Diaz Residential Care 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.
438 Cedar Street · Redwood City, 94063
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
Severity36thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency48thDeficiencies 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
Diaz Residential Care Home scores B−. Better than 61% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 36th percentile. Repeats: top 0%. Frequency: 48th 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
↑ worseningWeighted severity score per month · 24 months
Weighted score (24mo)
23
Last citation
Apr 26
Finding distribution
4 total · 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
- 410508681
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Diaz, Maria and Estela
Inspections & citations
5
reports on file
4
total deficiencies
2
Type A (actual harm)
InspectionApril 15, 2026Type A1 deficiency
Plain-language summary
On April 15, 2026, inspectors conducted a follow-up visit to confirm that the facility had corrected a deficiency found during a routine inspection on March 27, 2026. The deficiency involved bed rails for residents that lacked physician orders, which was required by state regulations; the administrator failed to submit a plan of correction by the deadline and did not request an extension. The facility was issued a $250 civil penalty for this repeat violation within 12 months.
View full inspector notes
On April 15, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced plan of correction visit (POC) visit. LPA met with Administrator, Maria Diaz and explained the purpose of the visit. On 3/27/26, LPA Curley conducted an unannounced annual inspection. LPA issued a deficiency for CCR 87608(a)(3) Postural Supports because all four residents at the facility had bed rails with no physician's order. The plan of correction was due on 3/28/26, however the Administrator failed to provide LPA the plan of correction. The Administrator did not ask LPA for an extension to submit the plan of correction. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. A civil penalty of $250.00 is being issued during the visit for a repeat citation within 12 months. Deficiency was cited on 3/27/26. This report is reviewed and discussed with the Administrator; a copy is provided.
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 for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
Inspector finding
Based on observations and record reviewed, all four residents at the facility had bed rails with no physician's order which poses an immediate health, safety or personal rights risk to persons in care.
InspectionMarch 27, 2026Type A2 deficiencies
Plain-language summary
On March 27, 2026, inspectors conducted an unannounced annual visit to this four-resident facility and found the home clean, well-maintained, and safe overall, with proper emergency procedures, working safety equipment, and complete staff and resident records. One violation was noted: bed rails were in place for all residents without physician orders on file, and insulin and sharps containers were initially unlocked and accessible (though the caregiver locked them immediately when the inspector was present). The facility was cited for this deficiency and given the opportunity to correct it.
View full inspector notes
On March 27, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual visit. LPA met with Administrator, Maria Diaz 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 5 bedrooms; 3 resident rooms (currently one vacant room) all of which are shared rooms, and 2 staff rooms. Resident rooms were observed to be clean with all required furniture. LPA observed all 4 residents at the facility to have bed rails with no physician's order for it. Two full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 108-110 degrees F. Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Chemicals were observed to be locked. LPA observed insulin and sharps to be unlocked and accessible, however caregiver immediately locked it in LPAs presence. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of July 2025. Emergency drills are logged and done every 3 month. LPA 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. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the Administrator; a copy is provided.
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 for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physicia…
Inspector finding
Based on observations and record reviewed, all four residents at the facility had bed rails with no physician's order which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/28/2026 Plan of Correction 1 2 3 4 Licensee/administrator shall submit physician's orders for the bed rails for all residents to LPA.
Regulation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Inspector finding
Based on observations, living room was not observed to be clean. LPA observed piles of papers, pens, personal belongings on a desk, med-cart, boxes and bins in the living room which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/03/2026 Plan of Correction 1 2 3 4 Licensee/administrator to submit a photo to LPA when living room has been cleaned.
InspectionOctober 23, 2025No deficiencies
Plain-language summary
A licensing inspector made an unannounced visit on October 23, 2025, to check on a resident who had recently been moved to the facility due to another facility's closure. The resident's room was clean and properly furnished, medications were accounted for, and the resident appeared comfortable, though the administrator was still completing paperwork for the admission. No violations were found.
View full inspector notes
On October 23, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case management health and safety visit in relation to a relocation of a resident from another facility due to facility closure. LPA met with Administrator, Maria Diaz and explained the purpose of the visit. On October 15, 2025, due to an emergency placement, Resident 1 (R1) was relocated to Jefferson Place on 10/14/25. R1 was relocated to Diaz Residential Care Home on 10/17/25 due to R1 requiring higher level of care. During the visit, LPA observed R1's room to be clean and equipped with all required furnishings. R1 is in a shared room. R1's personal belongings were present and in tact. Medications were all present and accounted for. According to administrator, she is still working on completing all of the documents for R1. LPA observed R1 watching tv and appeared comfortable. LPA requested an updated copy of the resident roster to be submitted by 10/24/25. No citations are issued during the visit. Report is reviewed with Administrator, Maria Diaz and a copy is provided.
InspectionMarch 26, 2025No deficiencies
Plain-language summary
This was an unannounced annual inspection on March 26, 2025, and the facility passed without any violations or citations. The inspector found clean resident rooms and bathrooms, properly secured medications and hazardous materials, working safety equipment including carbon monoxide monitors and fire extinguishers, complete staff training records, and organized documentation for all residents. The facility maintains appropriate temperatures, lighting, and food storage practices.
View full inspector notes
On March 26, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Maria Diaz 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 5 bedrooms; 2 resident rooms which are shared rooms, 2 staff rooms, and 1 office room. Resident rooms were observed to be clean with all required furniture. Two full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 108-110 degrees F. Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven 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 June 2024. Emergency drills are logged and done every month. LPA 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. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Extra linen was observed to be present. Laundry room was observed to be locked and inaccessible. Extra linen was observed to be present. First aid kit was observed to be complete. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.
Other visitMarch 20, 2024Type B1 deficiency
Inspector: Jaime Vado
Plain-language summary
During a routine annual inspection on March 20, 2024, inspectors found the facility's physical environment, safety equipment, food storage, medication storage, and staff records to be in order, though the administrator's certificate had expired in November 2022 and was pending renewal. The facility was asked to submit updated documentation including an emergency disaster plan, personnel reports, proof of liability insurance, and other standard compliance materials by March 27, 2024. No residents with dementia were living at the facility at the time of the inspection.
View full inspector notes
On 03/20/2024 Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced 1 year annual inspection visit. LPA met with administrator Maria Diaz and explained the purpose of today's visit. LPA toured the facility inside and outside. Emergency exit routes are free and clear of obstructions. The facility's ambient temperature is comfortable and warm. Water is tested in laundry room as being 108F. Residents have an adequate amount of linens and incontinence supplies, incidental supplies, as well as PPE as needed. Multiple fire extinguishers are observed. Last inspected on 06/22/2023. Upon observation of the charge on the dial display it is within the green zone indicating it is charged and ready for use. Carbon monoxide detectors and smoke detectors are present through out the facility. Fire alarm pull box is located next to the front door and one also near the back near the exit that goes to the backyard. Four client bathrooms were observed to be in good repair. Client bathrooms are observed to be in working order with clean shower curtains and non-skid flooring is in place in client bathroom. Facility provides toiletries for client use. 7 day non-perishable food supply and 2 day fresh food supply is observed as in place. Kitchen is observed as operable and clean. Appliances are in good working order. Knives are stored and locked in kitchen cabinet. Insulin for client use is locked and stored in the main kitchen. There are no residents with dementia in the facility at this time. Continue on next page... 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 Page 2 - LIC809C Medications are stored and inaccessible in a locked medication. Medications are stored and labeled in containers. Medications are reviewed to be in place. Medication administration record is observed as current for clients reviewed including centrally stored medication log. First aid kit is complete and stored in living room area. On site laundry is available and functioning per observations made. Cleaning supplies are observed as locked. 3 staff records are reviewed. All staff has criminal record clearance and are associated with the facility. Based on record reviews, TB tests, training, CPR/First Aid cards, and personnel files are current. 1 client record is checked and is complete and updated. Disaster drills are conducted monthly per records reviewed. According to administrator each drill is different and varies for each drill conducted. Administrator certificate is observed as expired as of 11/12/2022. Per Maria she has submitted items for renewal and is awaiting certificate. LPA reviewed current training hours for administrator certificate. LPA advised Maria to follow up with administrator certification. Per review with administrator client money is in place and accurate. The following updated items are requested to be sent to the Department by 03/27/2024 : • LIC610E Emergency Disaster Plan • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • Updated administrator certificate • LIC9020 Client Roster • Certificate of Liability Insurance • Proof of control of property • Surety bond with expiration date Report is reviewed with administrator.
Regulation
87303(a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents,employees and visitors. This regulation has not been met as evidenced by:
Inspector finding
Per observations made LPA observed a disheveled desk in the living room with papers, tools, tissue boxes, and other items. The items can be knocked over and can pose a safety issue for staff and residents.
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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