2021. On May 18, 2023, R1 was brought to the hospital after the family was notified by licensee that R1 had pressure injuries. R1 was diagnosed with an unstageable pressure injury to his hip, a stage three pressure injury to his left heel and a stage four pressure injury to his right heel. Staff (S1) reported she was caring for the wounds by copying what she had seen other Home Health nurses do. S1 reported she has never received formal training on how to care for wounds and never notified the family of the progressing wounds or sought medical attention. S1 believed the wounds were a result of R1 not being able to move and because he would “stay in one spot all the time”. Administrator, Shirley Marshall, never notified the family or sought medical attention, stating the wounds “got away from me”. Based on interviews and records review, S1 stated she would not seek medical attention or notify the family, regardless of how bad the wound was, as that was administrator’s responsibility. Facility administrator acknowledged R1 was not receiving appropriate care for his progressing wounds. Staff interviewed confirmed no medical attention was sought prior to May 15, 2023. Allegation: Facility administrator is not present in the facility due to illness Based on interviews, records review and observations, licensee did not comply with the above regulations. Facility administrator, Shirley Marshall, has not been involved in her daily administrative duties at least since March 2023. Ms. Marshall as confirmed this is due to her own ongoing medical issues and/or chronic illness, requiring treatments and routine medical appointments. Staff and family members of the residents have observed the absence of the administrator. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 9099D . A $500.00 immediate civil penalty is assessed today, Licensee was informed that an additional civil penalty is still being determined based on Health & Safety Code 1569.49(f).
2023-08-25Complaint InvestigationUnsubstantiatedNo findings
4 older inspections from 2022 are not shown in the free view.
4 older inspections from 2022 are not shown in the free view.
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