Millbrae Family Care Home
RCFE · 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.
487 Anita Drive · Millbrae, 94030
Quick facts
Quality snapshot
Updated April 26, 2026Compared to 182 California RCFE memory care facilities of similar size, over the last 36 months.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity57thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency48thDeficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Quality grade· click to show how this was calculated
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Millbrae Family Care Home scores B−. Better than 68% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 57th percentile. Repeats: top 0%. Frequency: 48th percentile.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_memory_care / small beds (182 facilities).
Citation severity over time
stableWeighted severity score per month · 24 months
Weighted score (24mo)
0
Finding distribution
6 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.Rules this facility has been cited for are shown first.
What dementia-care training must staff complete?Cited Nov 202322 CCR §87705 / HSC §1569.625
Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:
- 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
- 8 hours annual dementia in-service — required every year thereafter.
- Administrator CE — the 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: Ask how dementia training records are kept — families may request documentation.
How many staff must be on duty overnight?22 CCR §87415
Based on 6 licensed beds:
One qualified staff member must be on call and physically on premises at all times overnight.
Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.
Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.
What health conditions can this facility legally accept or refuse?22 CCR §87612–87615
Restricted — allowed with physician order + care plan
- Supplemental oxygen
- Insulin and injectable medications
- Indwelling or intermittent catheters
- Colostomy / ileostomy
- Stage 1 and Stage 2 pressure injuries
- Wound care (non-complex)
- Incontinence
- Contractures
Prohibited — facility must refuse or discharge
- Stage 3 or Stage 4 pressure injuries
- Feeding tubes (PEG, NG, or J-tube)
- Tracheostomies
- Active MRSA or communicable infections requiring isolation
- 24-hour skilled nursing needs
- Total ADL dependence with inability to communicate needs
A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.
Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.
What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
- ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
- 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
- 24 hrsAbuse without serious bodily injuryWithin 24 hours
- Next dayDeath of a residentPhone by next working day; written within 7 days
- Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
- WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure
Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).
How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
- 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
- 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
- 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
- 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
- 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.
See how these rules have been applied to this specific facility:
View state inspection record and citationsState records
California Dept. of Social Services · Community Care Licensing- License number
- 415600707
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Josver Residential Care
Inspections & citations
4
reports on file
6
total deficiencies
1
Type A (actual harm)
1
dementia-care citations
InspectionJuly 22, 2025No deficiencies
Plain-language summary
This was a routine annual inspection on August 27, 2024, which found the facility clean and safe overall, with proper storage of medications, cleaning supplies, and kitchen knives, functioning fire safety equipment, and current resident and staff records. The inspector issued one citation and one technical violation (related to forms the facility must submit to the state by July 29, 2025) but did not identify any issues that put residents at immediate risk during the inspection.
View full inspector notes
On 08/27/2024, Licensing Program Analyst (LPA) Vado Jaime Vado conducted an unannounced annual required inspection visit. LPA met with administrator Wilma Deguzman. There are currently 5 residents in the facility and one resident is out of the facility with family. This is a single level facility licensed for residents age range of 60 years and over all of which may be non-ambulatory. License is approved for 3 hospice residents. There is 1 hospice resident as of today's inspection visit. The physical plant was toured inside and outside of the facility to ensure the safety of the clients. The rear fence of the facility has been replaced and repaired based on observations made. There are no video cameras on site per the administrator. LPA observed the facility kitchen which is clean and observed appliances that are in good repair. Knives are stored and locked in in kitchen drawer adjacent to the stove. Perishable and non-perishable food items are observed as in place. There is an additional refrigerator and freezer in the garage area which carries additional food supplies for resident use. First aid kit is observed as complete with required items. Medications are observed to be locked in the kitchen in a lockable cabinet. LPA observed that there are two fire extinguishers in place which are currently within operating range, smoke detector, carbon monoxide detectors are observed in place through out the facility, and central heating. PPE is observed to be in place stored in a closet within a resident bathroom. Laundry area is also observed as fully operational in the garage. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted on 08/27/2024. According to administrator they are conducting soon due to facility improvements such as solar and fence repair. Water temperature was measured at 109F. Cleaning supplies are observed to be locked in beneath the kitchen sink and additional toxins and cleaning supplies are observed to be locked in the garage. Continued on next... 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 Page 2 LPA observed all resident rooms and all are observed as clean, free of odors, and contained all the required furniture per regulatory recommendations. Extra resident linen supplies are observed as in place in hallway closets. There are two resident full bathrooms, and a half bath in room 3, all are observed which are in good repair. Shower floors are equipped with non-skid mats. Medications and logs are observed today as current. During today's inspection LPA reviewed 4 resident files which are current and 3 staff files which are current. Administrator certificate is observed as current expiring 05/21/2026 for Wilma De Guzman. The following updated forms are requested to be submitted to CCLD by 07/29/2025 : • Copy of updated administrator certificates as there are more than one administrator • Copy of facility's liability insurance • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule • Copy of control of property or copy of lease Report is reviewed with Wilma and a copy is provided on this day. Citation issued on following LIC80D and Technical Violation on the following LIC9102TV.
Other visitAugust 27, 2024No deficiencies
Inspector: Jaime Vado
Plain-language summary
During an unannounced annual inspection on August 27, 2024, the facility was found to be clean and safe, with properly stored medications and cleaning supplies, working fire safety equipment, and current resident and staff files. The inspector observed that resident rooms were clean and odor-free, bathrooms were in good repair with safety features, and the kitchen was well-maintained with adequate food supplies. No violations were cited, though the facility was asked to submit updated documentation including administrator certificates and an emergency plan by September 3, 2024.
View full inspector notes
On 08/27/2024, Licensing Program Analyst (LPA) Vado Jaime Vado conducted an unannounced annual required inspection visit. LPA met with administrator Wilma Deguzman. There are currently 5 residents in the facility and one resident is out of the facility with family. This is a single level facility licensed for residents age range of 60 years and over all of which may be non-ambulatory. License is approved for 3 hospice residents. There is 1 hospice resident as of today's inspection visit. The physical plant was toured inside and outside of the facility to ensure the safety of the clients. There are no video cameras on site per the administrator. LPA observed the facility kitchen which is clean and observed appliances that are in good repair. Knives are stored and locked in in kitchen drawer adjacent to the stove. Perishable and non-perishable food items are observed as in place. There is an additional refrigerator and freezer in the garage area which carries additional food supplies for resident use. First aid kit is observed as complete with required items. Medications are observed to be locked in the kitchen in a lockable cabinet. LPA observed that there are two fire extinguishers in place which are currently within operating range, smoke detector, carbon monoxide detectors are observed in place through out the facility, and central heating. Facility is not equipped with fire sprinklers. PPE is observed to be in place stored in a closet within a resident bathroom. Laundry area is also observed as fully operational in the garage. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted on 08/27/2024. Water temperature was measured at 107F. Cleaning supplies are observed to be locked in beneath the kitchen sink and additional toxins and cleaning supplies are observed to be locked in the garage. Continued on next... 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 Page 2 LPA observed all resident rooms and all are observed as clean, free of odors, and contained all the required furniture per regulatory recommendations. Extra resident linen supplies are observed as in place in hallway closets. There are two resident full bathrooms, and a half bath in room 3, all are observed which are in good repair. Shower floors are equipped with non-skid mats. Facility does not handle resident monies. Medications and logs are observed today as current. During today's inspection LPA reviewed 4 resident files which are current and 3 staff files which are current. Administrator certificate is observed as expired on 05/2024 but currently shows as pending online and payment has been received. The following updated forms are requested to be submitted to CCLD by 09/03/2024 : • Copy of updated administrator certificates as there are more than one administrator • Copy of facility's liability insurance • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule • Copy of control of property or copy of lease No citations issued on this day. Report is reviewed with Wilma and a copy is provided on this day.
InspectionNovember 21, 2023Type A4 deficiencies
Inspector: Audrey Jeung
Plain-language summary
An annual inspection was conducted on July 12, 2023, during which staff training records and resident medication records were reviewed. The inspection identified deficiencies that are detailed on the following page of the report.
View full inspector notes
LPA Jeung reviewed staff training records and client records--including medications--to complete annual inspection of 7/12/23. Deficiencies of the California Code of Regulations, Title 22, are cited on a following page.
Regulation
(c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a).
Inspector finding
Based on record review, the licensee did not comply with the section cited above, as one out of 6 residents is bedridden, per MD report, which poses an immediate health, safety or personal rights risk to persons in care. Client #6 is bedridden, per MD report dated 8/2022. Facility maintains fire clearance for 6 Non-ambulatory residents. POC Due Date: 11/22/2023 Plan of Correction 1 2 3 4 Plan of correction to be submitted to CCLD BY DUE DATE
Regulation
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following:
Inspector finding
Based on staff record review, the licensee did not comply with the section cited above, as 3 out of 3 staff have not received required 4 hours of training on postural supports, restricted health conditions, and hospice care, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/12/2023 Plan of Correction 1 2 3 4 Proof that 3 staff have received 4 hours of training on postural supports, restricted health conditions, and hospice care till be sent to…
Regulation
(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 …
Inspector finding
Based on client records review, the licensee did not comply with the section cited above, as 4 out of 4 clients diagnosed with dementia have MD reports that are more than 1 year old and 3 out of 4 clients diagnosed with dementia have appraisals that are more than 1 year old, which poses a potential health, safety or personal rights risk to persons in care. Clients #1, #2, #3, #5 are diagnosed with dementia, but MD reports are over one year old and appraisals for clients #1, #3, #5 are over one …
Regulation
INCIDENTAL MEDICAL CARE A record of centrally stored prescription medications for each resident shall be maintained and include names of the resident for whom prescribed, prescribing physician and pharmacist, drug name, strength and quantity, dates filled, started & expiration, prescription number and instructions:
Inspector finding
Based on review of client records and centrally stored medications, the licensee did not comply with the section cited above. All medications for at least 2 residents are not logged on CSMR (LIC622), which poses a potential health, safety or personal rights risk to persons in care. Six RX medications filled in November 2023 and 1 med filled in October 2023 for client #4 are not logged and meds for client #3 and client #5 are not logged since 8/23 and 9/23, respectively. POC Due Date: 12/12/2…
ComplaintJuly 12, 2023Type B2 deficiencies
Inspector: Audrey Jeung
Plain-language summary
A complaint inspection found no safety hazards in the home's physical layout, storage of medications and chemicals, fire safety equipment, or temperature and lighting conditions. The facility must submit several required administrative documents and insurance proof by late July, and three advisory notes were issued that are available upon request. Client and staff records will be reviewed separately at a later date.
View full inspector notes
LPA Audrey Jeung toured facility and grounds. There are no accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable room temperature is maintained, and lighting is sufficient for safety. Carbon monoxide detector is tested and operable. First-aid kit is maintained and complete. This facility is one level, with 5 client bedrooms, 2 full bathrooms, 1 half bathroom, kitchen, living/dining room, staff room, and attached 2-car garage, where the washer and dryer and an enclosed room are located; the garage room is used as sleeping room for staff, and has an exit door. Staff room has two beds. The backyard is paved and enclosed by a stone wall in the back and wood fence on the sides. There is a storage shed in backyard. Medications are stored in locked kitchen cabinet and chemicals and cleaners are stored in locked garage cabinet. An updated Disaster and Mass Casualty Plan is posted, and copy is given to LPA. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Julita Andaya and Wilma De Guzman are certified RCFE administrators (x 2/25 & 5/24) that oversee facility operations. Client records and Staff training records will be reviewed at a later date. The following forms are provided and shall be completed and returned to CCL by 7/28/23: • LIC 308 Designation of Administrative Responsibility, including Board resolution • LIC 309 Administrative Organization • LIC 500 Personnel Report • LIC 610 Emergency Disaster Plan (signed and dated) • Infection Control Plan (signed and dated) • Proof of liability insurance for $1 million per incident and $3 million in annual aggregate • Control of property/valid lease agreement Deficiencies of the CA Code of Regulations, Title 22 are cited on a following page. Also, see 3 Advisory Notes issued.
Regulation
MAINTENANCE AND OPERATION The facility shall be clean, safe, sanitary and in good repair at all times.
Inspector finding
Based on observation, the licensee did not comply with the section cited above, as wood fence boards, chairs, commodes, building equipment, dresser, are stored in back and side yards. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2023 Plan of Correction 1 2 3 4 Back and side yards will be cleared of wood and furnishings. Proof of correction to be submitted to CCLD BY DUE DATE.
Regulation
PERSONNEL REQUIREMENTS - GENERAL Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.
Inspector finding
Based on review of staff records, the licensee did not comply with the section cited above , as 3 out of 7 staff do not have proof of current first-aid training, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/26/2023 Plan of Correction 1 2 3 4 Proof of current first-aid training for staff #3, #5, #6 will be sent to CCLD BY DUE 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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