Lafayette Gardens
RCFE · 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.
3486 Monroe Avenue · Lafayette, 94549
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 182 California RCFE memory care 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
Severity72thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency66thDeficiencies 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
Lafayette Gardens scores B. Better than 79% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 72th percentile. Repeats: top 0%. Frequency: 66th 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_memory_care / small beds (182 facilities).
Citation severity over time
stableWeighted severity score per month · 24 months
Weighted score (24mo)
0
Finding distribution
4 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.Rules this facility has been cited for are shown first.
What dementia-care training must staff complete?Cited Aug 202322 CCR §87705 / HSC §1569.625
Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:
- 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
- 8 hours annual dementia in-service — required every year thereafter.
- Administrator CE — the administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle.
Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour: Ask how dementia training records are kept — families may request documentation.
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
- 079200784
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Saxena Family Llc
Inspections & citations
9
reports on file
8
total deficiencies
2
Type A (actual harm)
4
dementia-care citations
InspectionFebruary 23, 2026No deficiencies
Plain-language summary
A routine annual inspection was conducted on February 23, 2026, and no violations were found. The facility passed safety checks including working smoke and carbon monoxide detectors, fire extinguishers, proper water temperature, grab bars in bathrooms, and adequate food supplies; resident and staff files were complete and emergency drills are conducted quarterly. The building was clean, well-lit, at a comfortable temperature, and medications were properly stored and locked.
View full inspector notes
On 02/23/2026 at 11:00 AM, Licensing Program Analyst (LPA) David Doidge arrived to conduct 1-Year Annual Required inspection. LPA met with staff Criselda Valenzuela and explained the purpose of the visit. The Administrator Meeran Saxena arrived at the facility at around 11:55 AM. During the visit, LPA toured facility including but not limited to the kitchen, dining room, resident bedrooms and bathrooms, front and back area of the facility, and common areas. Fire extinguisher was observed full and purchased on 12/08/2025. Smoke detectors and carbon monoxide detectors were tested and observed functional. LPA observed the facility to be at a comfortable temperature for residents. All indoor and outdoor passageways are kept free of obstruction. Hot water temperature was measured at 110 degrees Fahrenheit. LPA observed skid mats and grab bars in resident bathrooms. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present in or around the facility. LPA observed a sufficient supply of 7 day non-perishables and two day perishable food supplies. LPA reviewed six (6) resident files and three (3) staff files. All complete. Fire and earthquake drills are conducted quarterly. Last drills were conducted on 12/11/2025. Centrally stored medications were observed locked in a cabinet. No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.
InspectionJanuary 22, 2025No deficiencies
Inspector: David Doidge
Plain-language summary
On January 22, 2025, the facility passed its annual inspection with no violations found. The inspector checked the building's safety systems (fire extinguishers, smoke and carbon monoxide detectors), bathrooms, kitchen, food supplies, resident files, and medication storage, and found everything in order. The facility was asked to submit updated personnel and responsibility designation forms by January 29, 2025.
View full inspector notes
On 01/22/2025 at 10:40 AM, Licensing Program Analyst (LPA) David Doidge arrived to conduct 1-Year Annual Required inspection. LPA met with staff Aecia Perez. and explained the purpose of the visit. The Administrator Meeran Saxena arrived at the facility at around 11:00 AM. During the visit, LPA toured facility including but not limited to the kitchen, dining room, resident bedrooms and bathrooms, front and back area of the facility, and common areas. Fire extinguisher was observed full and purchased on 01/22/2025. Smoke detectors and carbon monoxide detectors were tested and observed functional. LPA observed the facility to be at a comfortable temperature for residents. All indoor and outdoor passageways are kept free of obstruction. Hot water temperature was measured at 107.7 degrees Fahrenheit. LPA observed skid mats and grab bars in resident bathrooms. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present in or around the facility. LPA observed a sufficient supply of 7 day non-perishables and two day perishable food supplies. LPA reviewed six (6) resident files and four (4) staff files. All complete. Fire and earthquake drills are conducted quarterly. Last drills were conducted on 12/11/2024. Centrally stored medications were observed locked in a cabinet. 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 LIC809 The following forms to be updated and submitted to CCLD by 1/29/2025 : LIC500 (Personnel Record) LIC308 (Designation of facility Responsibility) Surety bond No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.
ComplaintApril 5, 2024· SubstantiatedType B1 deficiency
Inspector: Kelly Nguyen
Regulation
87507 Admission Agreements
Inspector finding
Based on interview conducted, Resident 1 (R1) has a diagnosis of Dementia and trying to get in contact with R1 POA to get all the documentation sign. Documents that was being provided is from the previous facility and not for this facility.
Other visitFebruary 8, 2024No deficiencies
Inspector: Gregory Clark
Plain-language summary
An unannounced annual inspection was conducted on February 8, 2024, and found no violations. The facility met all requirements for safety, including proper temperature control, working smoke and carbon monoxide detectors, secured medications, adequate food supplies, and complete resident and staff records for the six residents it is licensed to serve.
View full inspector notes
On 2/08/24 at 1:15 PM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Meeran Saxena, Administrator and explained the purpose of the visit. The facility’s fire clearance was approved for 6 residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 112.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and 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 3/17/23. Emergency Disaster Plan was last posted on 1/10/24. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/23. LPA reviewed 5 residents records and 4 staff records; all were complete. LPA also reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 2/15/24: LIC610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
ComplaintAugust 22, 2023· SubstantiatedType B3 deficiencies
Inspector: Luisa Fontanilla
Plain-language summary
A complaint investigation found that a resident with dementia sustained bruises on both arms and a cut on the left bicep while at the facility in June 2023. The administrator and staff attributed the injuries to the resident's aggressive behavior such as crawling under the bed and throwing objects, and stated the resident did not fall. The investigator found the complaint substantiated based on the evidence reviewed.
View full inspector notes
The nurse reported R1’s condition to R1’s son. R1’s son then instructed Administrator to send R1 to the hospital to get checked on 6/5/2023. R1 went to a skilled nursing facility upon discharge from the hospital and did not come back to the facility. R1 moved to the facility on May 1, 2023 and moved out on June 7, 2023. A review of email conversations between Administrator and R1's son indicate the Administrator informing R1’s son that R1 does not have any fracture. And that the hand is not swollen. The administrator also states the reason could be that R1 was taking some part of the bed and has broken pots in the room. The Administrator states, “In the future, I will make sure the care staff calls you and update you regarding any decline.” A review of R1’s medical records and photo provided to CCL indicate R1 sustained bruises on both arms and a cut on the left bicep. During the interview with Administrator and Staff 1 (S1), both state R1 did not incur any fall. Administrator and S1 state R1 probably got the bruises and cut when R1 was exhibiting aggressive behavior such as crawling under the bed, throwing pots and trying to pull down picture frames. Based on record reviews conducted, Resident 1 R1) has a diagnosis of Dementia, is confused/disoriented, has aggressive, wandering and sundowning behaviors. Based on LPA interviews and record reviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22. Deficiencies are being cited on the attached LIC 9099D. Exit interview was conducted with Meeran. Appeal Rights was provided.
Regulation
87705 (b)(1) Care of Persons with Dementia (b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including: (1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conse…
Inspector finding
87705 (b)(1) Care of Persons with Dementia (b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including: (1) Procedures for notifying the resident’s physician, family members and responsible persons who have requested notification, and conservator, if any, when a resident’s behavior or condition changes.
Regulation
87705(b)(2) Care of Persons with Dementia (b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia, including: (2) Safety measures to address behaviors such as wandering, aggressive behavior and ingestion of toxic materials.
Inspector finding
Based on interviews and record reviews conducted, Resident 1 R1) has a diagnosis of Dementia, is confused/disoriented, has aggressive, wandering and sundowning behaviors. Administrator and facility staff interviewed state R1 was observed crawling under the bed, throwing flowerpots inside the room and pulling down picture frames on the wall. Despite observing R1’s aggressive behaviors, the facility did not provide safety measures to prevent R1 from sustaining bruises on both arms and a cut on R1’…
Regulation
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents..
Inspector finding
Based on interviews conducted, staff observed R1 with bruise, agressive, crawling under the bed, breaking pot plants but no medical appointment was arranged which poses a potential risk tohelath and safety of clients under care.
Other visitAugust 22, 2023No deficiencies
Inspector: Luisa Fontanilla
Plain-language summary
A case management representative visited the facility on April 25, 2026, at around 10:10 a.m. to update a report that had been issued in August 2023. Staff received a copy of the updated report.
View full inspector notes
On this at around 10:10 am, LPA Luisa Fontanilla conducted a case management visit to amend report previously issued on 8/16/2023. LPA was met by staff Erlinda Muleta . LPA spoke with Meeran over the phone and she authorized staff to sign the report. A copy of this report was provided to Muleta.
InspectionAugust 16, 2023No deficiencies
Inspector: Luisa Fontanilla
Plain-language summary
An investigator reviewed a complaint about a refund after a resident left the facility in June 2023 after staying only one month. The facility's admission agreement stated the resident had paid for one month of care plus a 30-day notice period, and no refund was owed under those terms. The investigation found no violation.
View full inspector notes
On this day, LPA Luisa Fontanilla conducted a case management related to complaint #15-AS-20230626112336 and met with Meeran Saxena. During the course of investigation, LPA reviewed R1's admission agreement and interviewed R1's responsible person regarding refund. Based on the admission agreement, R1 moved to the facility on May 1, 2023. On June 7, 2023, R1's family notified the facility that R1 is not going back to the facility. R1 paid the facility two-months for rent which covered the first month May 1-June 1, 2023 and the 30-day notice to vacate. Based on records review and interviews conducted, R1 is not due for any refund as indicated in the admission agreement. No deficiency noted.
InspectionFebruary 8, 2023Type B2 deficiencies
Inspector: Catherine Lin
Plain-language summary
During a routine unannounced inspection on February 8, 2023, inspectors found that one resident with dementia did not have an updated physician's report (last dated January 2021) or an updated care plan (last dated January 2021) on file, and the facility did not have a written infection control plan. The facility agreed to submit the infection control plan by the end of February 2023.
View full inspector notes
On 2/8/2023 starting at 8:40 a.m., Licensing Program Analyst (LPA) Catherine Lin arrived unannounced to conduct Infection Control Inspection. LPA met with Administrator and disclosed the purpose of the visit. During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. There is one central entry point for universal screening for staff, residents and visitors. Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff and visitors. THE FOLLOWING DEFICIENCIES WERE OBSERVED: · At 9:20 a.m., LPA observed resident R1 who have dementia didn't have updated physician's report on file, the latest one was dated on 1/25/2021. · At 9:20 a.m., LPA observed resident R1 who have dementia didn't have updated needs and services plan on file, the latest one was dated on 1/21/2021. Facility didn't have Infection Control Plan (LIC9282), Administrator will submit the plan to CCL 2/28/2023. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date and/or any repeat deficiencies within a 12-month period may result in additional Civil Penalties.
Regulation
87705 Care of Persons with Dementia (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 reassessme…
Inspector finding
Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 5 residents who have dementia didn't updated physician's report annually which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/13/2023 Plan of Correction 1 2 3 4 Administrator agrees to review regulation section code 87705, and submitted a self-certification of understanding to CCL by the POC due date.
Regulation
87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative…once every 12 months… This requirement is not met as evidenced by…
Inspector finding
Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 5 residents didn't update needs and services plan annually on file poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/13/2023 Plan of Correction 1 2 3 4 Administrator agrees to review regulation section code 87463, and submit a self-certification of understanding to CCL by the POC due date.
ComplaintFebruary 18, 2022Type A2 deficiencies
Inspector: Catherine Lin
Plain-language summary
A state licensing analyst conducted an unannounced infection control inspection on February 18, 2022, and found two safety issues: medications were left unlocked in the dining room, and knives were stored unlocked on top of the refrigerator in the kitchen. Staff locked up the medications during the visit and placed the knives in the medication cabinet as a temporary measure while the facility works on a permanent solution.
View full inspector notes
On 2/18/2022 starting at 3:55 p.m., Licensing Program Analyst (LPA) Catherine Lin arrived unannounced to conduct Infection Control Inspection. LPA met with lead caregiver Sonora Cruz while Administrator Meeran Saxena was absent. LPA disclosed the purpose of the visit and have Administrator authorize Sonora for the inspection and sign on the report.. During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. There is one central entry point for universal screening for staff, residents and visitors. Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff and visitors. THE FOLLOWING DEFICIENCIES WERE OBSERVED: · At 4:20 p.m., LPA observed unlocked centrally stored medications located at the corner of the dinning room. Staff locked it up during inspection. · At 4:21 p.m., LPA observed unlocked knives in the basket located on the top of refrigerator in the kitchen. Staff couldn't find a place to lock up knives. LPA advised caregiver to lock them up in the medication cabinet for now until Administrator has better solution. The above deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with lead caregiver. LIC809D, Appeal Rights and a copy of this report provided.
Regulation
87465 Incidental Medical and Dental Care (h)The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Inspector finding
Based on observation, interview and records review, licensee did not comply with the section cited above. LPA observed centrally stored medications in the dinning room was left unlock which poses an immediate health, safety risk to persons in care. POC Due Date: 02/19/2022 Plan of Correction 1 2 3 4 Caregiver locked up the centrally stored medication during visit. In addition, Administrator will conduct in-services training with staff of regulation and submit a copy of training agenda and sig…
Regulation
87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s)
Inspector finding
Based on observation, interview and record review, the licensee did not comply with the section cited above. LPA observed unlocked knives in the kitchen which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/19/2022 Plan of Correction 1 2 3 4 Caregiver locked up the knives in the centrally stored medication cabinet during visit. In addition, Administrator will conduct in-services training with staff of regulation and submit a copy of training agen…
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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