Grace Home Care - Lloyd
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.
281 Lloyd Street · Livermore, 94550
Record last updated April 20, 2026.
© Google Street View
Quick facts
Memory care context
Grace Home Care - Lloyd is a California-licensed RCFE with a memory care designation, licensed for 6 residents and operated by Del Rosario-fajardo Corporation. 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 one citation under §87705 or §87706 related to dementia care requirements. The facility's inspection history includes 8 reports with 19 total deficiencies: 9 Type A citations (actual harm) and 10 Type B citations (potential for harm). The most recent inspection was conducted on August 22, 2025. The presence of Type A deficiencies indicates documented instances where residents experienced actual harm.
Questions to ask on your tour
Based on Grace Home Care - Lloyd's state inspection record.
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?
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?
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?
In a 6-bed home serving memory care residents, what is the staff-to-resident ratio during overnight hours, and how do you handle coverage when a caregiver is absent?
Given the Type A citation history, what specific training have staff received since the most recent inspection on August 22, 2025, to prevent future harm-related deficiencies?
State records
California CDSS · Community Care Licensing Division- License number
- 019201066
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Del Rosario-fajardo Corporation
Inspections & citations
8
reports on file
19
total deficiencies
9
Type A (actual harm)
1
dementia-care citations
Other visitAugust 22, 2025No deficiencies
Inspector notes
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.
InspectionJuly 25, 2025No deficiencies
Inspector notes
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.
InspectionAugust 8, 2024Type A4 deficiencies
Inspector notes
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.
(c) Except as specified in subsection (d), the licensee shall implement reasonable interventions in order to ensure that nutritional supplements, vitamins, alcohol, cigarettes and other potentially toxic substances, such as certain plants, gardening supplies, and auto supplies, are stored so as not to pose a hazard to residents.
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
(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.
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
(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.
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.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are …
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. Faci…
Other visitSeptember 15, 2023No deficiencies
Inspector: Grace Luk
Inspector notes
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.
Other visitSeptember 15, 2023Type A4 deficiencies
Inspector: Grace Luk
Inspector notes
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.
(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).
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.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are …
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.
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
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.
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.
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.
InspectionAugust 11, 2023No deficiencies
Inspector: Grace Luk
Inspector notes
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.
InspectionJuly 13, 2022Type A7 deficiencies
Inspector: Grace Luk
Inspector notes
On 8/11/2023 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Cathleen Maghinay. Administrator, Janet Quines arrived 3 hours later. The facility’s fire clearance was approved for 5 non-ambulatory residents, 1 ambulatory residents, and 4 residents may be under hospice care. 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 3/27/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 107.5 degrees F in the hallway bathroom sink. LPA observed grab bars and non-skid mat in the resident's bathroom. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Medications were kept locked in the cabinet located in the kitchen. LPA reviewed 3 resident and 2 staff files starting at 10:45AM. LPA interviewed 2 residents and 2 staff starting at 12:30PM. LPA reviewed a sample of resident's medications starting at 3:00PM. At 10:30AM, LPA observed unlocked comet in the bathroom and unlocked gardening tools in the backyard. Staff locked up the comet and gardening tools during inspection. At 11:00AM, LPA observed R2 and R3's files were incomplete. At 11:30AM, LPA observed S2 did not have health screening on file during record review. (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 11:40AM, LPA observed S1 does not have current First Aid training completed. At 2:20PM, LPA observed facility did not have a current disaster drill completed. At 2:40PM, LPA observed S2 does not have medication training documents on file during record review. At 3:10PM, LPA observed doctor's order for R1's Ferrous Sulfate was 325mg and take one tablet daily or as needed. However, the bottle of Ferrous Sulfate that was administered to R1 was Ferrous Sulfate 143mg. LPA will return at a later time to complete annual inspection. 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 and appeal rights were provided.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies and gardening tools accessible which poses an immediate health and safety risk to persons in care. POC Due Date: 08/14/2023 Plan of Correction 1 2 3 4 Staff locked up the cleaning supplies and gardening tools during inspection. Deficiency cleared.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are …
Based on observation, the licensee did not comply with the section cited above by not having the correct Ferrous Sulfate supplement available which poses an immediate health and safety risk to persons in care. POC Due Date: 08/14/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain the Ferrous Sulfate 325mg supplement and submit picture proof to CCLD by POC date.
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after …
Based on record review, the licensee did not comply with the section cited above by not having S2's health screening which poses a potential health and safety risk to persons in care. POC Due Date: 09/01/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain S2's health screening and submit a copy to CCLD by POC date.
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours o…
Based on record review, the licensee did not comply with the section cited above by not having medication training for S2 which poses a potential health and safety risk to persons in care. POC Due Date: 09/01/2023 Plan of Correction 1 2 3 4 Administrator has agreed to conduct medication training for S2 and submit training document to CCLD by POC date.
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Based on record review, the licensee did not comply with the section cited above by not conducting an emergency drill every 3 months which poses a potential health and safety risk to persons in care. POC Due Date: 09/01/2023 Plan of Correction 1 2 3 4 Administrator has agreed to conduct an emergency drill and submit completion document to CCLD by POC date.
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.
Based on record review, the licensee did not comply with the section cited above by not having current first aid training for S1 which poses a potential health and safety or personal rights risk to persons in care. POC Due Date: 09/01/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current first aid training for S1 and submit completion document to CCLD by POC date.
(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:
Based on observation, the licensee did not comply with the section cited above by having incomplete files for R2 and R3 which poses a potential health and safety risk to persons in care. POC Due Date: 09/01/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain R2 and R3's complete file and have it available at the facility for any future reviews. Administrator will submit self-certification to CCLD by POC date.
Other visitJuly 22, 2021Type A4 deficiencies
Inspector: Grace Luk
Inspector notes
On 7/13/2022 at 8:55AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Administrator, Janet Quines. Upon entry, staff did not conduct COVID-19 screening for LPA. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, garage, and outdoor areas. LPA observed cough etiquette, signs & symptoms, and physical distancing are posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. During record review, LPA observed visitors log. LPA observed facility has a copy of Mitigation Plan on file. Fit testing for N95 respirator was completed and completion certificate reviewed. LPA observed PPE, food supplies, and paper supplies are sufficient. At 9:10AM, LPA observed unlocked cleaning supplies in staff bathroom and garage. Lock for knives drawer was broken. There were unlocked scissors in kitchen and backyard. Staff put a lock on the cabinet in the staff bathroom. At 9:20AM, LPA observed unlocked medication in the refrigerator and lockbox was unlocked. Also, medication cabinet was unlocked. Staff locked up medication cabinet and lockbox during inspection. At 9:30AM, LPA observed store purchased eggs were left out on the kitchen counter top and was informed it was been there for about 2 days. LPA informed staff that store purchased eggs needs to be refrigerated. Staff threw out the eggs during inspection. (Continue on LIC9099C...) 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 9:40AM, LPA observed passageway in the backyard has lots of clutter including bikes, boxes, and other items. Staff removed the clutter during inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies and broken lock for the knives drawer which poses an immediate health and safety risk to persons in care. POC Due Date: 07/14/2022 Plan of Correction 1 2 3 4 Staff locked up cleaning supplies and scissors. Staff will fix the lock and send picture proof to CCLD by POC date.
(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.
Based on observation, the licensee did not comply with the section cited above by having unlocked medication in the refrigerator and unlocked medication cabinet which poses an immediate health and safety risk to persons in care. POC Due Date: 07/14/2022 Plan of Correction 1 2 3 4 Staff locked up the medication in the refrigerator and the medication cabinet during inspection. Deficiency cleared.
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Based on observation, the licensee did not comply with the section cited above by having clutter in the backyard on the passageway which poses a potential health and safety risk to persons in care. POC Due Date: 07/20/2022 Plan of Correction 1 2 3 4 Staff removed clutter from backyard passageways during inspection. Deficiency cleared.
(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures.
Based on observation, the licensee did not comply with the section cited above by storing pre-refrigerated eggs on counter top at room temperature for a couple days which poses a potential health and safety risk to persons in care. POC Due Date: 07/15/2022 Plan of Correction 1 2 3 4 LPA witnessed staff threw away contaminated eggs in the garbage can during inspection. Deficiency cleared.
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.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.