Grand Lake Vista
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.
365 Staten Avenue · Oakland, 94610
Record last updated April 20, 2026.
© Google Street View
Quick facts
Memory care context
Grand Lake Vista is a California-licensed Residential Care Facility for the Elderly (RCFE) with 15 beds, operated by Koobamo Ysabella LLC. The facility advertises memory care services, though this designation is operator-stated rather than formally documented in CDSS licensing records. California Title 22 requires all RCFEs serving residents with dementia to comply with §87705 and §87706, which govern dementia-specific care plans, staff training requirements, and supervision protocols. State records show two inspections on file with zero deficiencies cited and zero complaints investigated. The most recent inspection occurred on October 10, 2024. The absence of citations does not confirm program quality — it reflects the scope of what inspectors reviewed during those two visits.
Questions to ask on your tour
Based on Grand Lake Vista's state inspection record.
State records show zero deficiencies across two inspections — can you walk me through what areas inspectors reviewed during the October 2024 visit and what documentation they examined?
The facility advertises memory care but this is not formally designated in CDSS licensing data — what specific dementia training under Title 22 §87705 have your current caregivers completed, and how is this documented?
With 15 beds and memory care residents, how does the facility meet the supervision requirements under §87706 during overnight hours when residents may wander or become disoriented?
Who is the day-to-day administrator responsible for compliance at this location, and how long have they been in this role under Koobamo Ysabella LLC's operation?
What is the procedure for updating a resident's Needs and Services Plan when their dementia symptoms progress, and how are families involved in that reassessment?
State records
California CDSS · Community Care Licensing Division- License number
- 019201433
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 15
- Operator
- Koobamo Ysabella Llc
Inspections & citations
2
reports on file
0
total deficiencies
Other visitOctober 10, 2024No deficiencies
Inspector: Grace Luk
Inspector notes
On 10/10/2024 at 1:30PM, Licensing Program Analysts (LPAs) G. Luk and D. Doidge conducted a face to face Component III presentation. LPAs met with Administrator, Hasmin Koo. LPAs presented Component III power point and discussed the regulations embodied in the presentation. LPAs observed Administrator gained knowledge about running and maintaining the facility in accordance with Title 22 regulations. LPAs concluded Component III. Exit interview conducted and a copy of this report provided.
Other visitOctober 10, 2024No deficiencies
Inspector notes
On 11/13/2024 at 12:40 PM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver Mary Ann Ocenada and explained the purpose of the visit. Administrator Hasmin Koo arrived at 1:45 PM. LPA toured the facility including but not limited to, bedrooms, bathrooms, multiple activity rooms, kitchen, common area and backyard. LPA observe lighting in all rooms is adequate for the comfort and safety of the residents. Hallway temperature was maintained at 71 degrees Fahrenheit. The hot water temperature in a common bathroom was measured at 107.2 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/06/2025. Emergency disaster drills are conducted quarterly; last conducted on 10/14/2025. First aid kit was observed to be complete. LPA reviewed five (5) resident records and four (4) staff records, all were complete. No deficiencies observed or cited during this visit. Exit interview conducted and a copy of this report 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.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.