Atherton Gardens
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.
471 Santa Clara Ave · Redwood City, 94061
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
Atherton Gardens 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
- 415600995
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Atherton Gardens
Inspections & citations
2
reports on file
0
total deficiencies
ComplaintSeptember 19, 2025· UnsubstantiatedNo deficiencies
Inspector: John Calandra
Unsubstantiated — the California Department of Social Services (CDSS) investigated and did not find a violation.
Plain-language summary
A complaint was investigated, but inspectors could not find enough evidence to prove the allegations either happened or didn't happen. The facility was notified of the findings.
View full inspector notes
Based on information gathered at this time, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore the above allegation is unsubstantiated at this time. An exit interview was conducted. This report will be sent to the Licensee with a request to sign and send a copy back to the Department by 9/26/2025.
ComplaintSeptember 27, 2024No deficiencies
Inspector: John Calandra
Plain-language summary
A routine annual inspection was conducted on September 27, 2024, and found no deficiencies. The facility's physical plant, safety equipment, first aid supplies, food storage, medications, resident files, and staff files all met requirements, and the three residents present appeared to be receiving appropriate care and supervision.
View full inspector notes
On September 27, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 10:25 AM to conduct the unannounced Annual 1-year required inspection. LPA Calandra was greeted by Kimberly Hovorka, Administrator and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 1-story building with 4 bedrooms, 2 bathrooms, a living room, dining room, kitchen, activities room, front and backyards. No accessible bodies of water or hazards were observed. The facility has a swimming pool and hot tub but both are fenced off (fence is higher than 5 feet) and in-accessible to persons in care. All bedrooms had the required furniture and sufficient lighting. The facility bathrooms had the required grab bars and anti-skid floor mats. The facility's hot water temperature was measured within the required range of 105-120 degrees Fahrenheit. The facility's first aid kit had the required scissors, tweezers, current edition of the first aid manual approved by the American Red Cross, thermometer, bandages, sterile first aid dressings. The facility's fire and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last checked on 11/3/2023. The facility also has night lights in place in hallways and throughout the home. The facility had the required 7 days of non perishables and 2 days of perishables. No food was expired. LPA Calandra observed 1 resident sleeping in their room, and 2 residents in the living room/activities room participating in an activity. All sharp objects, poisons, and cleaning supplies were observed to be locked and in-accessible to persons in care. LPA requested and received the following documents at the facility: -Current Liability Insurance -Current LIC 500 - Administrator's certificate for Kimberly Hovorka LPA Calandra reviewed 3 resident files and 2 staff files. All were observed to be complete. The facility does not handle cash resources for residents as of 9/27/2024. 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 A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Kimberly Hovorka, Administrator and Lara Mlkeush, Administrator/Caregiver and a copy of the report left at the facility.
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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