Seniors With Grace 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.
167 Alameda de las Pulgas · 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
Severity41thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency46thDeficiencies 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
Seniors With Grace Care Home scores B−. Better than 62% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 41th percentile. Repeats: top 0%. Frequency: 46th 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
stableWeighted severity score per month · 24 months
Weighted score (24mo)
20
Last citation
Mar 25
Finding distribution
2 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
- 415201955
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Seniors With Grace Care Home
Inspections & citations
2
reports on file
2
total deficiencies
2
Type A (actual harm)
InspectionMay 8, 2025No deficiencies
Plain-language summary
On May 8, 2025, state inspectors conducted a closure inspection after the owners requested to shut down the facility. All residents had been safely moved to other care facilities by April 17, 2025, and no deficiencies were found during the inspection.
View full inspector notes
On 5/8/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility for the purpose of conducting a closure visit initiated by the Licensee. LPA Calandra was greeted by Grace Manuel and Noel Manuel, Administrators/Licensees and explained the purpose of the visit. LPA conducted a walk-through of the facility, inspected all rooms and common spaces. There are currently no residents living in the facility and the last resident moved out on 4/17/2025. LPA was provided with a list of all residents and relocation sites and given updates throughout the months leading up to the final closure. During today's inspection, LPA Calandra found no evidence to suggest that there are any residents in care. Administrator stated that residents have taken selected personal belongings and furnishings for transfer to their new facilities. The facility files for both residents and staff will be kept in storage for 3 years. The Licensee initiated this facility closure and submitted a written statement to Community Care Licensing (CCL) on 3/18/2025, requesting to close this facility. All residents were found to be safely relocated. Closure inspection of this facility has been completed. Facility will be surrendering the license to LPA Calandra and will be sending it directly to the CCLD San Bruno Regional Office. The Department will be moving forward with the closure process. No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Noel and Grace Manuel, Licensees/Administrators and a copy of the report left at the facility.
InspectionMarch 21, 2025Type A2 deficiencies
Inspector: John Calandra
Plain-language summary
On March 21, 2025, state inspectors conducted the facility's required annual inspection and found no violations. The inspectors verified that the building met safety requirements, staff and resident records were complete and properly maintained, medications were correctly labeled and stored, and food supplies were adequate with proper temperature controls.
View full inspector notes
On 3/21/2025, Licensing Program Analyst(LPA) John Calandra and Licensing Program Manager(LPM) Andrea Medlin arrived at the facility to conduct the Annual 1-year required inspection at 9:30AM. LPA Calandra and LPM Medlin were greeted by Joewel Santos, Caregiver/House Manager and explained the purpose of the visit. LPA spoke to Licensee/Administrator Grace Manuel over the phone and was informed she would not be able to join the visit. LPA Calandra and LPM Medlin toured the physical plant. This is a 1-story building with 4 bedrooms and 3 bathrooms(2 for residents and 1 for staff), a living room, dining room, kitchen, and outdoor space/backyard. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 72 degrees Fahrenheit. The facility's hot water was measured between the required 105-120 degrees Fahrenheit. The facility's fire extinguishers were last serviced on 9/16/2024. All sharp objects, poisons, and detergents were observed to be locked and in-accessible to persons in care. LPA and LPM reviewed 6 resident records and 5 staff files. All were observed to be complete. 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 kept at the facility. LPA and LPM requested a copy of the updated LIC 500 (Personnel Summary Report) by 3/28/2025 . 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 LPA and LPM received a copy of the Administrator's Certificate. 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. This report was reviewed with Joewel Santos, Caregiver/House Manager and a copy of the report along with Appeal Rights left at the facility.
Regulation
87608(a)5(B): Postural Supports: Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.
Inspector finding
Based on observation and interview, facility is using full bed rails for R1 which is considered a restraint which poses an immediate health and safety risk to persons in care. POC Due Date: 03/22/2025 Plan of Correction 1 2 3 4 Licensee/Administrator to remove full bed rail and submit photo as proof of correction to the Department by the POC due date.
Regulation
87608(a)(3): Postural Supports: A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order.
Inspector finding
Based on interview and document review, facility does not have written orders from a physician indicating the need for half bed rails in the rooms of R2, R3, R4, R5, and R6, which poses an immediate health and safety risk to persons in care. POC Due Date: 03/22/2025 Plan of Correction 1 2 3 4 Licensee/Administrator will call physicians and obtain written orders indicating the need for half bed rails. Licensee will also send copies of physicians orders to the department by the POC due date.
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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