Britannia House
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.
1608 Alameda de las Pulgas · 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
Britannia House 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
- 410508648
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Williams, Delphine
Inspections & citations
4
reports on file
0
total deficiencies
InspectionNovember 4, 2025No deficiencies
Plain-language summary
A routine annual inspection was conducted on November 4, 2025, and no violations were found. The facility's physical plant, safety equipment, food storage, medications, and overall maintenance all met requirements.
View full inspector notes
On November 4, 2025, Licensing Program Analyst(LPA) John Calandra, arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Mark Williams, Administrator and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 2-story building (residents only live on the first floor) with 4 bedrooms and 2 bathrooms, a backyard, front yard, kitchen, living room, dining room, and sun room. All bedrooms were sufficiently lit and had the required furniture. All smoke detectors and carbon monoxide detectors were observed to be functioning. No accessible bodies of water or hazards were observed. The facility had the required 7 days of non-perishables and 2 days of perishables. No food was expired. All fire extinguishers were observed to be fully charged. The facility was maintained at a comfortable temperature. Hot water was measured within the required 105-120 degrees. The facility's first aid kit was observed to have the required items. All sharp objects, knives, detergent, and poisons were locked and in-accessible to persons in care. LPA requested copies of the facility's job descriptions, theft and loss policy, transportation policy, and LIC 200 by 11/7/2025. LPA Calandra reviewed Centrally Stored Medications Records(CSMR). 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 facility representatives and a copy provided.
Other visitOctober 30, 2025No deficiencies
Plain-language summary
On October 30, 2025, a routine annual inspection was conducted at the facility. The inspector reviewed resident and staff files along with training records, and found all documentation to be complete with no deficiencies cited. The inspection is ongoing and will be completed at a later date.
View full inspector notes
On 10/30/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Mark Williams, Administrator and explained the purpose of the visit. LPA reviewed 4 resident files, 5 staff files, and training records for staff. All were observed to be complete. The Annual will be completed at a later date. LPA received copies of the following documents during the visit: Current LIC 500 Current Liability Insurance Policy No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representative and a copy provided.
InspectionDecember 12, 2024No deficiencies
Inspector: John Calandra
Plain-language summary
A routine annual inspection was conducted on December 12, 2024, which included a review of how medications were stored and labeled at the facility. The inspector found that medications were properly labeled with dosage and timing instructions and matched the facility's records. No deficiencies were cited.
View full inspector notes
On December 12, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:00 AM to complete the Annual 1-year required inspection. LPA Calandra was greeted by Miriam Menor, Caregiver and explained the purpose of the visit. Mark Williams, Administrator arrived later during the visit. 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. LPA Calandra received the following document at the facility: Certificate of Liability Insurance The following document was requested to be sent to the Department by 12/19/2024: Updated LIC 500 No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Mark Williams, Administrator and a copy of the report left at the facility.
InspectionNovember 27, 2024No deficiencies
Inspector: John Calandra
Plain-language summary
On November 27, 2024, the state conducted the annual required inspection of this facility. The inspector found the building, grounds, safety equipment, food supplies, resident records, and staff records all in proper order with no violations noted. The inspection will be completed at a later date.
View full inspector notes
On November 27, 2024, Licensing Program Analyst(LPA) John Calandra, arrived at the facility at 1:32 PM, to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Delphine Williams, Licensee and explained the purpose of the visit. Mark Williams, Administrator arrived later during the visit. LPA Calandra toured the physical plant. This is a 2-story building (residents only live on the first floor) with 4 bedrooms and 2 bathrooms, a backyard, front yard, kitchen, living room, dining room, and sun room. All bedrooms were sufficiently lit and had the required furniture. All smoke detectors and carbon monoxide detectors were observed to be functioning. No accessible bodies of water or hazards were observed. The facility had the required 7 days of non-perishables and 2 days of perishables. No food was expired. All fire extinguishers were observed to be fully charged. The facility was maintained at a comfortable temperature. Hot water was measured within the required 105-120 degrees. All sharp objects, knives, detergent, and poisons were locked and in-accessible to persons in care. LPA Calandra reviewed 5 resident records and 3 staff records. All were observed to be complete. No deficiencies were cited during today's visit. The Annual will be completed at a later date. An exit interview was conducted. This report was reviewed with Mark Williams, Administrator 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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