Valle Verde Care Home Iii
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.
6502 Via San Blas · Pleasanton, 94566
Record last updated April 20, 2026.
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Quick facts
Memory care context
Valle Verde Care Home III is a California-licensed RCFE with 6 beds and a memory care designation, operated by Jgv Group. Inc. California Title 22 requires facilities serving dementia residents to meet specific standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS has cited this facility twice under dementia-care regulations (§87705 or §87706). State records show 3 inspections with 11 total deficiencies: 6 Type A citations (actual harm to residents) and 5 Type B citations (potential for harm). The most recent inspection occurred on November 6, 2024. The 6 Type A deficiencies are a significant concern, as they indicate documented instances where residents experienced actual harm.
Questions to ask on your tour
Based on Valle Verde Care Home Iii's state inspection record.
State records show 6 Type A deficiencies (actual harm citations) — can you explain what each incident involved, what corrective actions were taken, and what systemic changes were implemented to prevent recurrence?
The facility has been cited twice under §87705 or §87706 for dementia-care requirements — what were the specific deficiencies, and how has staff training or supervision changed as a result?
With 11 total deficiencies across only 3 inspections, what ongoing quality-improvement processes are now in place to reduce citation rates?
This is a 6-bed home — how many staff members are on duty during day, evening, and overnight shifts, and what happens if a caregiver is unexpectedly unavailable?
How do you ensure all staff providing direct care to dementia residents have completed the California Title 22 §87705 training requirements, and how is this documented?
State records
California CDSS · Community Care Licensing Division- License number
- 015601199
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Jgv Group. Inc.
Inspections & citations
3
reports on file
11
total deficiencies
6
Type A (actual harm)
2
dementia-care citations
InspectionNovember 6, 2024No deficiencies
Inspector notes
On 10/23/2025 at 1:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Assistant Administrator, Marjorie Osia and explained the purpose of the visit. Administrator, Giselle Adams arrived 30 minutes later, but was unable to stay to sign the reports and authorized Assistant Administrator to sign licensing reports. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Fire extinguisher was observed to be full and last serviced on 7/30/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 107.5 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Last fire drill was conducted on 9/20/2025. LPA reviewed 6 residents and 4 staff files starting at 2:15PM. Residents and staff files were complete. All staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications. No deficiencies are being cited on this date. Exit interview conducted with Marjorie Osia. A copy of this report provided.
InspectionNovember 2, 2023Type A4 deficiencies
Inspector: Grace Luk
Inspector notes
On 11/6/2024 at 1:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Olivia Aquino and explained the purpose of the visit. Administrator, Giselle Adams arrived an hour later, but was unable to stay to sign the reports and authorized caregiver to sign licensing reports. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Fire extinguisher was observed to be full and last serviced on 7/19/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 116.4 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Last fire drill was conducted on 10/15/2024. LPA reviewed 6 residents and 3 staff files starting at 2:10PM. LPA reviewed a sample of resident's medications. LPA interviewed 2 staff during inspection. At 1:40PM, LPA observed unlocked medications in the kitchen drawer. Staff locked up the medication during inspection. At 1:45PM, LPA observed unlocked cleaning supplies in cabinet under the kitchen sink. The lock was not re-installed after cabinet was painted. At 3:20PM, LPA observed R6 was in room 3 and records indicates that R6 is bedridden. Facility does not have a bedridden fire clearance. (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 4:29PM, LPA observed R1's vitamin D3 is 400 unit indicated in the doctor's order. However, LPA observed vitamin D3 bottle given was 2000 unit. R1 was given multi-vitamins and have acetaminophen without doctor's order. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Olivia Aquino. A copy of this report, civil penalty, and appeal rights was provided.
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fi…
Based on observation and record review, the licensee did not comply with the section cited above by having a bedridden resident without a bedridden fire clearance which poses an immediate health and safety risk to persons in care. POC Due Date: 11/07/2024 Plan of Correction 1 2 3 4 LPA received a copy of the updated facility sketch. Facility has agreed to notify the fire department. Facility will submit proof of notification and LIC200 to CCLD by POC date. Civil penalty of $500 is assessed for…
(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.
Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies under the kitchen sink which poses an immediate health and safety risk to persons in care. POC Due Date: 11/07/2024 Plan of Correction 1 2 3 4 Facility has agreed to re-install lock on the cabinet under the kitchen sink and submit picture proof to CCLD by POC date.
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Based on observation, the licensee did not comply with the section cited above by having unlocked medications in the kitchen drawer which poses an immediate health and safety risk to persons in care. POC Due Date: 11/07/2024 Plan of Correction 1 2 3 4 Staff locked up the medications during inspection. Deficiency cleared.
(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 following doctor's order for R1's medication which poses an immediate health and safety risk to persons in care. POC Due Date: 11/07/2024 Plan of Correction 1 2 3 4 Facility has agreed to obtain correct vitamin D3 for R1 and obtain doctor's order for R1's multi-viatimins and acetaminophen. Facility will submit picture proof and request for doctor's order to CCLD by POC date.
InspectionNovember 18, 2022Type A7 deficiencies
Inspector: Grace Luk
Inspector notes
On 11/2/2023 at 9:10AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Olivia Aquino and explained the purpose of the visit. Assistant Administrator, Marjorie Osia arrived 40 minutes later. Administrator, Giselle Adams arrived at facility around 12:30PM. The facility’s fire clearance was approved for 6 non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 7/14/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 116.5 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Last fire drill was conducted on 9/20/2023. LPA reviewed 5 resident and 4 staff files starting at 10:45AM. LPA reviewed a sample of resident's medications starting at 1:50PM. LPA interviewed 2 residents and 2 staff at 2:30PM. At 9:45AM, LPA observed knives drawer was unlocked. LPA observed the lock on the drawer was broken and unable to lock properly. Administrator repaired lock during inspection. At 11:00AM, LPA observed R1 does not have a current appraisal needs and service plan and R4 does not have a current medical assessment on file. At 11:10AM, LPA observed R3 does not have TB test result on file during record review. (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 12:00PM, LPA observed S1 does not have a current First Aid training. At 12:30PM, LPA observed S3 does not have current annual training completed. S3's most recent training was completed in April 2022. At 1:00PM, LPA observed R3 and R5 does not have a doctor's order for full bed rails. Both R3 and R5 is on hospice care. At 2:10PM, LPA observed doctor's order (dated 8/2/2019) for R1's Citalopram was 10mg. However, R1 has a open bottle of Citalopram for 20mg. Facility's MAR also has Citalopram 20mg documented. Facility obtained a copy of the new doctor's order during inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).
Based on observation, the licensee did not comply with the section cited above by not having the knives drawer locked which poses an immediate health and safety risk to persons in care. POC Due Date: 11/03/2023 Plan of Correction 1 2 3 4 Administrator has repaired the lock during inspection. Deficiency cleared.
(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 having a new order for R1's Citalopram which poses an immediate health and safety risk to persons in care. POC Due Date: 11/03/2023 Plan of Correction 1 2 3 4 Facility obtained a copy of the doctor's order during inspection. Deficiency cleared.
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…
Based on record review, the licensee did not comply with the section cited above by not having current annual training for S3 which poses a potential health and safety risk to persons in care. POC Due Date: 11/27/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain annual training for S3 and submit completion document to CCLD by POC date.
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude car…
Based on record review, the licensee did not comply with the section cited above by not having TB test results for R3 which poses a potential health and safety risk to persons in care. POC Due Date: 11/27/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain TB test results for R3 and submit a copy to CCLD by POC date.
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
Based on record review, the licensee did not comply with the section cited above by not having doctor's order for R3 and R5's full bed rails which poses a potential health and safety risk to persons in care. POC Due Date: 11/27/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain full bed rail orders for R3 and R5. Administrator will submit copies of full bed rail orders 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 …
Based on record review, the licensee did not comply with the section cited above by not having current medical assessment for R4 and reappraisal for R1 which poses a potential health and safety risk to persons in care. POC Due Date: 11/30/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current medical assessment for R4 and appraisal needs & service plan for R1. Administrator will submit copies to CCLD by POC date.
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.
Based on record review, the licensee did not comply with the section cited above by not having current first aid training for S1 which poses a potential health and safety risk to persons in care. POC Due Date: 11/27/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain current first aid training for S1 and submit certificate 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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