California · Millbrae

Millbrae Family Care Home.

RCFE · Memory Care6 bedsDementia-trained staff(650) 692-1297
Limited Inspection History · fewer than 4 records in 3 years
Peer rank
Top 22% of California memory care
See full peer rank →
Facility · Millbrae
A 6-bed RCFE · Memory Care with 4 citations on file.
Licensed beds
6
Last inspection
Jul 2025
Last citation
Nov 2023
Operated by
Josver Residential Care
Snapshot

A small home, reviewed on public record.

Peer Comparison

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.

Severity rank
70th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
63rd%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

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The Record

Citation history, plotted month by month.

4 deficiencies on record. Each bar is a month with a citation.

Peer median 4 · dashed
No citation activity in this window.
peer median
Sep 2024as of Aug 2026

Finding distribution

4 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G1
H
I
Sev 2
D3
E
F
Sev 1
A
B
C
The Rulebook

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.

What dementia-care training must staff complete?22 CCR §87705 / HSC §1569.625
Cited Nov 2023+
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?

Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Millbrae Family Care Home's record and state requirements.

01 /

The July 2025 inspection cited one serious deficiency — can you provide your corrective-action plan for the cited item, and show families any documentation of remediation steps taken?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

The facility is cited under Title 22 §87705/§87706 for dementia care — can you provide the written dementia-care program required by §87705?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

One complaint is on file with CDSS — was it substantiated, and what remediation did the facility take in response to any substantiated findings?

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Full Inspection Record

Every inspection visit, verbatim.

3 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.

3
reports on file
4
total deficiencies
1
severe (Type A)
2025-07-22
Annual Compliance Visit
No findings

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.

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Read full citation text
Read raw 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.

2024-08-27
Other Visit
No findings
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.

Read full citation text
Read raw 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.

2023-11-21
Annual Compliance Visit
Type A · 4 findings
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.

Read full citation text (4)
Type A22 CCR §87606(c)
Verbatim citation text · 22 CCR §87606(c)

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

Type B
Verbatim citation text

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 CCLD BY DUE DATE.

Type B22 CCR §87705(c)(5)
Verbatim citation text · 22 CCR §87705(c)(5)

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 year old. POC Due Date: 12/12/2023 Plan of Correction 1 2 3 4 Updated MD reports and appraisals will be submitted to CCLD BY DUE DATE for above referenced residents who are diagnosed with dementia

Type B22 CCR §87465(h)(6)
Verbatim citation text · 22 CCR §87465(h)(6)

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: 12/12/2023 Plan of Correction 1 2 3 4 Plan/proof of corrections to be submitted to CCLD BY DUE DATE, to acknowledge and ensure that medications are logged in CSMR promptly upon receipt.

Read raw 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.

1 older inspection from 2023 are not shown above.

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