Grace Home Care - Lloyd.
Six-Bed Memory Care Home in Livermore, reviewed on public record.
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Compared to 141 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.
Citation history, plotted month by month.
9 deficiencies on record. Each bar is a month with a citation.
Finding distribution
9 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
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an 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
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Grace Home Care - Lloyd's record and state requirements.
The facility has 9 Type A deficiencies on record, indicating citations where actual harm occurred — can you describe specifically what incidents led to these citations and what corrective actions were implemented?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
CDSS records include a citation under §87705 or §87706 related to dementia care — what was the nature of this deficiency, and what changes have been made to dementia care protocols since then?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
With 19 total deficiencies across 8 inspections, what systemic improvements has Del Rosario-fajardo Corporation put in place to reduce the rate of citations going forward?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
6 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.
2025-08-22Other VisitType B · 1 finding
Plain-language summary
During an unannounced follow-up inspection on August 22, 2025, inspectors observed a staff member speaking to a resident in an ill-mannered way when asking about a gate latch. The facility was cited for this interaction and told that failure to correct it could result in civil penalties. An exit interview was conducted and the facility received a copy of the report with information about appeal rights.
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“Based on observation, licensee did not comply with the section cited above by staff speaking inappropriately to residents which poses a potential personal rights violations to the persons in care.”
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On 8/22/2025 at 11:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management. LPA met with Administrator, Grace Del Rosario informed her the reason for the visit. While LPA was at the facility for a POC (proof of correction) inspection, LPA observed the following deficiency: At 10:30AM, LPA observed S1 spoke to R1 in an ill-mannered way when asking about the side gate latch. 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. Exit interview conducted. A copy of this report and appeal rights provided.
2025-08-22Annual Compliance VisitNo findings
Plain-language summary
On August 22, 2025, inspectors conducted a follow-up visit to verify that a fence problem had been fixed. The fence, which had been leaning toward a neighbor's property, was found to be standing upright and properly maintained. The facility passed the inspection and the deficiency was cleared.
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On 8/22/2025 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPA met with Caregiver, Luisa Tecson informed her the reason for the visit. Administrator, Grace Del Rosario arrived an hour later. The following deficiency was cleared by visit : - 87307(d)(2): LPA observed the fence is no longer leaning towards the neighbor's side and standing upright. LPA cleared deficiencies during visit and provided POC letter to Administrator. Exit interview conducted. A copy of this report provided.
2025-07-25Annual Compliance VisitType A · 4 findings
Plain-language summary
During a routine annual inspection on July 25, 2025, inspectors found that one resident was given medications that did not match the doctor's orders: ferrous sulfate was given daily instead of every other day as prescribed, calcium was given at the wrong dose (500mg instead of 315mg), and two supplements were given without any doctor's orders at all. Inspectors also observed unlocked medications in the refrigerator and unlocked gardening shears in the backyard during the visit, though staff locked these up immediately when notified. The facility was assessed a $250 civil penalty for these violations.
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“Based on observation, the licensee did not comply with the section cited above by having side fence in disrepair which poses a potential health and safety risk to persons in care. POC Due Date: 08/15/2025 Plan of Correction 1 2 3 4 Facility will create a plan of action to repair the side fence so that the side gate latch can close. Facility will submit the plan to CCLD by POC date.”
“Based on observation, the licensee did not comply with the section cited above by having unlocked gardening shears in the backyard which poses an immediate health and safety risk to persons in care. POC Due Date: 07/26/2025 Plan of Correction 1 2 3 4 Staff locked up the gardening shears during inspection. Deficiency cleared”
“Based on observation, the licensee did not comply with the section cited above by having unlocked medication in the refrigerator which poses an immediate health and safety risk to persons in care. POC Due Date: 07/26/2025 Plan of Correction 1 2 3 4 Staff locked up the medications during inspection. Deficiency cleared”
“Based on record review, the licensee did not comply with the section cited above by not following doctor's order for R2's medications which poses an immediate health and safety risk to persons in care. POC Due Date: 07/28/2025 Plan of Correction 1 2 3 4 Facility has agreed to create a plan to obtain the correct medications and/or obtain doctor's orders for R2's calcium, probiotic gummies, and magnesium oxide. Plan should also include additional staff training on medication administration. Facility will submit plan to CCLD by POC date. Civil penalty of $250 is being assessed for repeat violation.”
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On 7/25/2025 at 10:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Luisa Tecson and explained the purpose of the visit. Administrator was unable to be at the facility during inspection. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/6/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105.9 degrees F in the hallway bathroom sink. LPA observed grab bars and non-skid mat in the resident's bathroom. First Aid kit is complete. LPA reviewed 4 residents and 2 staff files starting at 10:51AM. All staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. At 12:38PM, LPA observed unlocked medications in the refrigerator. Staff locked up the medications during inspection. At 12:52PM, LPA observed unlocked gardening shears in the backyard. Staff locked up the gardening shears during inspection. At 12:56PM, LPA observed the fence near the side gate is leaning towards the neighbor's side and side gate latch is unable to close. (Continue 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 At 2:41PM, LPA observed doctor's order dated 6/1/2025 states R2's ferrous sulfate should be taken every other day. However, R2's MAR stated ferrous sulfate was given daily for part of July 2025. R2 has a doctor's order for Calcium 315mg. However, R2's MAR shows that R2 has been given Calcium 500mg. LPA observed R2 did not have doctor's orders for Probiotic Gummies and Magnesium Oxide. However, R2's MAR indicates that the two supplements were given daily. Civil penalty of $250 is being assessed for repeat violation. 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, civil penalty, and appeal rights were provided.
2024-08-08Other VisitType A · 4 findings
Plain-language summary
During a routine annual inspection in August 2024, inspectors found several safety issues: cleaning supplies, a knife, and a lighter were left unlocked and accessible in the facility, though staff secured them during the visit; two residents had full bed rails installed without written physician orders; and one resident was given a higher-dose medication (500mg) than what the doctor prescribed (325mg). The facility was assessed a $250 penalty for repeat violations.
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“Based on observation, the licensee did not comply with the section cited above by having unlocked knife, lighter, and cleaning supplies which poses an immediate health and safety risk to persons in care. POC Due Date: 08/09/2024 Plan of Correction 1 2 3 4 Staff locked up the items during inspection. Deficiency cleared.”
“Based on observation, the licensee did not comply with the section cited above by not having the correct Acetaminophen available which poses an immediate health and safety risk to persons in care. POC Due Date: 08/09/2024 Plan of Correction 1 2 3 4 Administrator has agreed to obtain Acetaminophen 325mg and submit picture proof to CCLD by POC date. Civil penalty of $250 is being assessed for repeat violation.”
“Based on record review, the licensee did not comply with the section cited above by not having written orders from a physician for R1 and R3 which poses a potential health and safety risk to persons in care. POC Due Date: 08/30/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain written orders from a physician for R1 and R3's bed rails. Facility will submit a copy to CCLD by POC date.”
“Based on observation and interview, the licensee did not comply with the section cited above by having full bed rails for R3 who is not on hospice care which poses a potential personal rights violation to persons in care. POC Due Date: 08/16/2024 Plan of Correction 1 2 3 4 Facility has agreed to remove full bed rails for R3 and submit picture proof to CCLD by POC date.”
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On 8/8/2024 at 10:10AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Luisa Tecson and explained the purpose of the visit. Administrator was unable to be at the facility during inspection. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/28/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105 degrees F in the hallway bathroom sink. LPA observed grab bars and non-skid mat in the resident's bathroom. First Aid kit is complete. Medications were kept locked in the cabinet located in the kitchen. Last disaster drill was conducted on 6/21/2024. LPA reviewed 3 resident and 2 staff files starting at 11:10AM. LPA interviewed 2 residents and 1 staff starting at 2:00PM. LPA reviewed a sample of resident's medications during inspection. At 10:30AM, LPA observed unlocked cleaning supplies in the bathrooms. LPA also observed unlocked knife and lighter in the kitchen drawer. Staff locked up the cleaning supplies, knife, and lighter during inspection. At 1:00PM, LPA observed R3 has full bed rails and not on hospice care. At 1:30PM, LPA observed R1 and R3 does not have a written physician's order for bed rails. (Continue 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 At 3:00PM, LPA observed doctor's order for R3's Acetaminophen was 325mg and take two tablets daily every 6 hours as needed. However, the bottle of Acetaminophen that was administered to R3 was Acetaminophen 500mg. Civil penalty of $250 is being assessed for repeat violation. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.
2023-09-15Other VisitNo findings
Plain-language summary
This was a follow-up inspection on September 15, 2023, to verify that the facility had corrected previously cited deficiencies. The inspector confirmed that staff health screening and first aid certification were up to date, emergency drills had been conducted, resident files were complete, and the facility committed to ensuring all staff receive medication training. No violations were found.
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On 9/15/2023 at 10:20AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPA met with caregiver, Amalia Saptang informed her the reason for the visit. The following deficiencies were cleared by visit : - 87411(f); LPA received S2's health screening on 8/28/23. - 1569.695(c); LPA received emergency drill on 8/28/23. Emergency drill was conducted on 8/11/23. - 87411(c)(1); LPA received S1's first aid certificate on 8/28/23. S1's first aid expires on 8/13/25. - 87506(d); LPA observed R2 and R3's files were complete and available for review. - 1569.69(a)(2); LPA was informed that S2 had resigned a couple weeks ago and no longer works at the facility. Administrator submitted a written statement that all staff will have medication training completed. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report and POC letters provided.
2023-09-15Annual Compliance VisitNo findings
Plain-language summary
On September 15, 2023, an unannounced annual inspection found that resident records were complete and properly maintained. No violations were cited. The facility passed this routine inspection.
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On 9/15/2023 at 9:20AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Caregiver, Amalia Saptang and explained the purpose of the visit. During visit, LPA reviewed R2 and R3's file and observed that resident records were complete. No deficiencies are being cited on this date. Exit interview conducted and a copy of this report provided.
3 older inspections from 2021 are not shown above.
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