Grace Home Care - Meadowlark
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.
538 Meadowlark Street · Livermore, 94551
Record last updated April 20, 2026.
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Quick facts
Memory care context
Grace Home Care - Meadowlark is a California-licensed RCFE with 6 beds, operated by Del Rosario-fajardo Corp. The operator advertises memory care services, though this designation is not formally recorded in CDSS licensing data. California Title 22 requires RCFEs serving dementia residents to meet standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS records show no citations under these dementia-specific sections for this facility. State records reflect four inspections with six total deficiencies, all Type B (potential for harm) and zero Type A (actual harm). No complaints appear in the inspection data on file. The most recent inspection occurred on January 3, 2025.
Questions to ask on your tour
Based on Grace Home Care - Meadowlark's state inspection record.
The six Type B deficiencies across four inspections indicate potential-for-harm issues were identified — what were the specific concerns cited, and what corrective actions did you implement?
Since you advertise memory care but lack formal CDSS dementia-care designation, how do you document compliance with Title 22 §87705 requirements for dementia-specific care planning and staff training?
With six licensed beds, how many caregivers are on duty during overnight hours, and what is the supervision protocol if a single caregiver needs to attend to one resident's emergency?
The most recent inspection was January 3, 2025 — were any deficiencies cited during that visit, and if so, have they been corrected?
How do you verify that all staff have completed the dementia care training required under California Title 22 §87705 before they begin working with residents?
State records
California CDSS · Community Care Licensing Division- License number
- 019201082
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Del Rosario-fajardo Corp.
Inspections & citations
4
reports on file
6
total deficiencies
InspectionJanuary 3, 2025Type B1 deficiency
Inspector notes
On 1/23/2026 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Amalia Saptang and explained the purpose of the visit. Administrator, Grace Del Rosario was unable to be at the facility and authorized caregiver to sign CCLD reports. 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 extinguisher was 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 119.3 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. First Aid kit is complete. LPA reviewed 4 residents and 3 staff files starting at 9:55AM. Staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications. At 11:30AM, LPA observed facility have not been conducting emergency drills quarterly. The deficiency was observed (see LIC 809D) and cited from the Health and Safety Code. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.
(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 emergency drills quarterly which poses a potential health and safety risk to persons in care. POC Due Date: 02/13/2026 Plan of Correction 1 2 3 4 Facility has agreed to conduct an emergency drill and submit document to CCLD by POC date.
InspectionJanuary 11, 2024Type B3 deficiencies
Inspector: Grace Luk
Inspector notes
On 1/3/2025 at 10:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Amalia Saptang and explained the purpose of the visit. 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 extinguisher was 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 119.7 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. First Aid kit is complete. LPA reviewed 5 residents and 3 staff files starting at 11:10AM. LPA reviewed a sample of resident's medications. LPA interviewed 2 residents and 1 staff during inspection. At 12:00PM, LPA observed residents does not have current needs and service plans. At 1:45PM, LPA observed side gate latch was broken, side fence that meets the side gate was leaning towards the neighbor's property, and there were mattresses and beds stored openly in the back yard. At 4:45PM, LPA observed R2's medical assessment dated 2/28/2024 stated that R2 is unable to administer own injections and unable to perform own glucose testing. R2 has current doctor's order for insulin. However, R2 currently does not have home health nurse to assist with insulin and facility does not have nurse on staff. 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) Prior to, or within two weeks of the resident's admission, the licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, and any other appropriate parties, to prepare a written record of the care the resident will rece…
Based on record review, the licensee did not comply with the section cited above by not having current needs and service plans for residents which poses a potential health and safety risk to persons in care. POC Due Date: 01/24/2025 Plan of Correction 1 2 3 4 Facility has agreed to go over the needs and service plans with residents and/or responsible party. Facility will submit the plans with signatures to CCLD by POC date.
(a) 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 broken gate latch, leaning fence, and mattresses & bed frames stored in the backyard which poses a potential health and safety risk to persons in care. POC Due Date: 01/24/2025 Plan of Correction 1 2 3 4 Facility has agreed to create a plan to address these items that are broken or left in the backyard. Facility will submit the plan to CCLD by POC date.
(a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens, and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professio…
Based on interview and record review, the licensee did not comply with the section cited above by not having a skilled professional to assist resident with glucose testing and injections which poses a potential health and safety risk to persons in care. POC Due Date: 01/24/2025 Plan of Correction 1 2 3 4 Facility has agreed to create a plan to address the current issue of resident not able to perform own glucose testing and administer own injection. Facility will submit the plan to CCLD by POC…
InspectionJanuary 19, 2023Type B2 deficiencies
Inspector: Grace Luk
Inspector notes
On 1/11/2024 at 1:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Amalia Saptang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory residents of which 3 residents maybe under hospice care. Licensee, Grace Del Rosario arrived about two hours later. 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 extinguisher was 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 119.7 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Last emergency drill was conducted on 1/1/2024. LPA reviewed 2 residents and 2 staff files starting at 2:30PM. LPA reviewed a sample of resident's medications starting at 3:30PM. LPA interviewed 2 residents and 1 staff at 3:50PM. At 3:10PM, LPA observed S2 does not have current annual training on file. At 3:45PM, LPA observed R1 does not have PRN medication records on file. Licensee created PRN medication records for R1 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.
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…
Based on record review, the licensee did not comply with the section cited above by not having current training for S2 which poses a potential health and safety risk to persons in care. POC Due Date: 01/29/2024 Plan of Correction 1 2 3 4 Licensee has agreed to obtain current training for S2 and submit training completion to CCLD by POC date.
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to 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 met: (3) The date and …
Based on record review, the licensee did not comply with the section cited above by not having PRN records for R1 which poses a potential health and safety risk to persons in care. POC Due Date: 01/29/2024 Plan of Correction 1 2 3 4 Licensee created PRN records for R1 and has agreed to audit other resident's PRN records. Licensee has agreed to submit written statement of audit completion to CCLD by POC date.
Other visitJanuary 4, 2022No deficiencies
Inspector: Grace Luk
Inspector notes
On 1/19/2023 at 2:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Administrator, Janet Quines. Upon entry, staff 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. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report was provided.
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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