Redwood 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.
188 Duane Street · Redwood City, 94062
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
Severity46thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency35thDeficiencies 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
Redwood Care Home scores B−. Better than 60% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 46th percentile. Repeats: top 0%. Frequency: 35th 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
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
45
Last citation
Aug 25
Finding distribution
8 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 18 licensed beds:
One awake caregiver must be on duty, plus one additional caregiver on call who can respond within 10 minutes.
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
- 415201905
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 18
- Operator
- Cristina Dee-hoskins
Inspections & citations
6
reports on file
10
total deficiencies
4
Type A (actual harm)
Other visitAugust 20, 2025Type B2 deficiencies
Plain-language summary
During a routine annual inspection on August 20, 2025, inspectors found two violations: two staff members' tuberculosis test records were not on file (though the administrator said they had been tested), and the facility had not conducted required emergency drills since January 2024. The facility's physical plant, safety equipment, food supply, medications, and resident records were all in order.
View full inspector notes
On 8/20/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Rianace Credo, Caregiver and explained the purpose of the visit. Cristina Dee-Hoskins, Administrator/Licensee arrived later during the visit. LPA Calandra toured the physical plant. This is a 10 bedroom and 4 bathroom, multistory building with a front and backyard, living room, kitchen, staff quarters, and garage. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed. The facility's fire extinguishers were observed to be fully charged and last checked on 4/8/2025. The facility's fire alarms and carbon monoxide detector were observed to be in working order. The fire alarm system was last inspected on 7/14/2022 and expires on 7/14/2027. The facility was maintained at a comfortable temperature. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. The facility's first aid was observed to have the required items. All sharp objects, soap, and detergents, were observed to be locked and in-accessible to persons in care. LPA reviewed 5 resident files and 5 staff files. All resident files were observed to be complete but 2 staff files were missing TB results. During record review of staff files, LPA observed no TB results for S1 and S2. A Type B citation was provided for this violation as according to the Administrator/Licensee, Cristina Dee-Hoskins, the staff have had TB exams but she did not have record of them. 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 Medications were reviewed and found to match Centrally Stored Medication Records kept at the facility. Based on record review, the facility has not conducted an Emergency drill since January 2024. Quarterly emergency drills are required for Residential Care Facilities for the Elderly per Title 22 regulations. A Type B citation was provided for this violation. LPA received copies of the facilities current LIC 500, Liability Insurance and Resident Roster at time of visit. Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. A copy of this report along with Appeal Rights was provided to the facility representative.
Regulation
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after e…
Inspector finding
Based on record review, the licensee did not have TB results for S1 and S2 in their personnel files, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/03/2025 Plan of Correction 1 2 3 4 Licensee shall request that S1 and S2 reach out to their primary physicians and get re-tested for TB. Licensee shall submit results to the Department by the POC due date.
Regulation
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Inspector finding
Based on record review, the licensee has not conducted a emergency drill since January 2024, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/27/2025 Plan of Correction 1 2 3 4 Licensee/Administrator will email a list of attendees once training has been completed.
InspectionAugust 22, 2024Type B1 deficiency
Inspector: John Calandra
Plain-language summary
This was a routine annual inspection on August 22, 2024. The facility was found to be missing required care plans for five residents; medications were properly stored and labeled. The facility must correct this violation or may face penalties.
View full inspector notes
On August 22, 2024, at 8:35 AM, Licensing Program Analyst(LPA) John Calandra arrived at the facility to complete the Annual 1-year required inspection. LPA Calandra was greeted by Cristina Dee-Hoskins, Administrator and explained the purpose of the visit. LPA Calandra reviewed 5 resident files and 5 staff files. All staff files were observed to be complete. All 5 resident files reviewed were missing the Needs and Services Plan. The facility does not handle cash resources for residents but has an active surety bond. A Type B Violation was provided for not having Needs and Services Plans for 5 residents. 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. Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted. This report was reviewed with Cristina Dee-Hoskins, Administrator/Licensee and a copy of the report along with Appeal rights left at the facility. This report was emailed to the Administrator/Licensee, Cristina Dee-Hoskins.
Regulation
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident.
Inspector finding
HSC 1569.695(e)(2): Emergency Plans: Based on record review, the licensee did not comply with the section cited above in 5 out of 5 resident files which were missing the Needs and Services Plan or Care Plan, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing offic…
Other visitAugust 22, 2024No deficiencies
Inspector: John Calandra
Plain-language summary
A licensing analyst visited the facility on August 22, 2024, to deliver an updated inspection report that clarified previous findings and removed one deficiency. The facility's administrator reviewed the amended report and received a copy.
View full inspector notes
On August 22, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 8:35 AM to deliver an Amended report. The report was Amended to clarify what the facility was being cited for previously and to remove a deficiency. An exit interview was conducted. This report was reviewed with Licensee/Administrator, Cristina Dee-Hoskins and a copy of the report was provided via email.
Other visitAugust 22, 2024No deficiencies
Inspector: John Calandra
Plain-language summary
On August 22, 2024, the state conducted a follow-up visit to confirm that the facility had corrected all previously cited deficiencies. All corrections were verified as complete, and the facility received clearance letters confirming the deficiencies had been resolved.
View full inspector notes
On August 22, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 8:35 AM to verify Plans of Correction submitted to licensing and deliver Plan of Correction Clearance letters. All deficiencies have been corrected at this time. An exit interview was conducted and the report was emailed to Licensee/Administrator, Cristina Dee-Hoskins.
InspectionAugust 15, 2024Type A5 deficiencies
Inspector: John Calandra
Plain-language summary
During the required annual inspection on August 15, 2024, inspectors found three serious safety violations: hot water at the tap measured 135.7 degrees (hot enough to cause burns, well above the safe limit of 105-120 degrees), medications left unlocked and accessible on the kitchen counter, and soap and disinfectants not locked up and accessible to residents. Inspectors also found a backyard gate in poor condition that could not be opened easily, no working call button system for residents, and missing thermometers in refrigerators and freezers. The facility has been cited to correct these deficiencies.
View full inspector notes
**This report was Amended to clarify deficiencies and remove one deficiency.** On August 15, 2024, Licensing Program Analysts(LPAs) John Calandra and Kiran Jain arrived at the facility at 1:25 PM to complete the Annual 1-year required inspection. LPAs Calandra and Jain were greeted by Lany Becker, Caregiver and explained the purpose of the visit. Christina Dee-Hoskins, Administrator/Licensee joined the visit later. LPAs Calandra and Jain toured the physical plant. This is a 10 bedroom and 4 bathroom, multistory building with a front and backyard, living room, kitchen, staff quarters, and garage. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed. The facility's fire extinguishers were observed to be fully charged and last checked on 3/14/2024. The facility's fire alarms and carbon monoxide detector were observed to be in working order. The fire alarm system was last inspected on 7/14/2022 and expires on 7/14/2027. A Type A Violation was provided for having a faucet that delivers hot water temperature measured at 135.7 degrees Fahrenheit far above the required range of 105-120 degrees Fahrenheit. A Type A Violation was provided for not ensuring that soap and disinfectants are not locked up and in-accessible to persons in care. A Type A Violation was provided for having medications left out on the kitchen counter that were unlocked and accessible to persons in care. 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 Type B Violation was provided for having a gate in the backyard that was not in good condition and could not be opened easily. A Type B Violation was provided for not having a call button system in place that is functioning. A Technical Violation was provided for not having thermometers in the facility's refrigerators and freezers. In the presence of the LPAs, the facility's License was moved from it's location in the office to a public place. LPAs Calandra and Jain requested and received the following documents: -Current Liability Insurance The Annual Inspection will be completed at a later date. Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. An exit interview was conducted. This report was reviewed with Christina Dee-Hoskins and a copy of the report along with Appeal rights left at the facility.
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
CCR 87303(e)(2): Maintenance and Operations: Based on observation, the licensee did not comply with the section cited above in 1 out of 1 faucets which was delivering water temperature of 135.7 degrees fahrenheit which is above the required range of 105-120 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining ho…
Regulation
(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.
Inspector finding
CCR 87309(a): Storage Space: Based on observation, the licensee did not comply with the section cited above in 4 out of 4 soap and detergent bottles which were left out in the kitchen below the sink, where they were accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in t…
Regulation
(b) Medicines shall be stored as specified in Section 87465(c) and separately from other items specified in (a) above.
Inspector finding
CCR 87309(b): Storage Space: Based on observation, the licensee did not comply with the section cited above in 2 out of 2 bottles of Vitamin D3 and Glucose tablets that were left on the kitchen counter, where residents might be able to reach them, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/16/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoid…
Regulation
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
CCR 87303(a) Maintenance and Operations: Based on observation, the licensee did not comply with the section cited above in 1 out of 1 gates in the backyard which did not open easily as the latch was broken, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/29/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office…
Regulation
(i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the livi…
Inspector finding
Based on observation, the licensee did not comply with the section cited above in 3 out of 3 call buttons which did not call for help when pressed or pulled, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a written plan outlining how this violation will be avoided in the future to licensing office by due date.
InspectionAugust 18, 2022Type A2 deficiencies
Inspector: Jaime Vado
Plain-language summary
This was a routine annual infection control inspection. Inspectors found the facility generally well-maintained with appropriate safety measures, hand sanitizer, grab bars, and locked medications, but noted that the personal protective equipment supply was insufficient and that an infection control plan was not available for review. The facility was asked to submit updated documentation including an emergency disaster plan and other required forms.
View full inspector notes
On this day Licensing Program Analysts (LPA) Jaime Vado conducted an unannounced infection control annual inspection visit. LPA met with facility staff person Chad Tan and let him know the purpose of today's visit. Upon entry LPA observed COVID postings upon entry to the facility on front door. LPA signed in and had temperature taken. LPA toured the physical plant inside and out. There are no accessible bodies of water or fire safety hazards observed. COVID postings and hand washing signs are present inside the facility. Hand sanitizer is observed as available through out the facility. Facility ambient temperature is warm and comfortable, and lighting is sufficient for residents and staff safety. Medications are locked and not accessible. LPA observed empty medication containers for residents on a dining table adjacent to kitchen. LPA inspected the containers and they are empty. First aid kit is observed as in place in the kitchen. Toilet and bathing facilities are equipped with grab bars and non-slip mats. Liquid soap is available. Paper towels are present for resident use. Water temperature is taken on lower level common bathrooms at 128F. Laundry machines and dryers are observed as functioning. Emergency food supply, dry goods, and perishables are observed as in place. Fire extinguishers are charged ready for use. Last stamped as inspected on 6/22/22. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is observed but requires more supply to be present. Medications, toxins are stored appropriately and inaccessible to clients. LPA attempted to review first aid cards, resident and staff temperature logs, and staff files but they are not accessible to LPA on this day. Resident temperature logs and staff logs are current. All staff are vaccinated. Clients are fully vaccinated as well according to staff. A disaster and mass casualty plan is present dated 2019. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been finger print cleared and associated to the facility. Mitigation and Infection control plan is not present for review. Administrator certificate is current expiring 9/8/2023. LPA is requesting the following updated forms to be sent to the Department by 8/22/22 : • Copy of administrator Certificate • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610D Emergency Disaster Plan • LIC 9020 Client Roster Report is reviewed with caregiver. Deficiency cited on following 809D.
Regulation
Furniture, Fixtures, Equipment, and Supplies - Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).
Inspector finding
This regulation has not been met as evidenced by: LPA tested the water temperature in two common bathrooms, one at the rear and one at the front, of the facility. Temp measured at 128F.
Regulation
Personnel Records - All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying.
Inspector finding
This regulation has not been met as evidenced by: LPA attempted to review the first aid cards, temperature logs, infection control plan, and mitigation plan of the facility but they were not accessible to staff to provide to LPA.
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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