StarlynnCare

California · Redwood City

Advent Residential Home

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.

617 Fifth Ave · Redwood City, 94063

Quick facts

Licensed beds15
Memory careNot listed
Last inspectionDec 2025
Last citationDec 2025
Operated byAdvent Residential Homes, Inc.
Map showing location of Advent Residential Home

Quality snapshot

Updated April 25, 2026

Compared 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

Severity
37th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
23th

Deficiencies per inspection

Tick mark at 50% = peer median · higher percentile = better facility

Advent Residential Home scores C. Better than 53% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 37th percentile. Repeats: top 0%. Frequency: 23th 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_general / small beds (214 facilities).

Citation severity over time

↑ worsening

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

56

Last citation

Dec 25

Finding distribution

7 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLG5HID2EFABCSev 4 · IJSev 3Sev 2Sev 1

View inspections & citations

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 15 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
  1. 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
  2. 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.
  3. 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
  4. 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
  5. 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 citations

State records

California Dept. of Social Services · Community Care Licensing
License number
415201950
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
15
Operator
Advent Residential Homes, Inc.

Inspections & citations

4

reports on file

7

total deficiencies

5

Type A (actual harm)

InspectionDecember 18, 2025Type A
2 deficiencies

Plain-language summary

During an unannounced visit on December 18, 2025, inspectors found that the facility had improper bed rail installations in several resident rooms—some rooms had partial rails while others had full rails, which did not meet state safety requirements. The facility was cited for these deficiencies and informed that failure to correct them could result in penalties. A copy of the citation was provided to the facility's caregiver.

View full inspector notes

On December 18, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case-management visit. LPA met with Caregiver, Maylene Arboleda and explained the purpose of the visit. During the annual visit conducted on December 11, 2025, LPA observed resident room numbers 1, 2, 4, 5, and 7 with beds that have half bed rails and resident room numbers 3 and 6 with full bed rails. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with caregiver and a copy is provided.

Type ACCR §87608(a)(3)

Regulation

87608 Postural Supports : (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 wri…

Inspector finding

Based on observation and record review, LPA observed Resident 2 (R2) who resides in Room 2 to have a half bed rail without an order from physician which poses an immediate health and safety risk to residents in care.

Type ACCR §87608(a)(5)(B)

Regulation

(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... Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports inc…

Inspector finding

Based on observations and record review, Resident 3 (R3) who resides in room 3 and resident 6 (R6) who residents in room 6 were observed to have full bed rails, however both residents are no on hospice which poses an immediate health and safety risk to residents in care.

InspectionDecember 11, 2025Type A
3 deficiencies

Plain-language summary

During a routine annual inspection on December 11, 2025, the facility was found to be clean and well-maintained with proper safety equipment, secure medication storage, and complete resident and staff records. However, an inspector discovered that one staff member working in the kitchen did not have required fingerprint clearance, resulting in a $300 civil penalty, and the facility was also penalized $250 for a repeat violation related to maintenance and operations that had been cited earlier in the year. The facility operator was instructed to correct these deficiencies.

View full inspector notes

On December 11, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual visit. LPA met with Caregiver, Maylene Arboleda and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are 9 resident rooms, all of which are currently being utilized as single private rooms. Resident rooms were observed to be clean with all required furniture. LPA observed resident room numbers 1, 2, 4, 5, and 7 with beds that have half bed rails and resident room numbers 3 and 6 with full bed rails. 1 staff room was observed. LPA observed 3 full bathrooms and 1 half bathroom inside room #1. Bathrooms were observed clean, odor-free and equipped with grab bars. Water temperature throughout the facility measured between 126-134 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete. Dining room was observed free from tripping hazards. A comfortable temperature of 70 degrees F is maintained and lighting is sufficient for comfort. LPA observed 2-day perishables and 7-day non-perishables. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of October 2025. Emergency drills are logged and done every three months. LPA reviewed 6 resident records including physician's orders for bed rails and reviewed 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. (continue to 809C) 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 During the visit, LPA observed Staff 1 (S1) in the kitchen cooking, however after review, S1 does not have fingerprint clearance. Civil penalty of $300.00 is being issued during the visit for S1 not being fingerprinted ($100/day x 3 days). Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. An additional civil penalty of $250.00 is issued during the visit for CCR 87303(e)(2) Maintenance and Operation due to repeat citation within the last 12 months. Citation was issued 1/8/25. Report is reviewed with Caregiver and a copy is provided.

Type ACCR §87303(e)(2)

Regulation

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…

Inspector finding

Based on observations, water temperature throughout the facility measured between 126-134 degrees F which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/12/2025 Plan of Correction 1 2 3 4 Licensee/administrator to adjust water heater and send LPA a photo/video of water temperature within regulatory requirements.

Type ACCR §87355(e)

Regulation

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:

Inspector finding

Based on observations, LPA observed S1 cooking in the kitchen during the visit, however after record review, S1 does not have fingerprint clearance which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/12/2025 Plan of Correction 1 2 3 4 Licensee/administrator shall remove S1 from the facility until S1 is fingerprint cleared and associated to the facility.

Type BCCR §87463(a)

Regulation

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, th…

Inspector finding

Based on 6/6 resident records reviewed, service plans are not being updated frequently as necessary or annually, whichever occurs first which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/18/2025 Plan of Correction 1 2 3 4 Licensee/administrator shall submit a plan in writing on how to ensure service plans are either being updated as needed or once every 12 months (whichever comes first).

InspectionJanuary 8, 2025Type A
2 deficiencies

Inspector: Komal Charitra

Plain-language summary

During a routine annual inspection in January 2024, inspectors found the facility clean and well-maintained, with appropriate safety features, secure medication storage, and complete resident records. However, three of five staff members had expired first aid training certifications. The facility received one deficiency citation related to staff training requirements.

View full inspector notes

On January 8, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Helen Malig-On and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. Living room and dining room was observed to be clean, free from tripping hazards and odor-free. A comfortable temperature of 72 degrees F is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to residents. LPA toured 9 resident rooms;all of which were observed to be private rooms. All rooms were observed to be clean with required furnishings. LPA observed 2 full bathrooms and 1 half bathrooms. Bathrooms were observed to be clean and odor-free. Water temperature throughout the facility measured between 100-123 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete and present. LPA toured the garage and observed washer to be in good repair. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current as of September 2024. Emergency drills are logged and being conducted every three months. LPAs reviewed 4 resident records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement, however LPA observed 3/5 staff members first aid training to be expired. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Deficiency found today under Title 22, Division 6, on following page LIC 809D. LPA reviewed report with administrator and a copy is provided.

Type A

Regulation

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staf…

Inspector finding

Based on staff records reviewed, 3/5 staff members providing care and supervision to residents at the facility have expired first aid/CPR training which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/09/2025 Plan of Correction 1 2 3 4 Administrator shall submit training enrollment for the CPR training/ First aid training for all three staff members by 1/9/24

Type BCCR §87303(e)(2)

Regulation

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…

Inspector finding

Based on observations, water temperature throughout the facility measure between 100-123 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/15/2025 Plan of Correction 1 2 3 4 Administrator to ensure facility water temperature is within 105-130 degrees F and provide LPA photos for proof

ComplaintJanuary 26, 2024
No deficiencies

Inspector: Jaime Vado

Plain-language summary

This was a routine annual inspection on an unannounced visit. The inspector found the facility clean and safe, with properly stored medications and hazardous materials, working safety equipment, and well-maintained resident rooms; however, the administrator's certificate had expired in October 2023, and the facility was asked to submit several updated forms and documentation by February 2, 2024. No violations were cited.

View full inspector notes

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required 1 year annual inspection visit. LPA met with administrator Helen Malig-On and explained the purpose of today's visit. LPA was allowed entry into the facility. This is a one level facility. Annual Fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored in the kitchen locked beneath the kitchen and basement area. Cleaning solutions are also locked in the basement area as well as in the storage areas behind the facility. Perishable and non-perishable food items are observed as in place. LPA observed the medications are locked in the kitchen. The first aid kit observed as complete with required items. LPA observed that the facility is equipped with full sprinkler system, fire extinguishers are placed through out the facility last inspected 08/23/2023, smoke detector/carbon monoxide detectors are observed in place as hardwired, and central heating system is functional. Sprinkler system is noted as being inspected on 10/2023 and this inspection is valid for 5 years. Facility contains two common bathrooms with showers and one resident room that has a personal half bath. There is a staff/visitor full bathroom located adjacent to the kitchen. PPE and additional food supplies are observed as in place in rear storage area outside of the facility. Laundry area is also observed as fully operational located in the outside storage areas of the facility. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Water temperature was measured at 110F. LPA observed several resident rooms at random and all rooms are observed as clean, free of odors, and contained all the required furniture per regulatory recommendation. LPA observed call system in place for resident use. Currently there are 3 hospice residents in the facility. The facility has a waiver for 4 hospice residents. Continued on page 2... 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 LIC809C - Required 1 Year Fire/disaster drill record reviewed last taking place on 01/23/2024. LPA conducted record reviews for 3 residents and 3 staff. Present in the facility is 9 residents and 4 staff. LPA reviewed the records indicated and all files reviewed are current. Administrator certificate is observed as expired in 10/2023. According to the administrator she has submitted renewal items in August or September 2023. Facility does not handle resident monies. The following updated forms are being requested to be received by 02/02/2024 : • LIC610E Emergency Disaster Plan • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • Updated administrator certificate • LIC9020 Client Roster • Certificate of Liability Insurance There are no citations issued on this day. Report is reviewed with administrator Helen.

Federal summary

CMS Care Compare

Not 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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