Bethany Homes Senior Living Ii
What is an RCFE with Memory Care?
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
3356 East Ave · Livermore, 94550
Record last updated April 20, 2026.

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Quick facts
Memory care context
Bethany Homes Senior Living II is a California-licensed Residential Care Facility for the Elderly (RCFE) with a memory care designation, licensed for 20 residents. California Title 22 requires facilities serving dementia residents to meet specific standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS records show this facility has been cited under §87705 or §87706 at least once, indicating the state has evaluated its dementia-care compliance. State records show five inspections with two total deficiencies, both classified as Type A (actual harm). The most recent inspection occurred on August 6, 2025. No complaints are on file during the period covered by available records.
Questions to ask on your tour
Based on Bethany Homes Senior Living Ii's state inspection record.
State records show two Type A deficiencies (actual harm citations) — what were the specific circumstances of each citation, and what corrective actions did the facility implement?
The facility has been cited under §87705 or §87706 for dementia care — what was the nature of this citation, and how has the facility changed its dementia-care protocols in response?
With 20 licensed beds and a memory care designation, what is the staff-to-resident ratio during day, evening, and overnight shifts?
California Title 22 §87705 requires dementia-specific staff training — how does Bethany Home 3234 LLC verify that all caregivers, including new hires and weekend staff, have completed the required training?
Given the August 2025 inspection date, what deficiencies if any were identified in that most recent visit, and what is their current status?
State records
California CDSS · Community Care Licensing Division- License number
- 019201265
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 20
- Operator
- Bethany Home 3234 Llc
Inspections & citations
5
reports on file
2
total deficiencies
2
Type A (actual harm)
1
dementia-care citations
InspectionAugust 6, 2025No deficiencies
Inspector notes
On 8/15/2025 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPA met with Administrator, Rachell Paniagua informed her the reason for the visit. The following deficiencies was cleared by visit : - 87705(f)(1); LPA received pictures of the repair on 8/7/2025. - 87303(e)(2); LPA received picture of the lowered hot water on 8/7/2025. LPA measured hot water at 108.4 degrees F during visit. LPA cleared deficiencies during visit and provided POC letter to Administrator. Exit interview conducted. A copy of this report provided.
Other visitJuly 22, 2024No deficiencies
Inspector: Grace Luk
Inspector notes
On 7/22/2024 at 4:00PM, Licensing Program Analyst (LPA) G. Luk conducted a face to face Component III presentation. LPA met with Administrator, Rachell Paniagua. LPA presented Component III power point and discussed the regulations embodied in the presentation. LPA observed Administrator gained knowledge about running and maintaining the facility in accordance with Title 22 regulations. LPA concluded Component III. Exit interview conducted and a copy of this report provided.
Other visitJuly 22, 2024Type A2 deficiencies
Inspector notes
On 8/6/2025 at 11:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Rachell Paniagua. The facility’s fire clearance was approved for 10 non-ambulatory and 10 bedridden residents of which 10 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, common areas, and outdoor area. Centrally stored medications were locked in the med room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 5/27/2025. One week supply of nonperishable and 2-day supply of perishable foods were available. Grab bars for each toilet and shower were installed. Non-skid mats were observed. LPA reviewed 6 resident records and 4 staff records starting at 12:30PM. LPA also reviewed a sample of resident's medications. At 2:30PM, LPA measured hot water at 137.9 degrees F in the hallway bathroom. At 2:45PM, LPA observed side gate had a lock on it. Staff removed the lock during inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
(f) Licensees that lock exterior doors or perimeter fence gates shall meet the following initial and continuing requirements: (1) Licensees shall notify the licensing agency of their intention to lock exterior doors and/or perimeter fence gates.
Based on observation, the licensee did not comply with the section cited above by locking the side gate which poses an immediate health and safety risk to persons in care. POC Due Date: 08/07/2025 Plan of Correction 1 2 3 4 Administrator removed the lock on the side gate during inspection. Administrator has agreed to create a plan to repair the side gate self-closing latch or repair the latch. Administrator will submit a plan or picture proof to CCLD by POC date.
(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…
Based on observation, the licensee did not comply with the section cited above by having hot water measured at 137.9 F which poses an immediate health and safety risk to persons in care. POC Due Date: 08/07/2025 Plan of Correction 1 2 3 4 Administrator has agreed to lower hot water and submit picture proof to CCLD by POC date.
Other visitJune 13, 2024No deficiencies
Inspector: Grace Luk
Inspector notes
On 7/22/2024 at 1:00PM, Licensing Program Analyst (LPA) G. Luk conducted a Pre-licensing Inspection. LPA met with Administrator, Rachell Paniagua. LPA toured facility including but not limited to resident's bedrooms, bathrooms, common areas, dining area, kitchen, and outdoor area. LPA observed lighting in all rooms. LPA observed facility has one week of non-perishable and two days of perishable food supplies available. Smoke detectors are interconnected with sprinkler system. Carbon monoxide detectors were observed. First aid kit was complete. Emergency disaster plan was complete. Fire extinguishers were observed to be full and last serviced on 5/17/2024. Hot water was originally measured at 124 degrees F and administrator lowered hot water. LPA re-measured hot water at 109.7 degrees F. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1. LPA observed back yard area has lots of items to be disposed including hoyer lift, bed frames, water heater, wheelchairs, and other items. 2. LPA observed back yard area has some benches. However, there was no shaded areas for residents. Licensee/Applicant will submit proof of corrections to CCLD on/before 8/5/2024. Exit interview conducted and a copy of this report provided.
Other visitApril 22, 2024No deficiencies
Inspector: Biridiana Cisneros
Inspector notes
Facility Type: RCFE Application Type: CHOW Capacity: 20 Census (if any clients in care): 6 COMP II Participants: Licensee, Arpad Nagy & Administrator Rachell Paniagua Interview Method: Microsoft Teams Meeting On 6/13/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readiness
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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