Tuscany Villa Senior Living
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.
790 Holmes Street · Livermore, 94550
Record last updated April 20, 2026.
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Quick facts
Memory care context
Tuscany Villa Senior Living is a California-licensed RCFE with 31 beds, designated for memory care under state licensing. California Title 22 requires facilities serving dementia residents to comply with §87705 and §87706, which govern individualized care plans, staff training in dementia care, and supervision standards. CDSS records show this facility has been cited under these dementia-care sections. The facility's inspection history includes 8 reports on file with 6 total deficiencies: 1 Type A citation (indicating actual harm occurred) and 5 Type B citations (potential for harm). One complaint has been investigated during the period on record. The most recent inspection occurred on February 20, 2025.
Questions to ask on your tour
Based on Tuscany Villa Senior Living's state inspection record.
State records show one Type A deficiency, indicating actual harm to a resident — what was the nature of this citation, what corrective actions were taken, and what safeguards are now in place to prevent recurrence?
The facility was cited under §87705 or §87706 for dementia care standards — which specific requirement was not met, and how has the facility changed its dementia-care practices in response?
One complaint was investigated by CDSS during the period on file — what was the subject of that complaint, and was it substantiated?
With 5 Type B deficiencies on record indicating potential for harm, what operational changes has the facility made since the most recent inspection on February 20, 2025?
California Title 22 §87705 requires dementia-specific staff training — how do you document and verify that all direct-care staff, including overnight and weekend staff, have completed the required training?
The facility is operated by Kenai River Holdings, LLC — who is the on-site administrator, and what is their direct involvement in daily resident care decisions?
State records
California CDSS · Community Care Licensing Division- License number
- 019201002
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 31
- Operator
- Kenai River Holdings, Llc
Inspections & citations
8
reports on file
6
total deficiencies
1
Type A (actual harm)
1
dementia-care citations
ComplaintFebruary 20, 2025No deficiencies
Inspector: Grace Luk
Inspector notes
On 2/18/2022 at 2:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Administrator, Janice Gombio and Campus Director, Isabel Poderoso. 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, hand washing stations, kitchen, and common areas. LPA observed cough etiquette, physical distancing, and signs & symptoms posted in the common areas. All sinks and bathrooms were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed staff were fit tested and COVID-19 test results were available. LPA observed facility has a copy of Mitigation Plan on file. 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 provided.
Other visitFebruary 20, 2025Type B1 deficiency
Inspector notes
On 1/28/2026 at 9:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Janice Gombio and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 40 degrees F. Hot water temperature was measured at 112.9 degrees F in a resident's bathroom. Grab bars and non-skid mats were observed. There were adequate lights in each room. Centrally stored medications were locked in medication cart. 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 1/6/2026. LPA reviewed 5 residents and 5 staff files starting at 10:10AM. Residents and staff files were complete. Staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. At 4:00PM, LPA observed physician's order for R3's Melatonin was for 5 mg. However, facility had a bottle of Melatonin 3 mg and had been administering to R3. Family dropped off the correct dosage of Melatonin during inspection. 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 were provided.
(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 and record review, the licensee did not comply with the section cited above by not giving resident medication as prescribed by the physician which poses a potential health and safety risk to persons in care. POC Due Date: 02/09/2026 Plan of Correction 1 2 3 4 Family dropped a bottle of Melatonin 5mg during inspection. Executive Director (ED) has agreed to conduct training on medication intake and administration. ED will provide staff sign in sheet and training materials to…
InspectionJanuary 28, 2025No deficiencies
Inspector: Grace Luk
Inspector notes
On 11/22/2022 at 10:58AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management inspection in regards to incident report received on 11/19/2022. LPA met with Administrator, Janice Gombio. Incident report dated 11/19/2022 revealed that R1 AWOL without setting off door alarms. Law enforcement contacted facility that R1 was found and R1 returned to the facility a couple hours later. Interview with staff revealed that R1 left the facility and staff didn't hear the door alarms. R1 might have left the facility near the exit door by R1's room. Staff stated the exit door might have been open at that time. During record review, LPA observed that physician's report dated 3/17/2021 stated that R1 cannot leave the facility unassisted. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalty. Exit interview conducted. A copy of this report and appeal rights provided.
InspectionJanuary 26, 2024Type B1 deficiency
Inspector: Grace Luk
Inspector notes
On 1/28/2025 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Janice Gombio and Campus Director, Isabel Poderoso. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 37 degrees F. Hot water temperature was measured at 114.4 degrees F in a resident's bathroom. Grab bars and non-skid mats were observed. There were adequate lights in each room. Centrally stored medications were locked in medication cart. 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 1/20/2025. There were no bodies of water observed. LPA reviewed 4 residents and 4 staff files starting at 11:25AM. LPA reviewed a sample of resident's medications during inspection. At 12:30PM, LPA observed R1, R2, and R4 does not have current reappraisal needs and service plans on file. 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 were 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 reappraisals for 3 of 4 residents which poses a potential health and safety risk to persons in care. POC Due Date: 02/24/2025 Plan of Correction 1 2 3 4 Executive Director has agreed to obtain signed copies of residents' (R1, R2, R4) reappraisal with dates and submit copies to CCLD by POC date.
InspectionJanuary 27, 2023Type A3 deficiencies
Inspector: Grace Luk
Inspector notes
On 1/26/2024 at 10:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Janice Gombio and Campus Director, Isabel Poderoso. The facility’s fire clearance was approved for 31 non-ambulatory residents of which 12 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 40 degrees F. Hot water temperature was measured at 115.7 degrees F in a resident's bathroom. Grab bars and non-skid mats were observed. There were adequate lights in each room. Centrally stored medications were locked in medication cart. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 1/4/2024. Indoor and outdoor passages were free of obstruction. LPA reviewed 5 residents and 5 staff files starting at 1:10PM. LPA interviewed 3 residents starting at 12:00PM. LPA reviewed a sample of resident's medications starting at 5:20PM. LPA interviewed 3 staff starting at 5:50PM. At 2:00PM, LPA observed R1 and R2 does not have current medical assessments and R2 does not have current reappraisal needs and service plans on file. At 3:30PM, LPA observed S4 does not have health screening on file. (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 5:40PM, LPA observed R2 ran out of medications (Primidone 250mg and Donepezil HCI 5mg). LPA was informed that R2 have not taken Donepezil for a few days. Staff stated that medications were ordered last week. 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) 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 e…
Based on record review, the licensee did not comply with the section cited above by not having health screening documents for S4 which poses a potential health and safety risk to persons in care. POC Due Date: 02/16/2024 Plan of Correction 1 2 3 4 Administrator has agreed to obtain health screening for S4 and submit a copy of health screening 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 observation, the licensee did not comply with the section cited above by not having R2's prescribed medications available which poses an immediate health and safety risk to persons in care. POC Due Date: 01/29/2024 Plan of Correction 1 2 3 4 Administrator has agreed to notify R2's doctor regarding missed medications. Administrator will request for refills for the two medications again and submit document proof to CCLD by POC date.
(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 reassessment of the resident’s dementia care n…
Based on record review, the licensee did not comply with the section cited above by not having current medical assessments and reappraisals for resident(s) which poses a potential health and safety risk to persons in care. POC Due Date: 02/16/2024 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current medical assessment for R1 and R2 and current reappraisal for R2. Administrator will submit copies to CCLD by POC date.
Other visitDecember 2, 2022No deficiencies
Inspector: Grace Luk
Inspector notes
On 2/20/2025 at 4:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit in regards to an incident report. LPA met with Executive Director (ED), Janice Gombio and Campus Director, Isabel Poderoso. While LPA was at the facility for another visit, ED provided LPA a copy of a recent incident report. Based on the incident report dated 2/20/2025, at around 1:35PM on 2/19/2025 staff went to the front lobby and noted the front door was propped open. Staff immediately searched the area and conducted a head count of residents. It was noted that two residents (R1 and R2) were not in the building. Staff searched for residents and called 911. R1 and R2 was found by staff and police at a nearby grocery store. R1 and R2 returned back to the facility with staff. During visit, LPA interviewed staff and reviewed R1 and R2's file including physician's report and incident report. R1 and R2's physician's report stated that R1 and R2 cannot leave the facility unassisted. Interview with staff revealed that the front door delayed egress door was propped open and there was no staff at the front desk during that time. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.
Other visitNovember 22, 2022No deficiencies
Inspector: Grace Luk
Inspector notes
On 12/2/2022 at 1:40PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management inspection in regards to incident report received on 11/25/2022. LPA met with Administrator, Janice Gombio. Incident report dated 11/24/2022 revealed that R1 AWOL and set off front door alarm with delayed egress. Law enforcement was able to locate R1 and was transferred to hospital for evaluation. Interview with staff revealed that R1 left the facility while S2 was with another resident. There was only one night staff at the time of incident. When S1 arrived to the facility at around 1:30am, the front door alarm was on and staff called 911. Police was able to locate R1 at a nearby grocery store and was sent to hospital. During record review, LPA observed that physician's report dated 8/9/2022 stated that R1 cannot leave the facility unassisted. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalty. Exit interview conducted. A copy of this report and appeal rights provided.
InspectionFebruary 18, 2022Type B1 deficiency
Inspector: Grace Luk
Inspector notes
On 1/27/2023 at 2:05PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with Administrator, Janice Gombio and Campus Director, Isabel Poderoso. Upon entry, administrator directed LPA to the automated standing thermometer and asked to sign in on the visitor's log. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, and common areas. LPA observed cough etiquette, physical distancing, and signs & symptoms posted in the common areas. All sinks and bathrooms were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. Hot water was measured at 117.3 degrees F in a resident's bathroom. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed staff were fit tested and documents reviewed. LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, food supplies, and paper supplies are sufficient. At 2:40PM, LPA observed freezer temperature at 10 degrees F. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalty. Exit interview conducted. A copy of this report and appeal rights provided.
(b) The following food service requirements shall apply: (21) Freezers of adequate size shall be maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degree F. (4 degree C). They shall be kept clean and food stored to enable adequate air circulation to maintain th…
Based on observation, the licensee did not comply with the section cited above by having freezer temperature at 10 degrees F which poses a potential health and safety risk to persons in care. POC Due Date: 02/03/2023 Plan of Correction 1 2 3 4 Administrator has agreed to adjust freezer temperature according to regulation and submit picture proof to CCLD by POC date.
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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