Buttons Elderly Care Llc
RCFE
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 assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.
1448 Buttons Court · Oakley, 94561
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 214 California RCFE 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
Severity100thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency100thDeficiencies 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
Buttons Elderly Care Llc scores A. Better than 100% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: top 0%. Repeats: top 0%. Frequency: top 0%.
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_general / small beds (214 facilities).
Citation severity over time
stableWeighted severity score per month · 24 months
Weighted score (24mo)
0
Finding distribution
none · 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.
What training are all staff required to complete?22 CCR §87411
All direct-care staff must complete:
- 10 hours initial training within the first four weeks of employment.
- 4 hours annual in-service every year thereafter.
- Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.
Ask on tour: Ask when the last staff training was completed and how it's tracked.
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
- 079200388
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Buttons Elderly Care Llc
Inspections & citations
4
reports on file
2
total deficiencies
1
Type A (actual harm)
InspectionAugust 26, 2025No deficiencies
Plain-language summary
On August 26, 2025, state licensing conducted a routine annual inspection of the facility and found no violations. The inspector toured the building, reviewed resident and staff records, and confirmed that safety equipment, food supplies, sanitation, and emergency plans were all in place and current. The facility must submit updated paperwork to the state by September 2, 2025.
View full inspector notes
On 08/26/2025 at 3:15PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Shirley Virden, Administrator, explained the purpose of the visit. The Administrator currently holds a certificate (#7007630740) Expires 05/02/2027. The facility’s fire clearance was approved for two (2) ambulatory and four (4) non ambulatory residents. LPA toured the facility with Shirley Virden, Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) bedrooms and two and half (2 1/2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 77 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the resident’s shared bathroom was measured at 105.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and nonskid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 06/17/2025. Emergency Disaster Plan was last posted on 07/05/2025. First aid kit was observed to be complete. Fire drill was last conducted on 07/05/2025. Continued 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 Continued from LIC809 LPA reviewed five (5) residents records and three (3) staff records, and they were current and complete. The following forms to be updated and submitted to CCLD by 09/02/2025: LIC 500 Personnel Report LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC610E Emergency Disaster Plan LIC308 Designation of facility responsibility No deficiencies observed during visit. Exit interview conducted and a copy of this report provided to Shirley Virden.
InspectionAugust 29, 2024No deficiencies
Inspector: Tonica Syess-Gibson
Plain-language summary
This was a routine annual inspection conducted in August 2024 at an unannounced visit. The inspector found no violations—the facility met all requirements for safety, sanitation, food storage, fire prevention, and resident care documentation, with adequate lighting, temperature control, grab bars, and emergency equipment in working order.
View full inspector notes
On 08/29/2024 at 12:28PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Shirley Virden, Administrator, explained the purpose of the visit. The Administrator currently holds a certificate (#7007630740) Expires 05/02/2025. The facility’s fire clearance was approved for two (2) ambulatory and four (4) non ambulatory residents. LPA toured the facility with Noah Lake, Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) bedrooms and two and half(2 1/2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 110.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and nonskid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 06/19/2024. Emergency Disaster Plan was last posted on 05/22/2024. First aid kit was observed to be complete. Fire drill last conducted on 07/12/2024. Continued 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 Continued from LIC809. LPA reviewed six (6) resident records and three (3) staff records, and they were current and complete. No deficiencies observed during visit. The following forms to be updated and submitted to CCLD by 09/05/2024: · LIC 500 Personnel Report · LIC 400 Affidavit Regarding Client/Resident Cash Resources · LIC 402 Surety Bond · LIC610E Emergency Disaster Plan · LIC308 Designation of facility responsibility Exit interview conducted and a copy of this report provided.
InspectionNovember 8, 2023No deficiencies
Inspector: Paris Watson
Plain-language summary
A routine annual inspection was conducted on November 8, 2023, and no violations were found. The facility met standards for safety, including proper temperature control, working smoke and carbon monoxide detectors, grab bars in bathrooms, secure medication storage, and adequate food supplies. The inspector reviewed resident and staff records and confirmed that staff had current first aid training.
View full inspector notes
On 11/08/2023 at 1:55 PM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Administrator, Shirley Virden and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory which 1 may be Bedridden. LPA toured facility with Shirley including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which all 5 bedrooms are occupied by the residents . Staff room in the garage is off limits to residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 110.8, the hot water temperature in the resident private bathroom in bedroom 3 was measured at 110.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 06/19/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/10/2023. Report continues to 809 C 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 2:10 PM, LPA reviewed 5 of 5 residents records. At 2:35 PM, LPA reviewed 3 of 7 staff records and 3 of 3 have current first aid training and associated to the facility. At 3:03 PM, LPA reviewed a sample of 5 of 5 resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 11/22/2023: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionSeptember 26, 2022Type A2 deficiencies
Inspector: Leslie Ibo
Plain-language summary
During a routine infection control inspection on September 26, 2022, inspectors observed that medication cabinets, cleaning spray, kitchen knives, and scissors were unlocked and accessible to residents with memory loss—this was corrected the same day. Two staff members could not provide proof of COVID-19 training, and the facility was advised to conduct daily health screening for all residents and staff with documentation. The facility had an infection control plan in place, maintained safe conditions, and had adequate food and working safety equipment.
View full inspector notes
On 9/26/2022 at around 1:55 PM, Licensing Program Analyst (LPA) L. Ibo conducted an infection control annual inspection and explained the purpose of the visit with Shirley Virden. LPA observed 6 residents during the visit. Facility has a completed mitigation plan and infection control plan. Facility have an approved assisted living waiver. LPA inspected the facility inside and outside. LPA observed COVID-19 signage posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Pathways were observed to be free of obstruction and fire hazards. Carbon monoxide and smoke detector was observed to be operational. Facility room temperature was maintained at 78 degrees Fahrenheit. There was at least 7 days of nonperishable and 2 days of perishable foods. Infection control designated leader is the staff Noah Lake. A certified Administrator is on site a minimum of 20 hours a week to oversee proper business operation. Continued on next page LIC 809-C 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 LPA observed the following: · LPA observed unlocked medication cabinet, disinfectant spray, kitchen knives and scissors accessible to dementia residents in care. Corrected 9/26/2022. · No proof of Covid19 training for S1 & S2. Technical assistance provided for the following: · Facility needs to conduct daily covid19 assessment for all residents and staff. All screening needs to be documented. S1 acknowledge his understanding on this topic. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Shirley Virden. Exit interview conducted and a copy of this report & appeal rights provided to Administrator.
Regulation
(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (5) Knowledge necessary in order to recognize early si…
Inspector finding
Based on record review, the licensee did not comply with the section cited above in Licensee failed to provide proof of covid19 training for all staff which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/30/2022 Plan of Correction 1 2 3 4 Administrator agreed to train all staff, a copy of training , names of staff and signature needs to be sent to CCL office by POC date.
Regulation
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Inspector finding
Based on observation the licensee did not comply with the section cited above in licensee failed to lock medication cabinet, disinfectant spray, kitchen knives and scissors which was accessible to dementia residents in care which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/26/2022 Plan of Correction 1 2 3 4 Administrator locked the medication cabinet, locked disinfectant sprays , kitchen knives and scissors. Administrator agreed to conduct in …
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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