StarlynnCare

California · San Bruno

Ahau Boarding Care Home

RCFE · Memory Care

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 help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.

901 Kains Avenue · San Bruno, 94066

Quick facts

Licensed beds5
Memory careYes
Last inspectionDec 2025
Last citationNov 2024
Operated byLatu, Temaleti T.
Map showing location of Ahau Boarding Care Home

Quality snapshot

Updated April 26, 2026

Compared to 182 California RCFE memory care 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

Severity
7th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
17th

Deficiencies per inspection

Tick mark at 50% = peer median · higher percentile = better facility

Ahau Boarding Care Home scores C−. Better than 41% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 7%. Repeats: top 0%. Frequency: bottom 17%.

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_memory_care / small beds (182 facilities).

Citation severity over time

stable

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

39

Last citation

Nov 24

Finding distribution

17 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLG11HID6EFABCSev 4 · IJSev 3Sev 2Sev 1

View inspections & citations

The rules that apply to this facility

California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.Rules this facility has been cited for are shown first.

What dementia-care training must staff complete?Cited Nov 202422 CCR §87705 / HSC §1569.625

Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:

  • 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
  • 8 hours annual dementia in-service — required every year thereafter.
  • Administrator CE — the administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle.

Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.

Ask on tour: Ask how dementia training records are kept — families may request documentation.

How many staff must be on duty overnight?22 CCR §87415

Based on 5 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
  1. 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
  2. 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.
  3. 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
  4. 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
  5. 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 citations

State records

California Dept. of Social Services · Community Care Licensing
License number
415600358
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
5
Operator
Latu, Temaleti T.

Inspections & citations

5

reports on file

17

total deficiencies

11

Type A (actual harm)

2

dementia-care citations

InspectionDecember 30, 2025
No deficiencies

Plain-language summary

On December 30, 2025, an unannounced annual inspection found the facility in compliance with no violations cited. The inspector verified that the building, grounds, bathrooms, kitchen, bedrooms, and safety equipment (including fire extinguishers, grab bars, and non-skid mats) were all in good working order, with sufficient food supplies, linens, and medications properly secured. The administrator is working with the city to legalize a storage unit in the backyard that was previously used as a living space.

View full inspector notes

On December 30, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with the administrator and explained the purpose of today's visit. LPA toured the facility inside and out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 3 resident rooms (2 shared and 1 private). Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas in operating condition. Showers were observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 108-114 degrees Fahrenheit. Fire extinguishers were inspected on 12/11/2025. A review of (5) resident files was conducted and noted on the LIC 858. A review of (1) staff files was conducted and noted on the LIC 859. During the tour of the facility, LPA observed a storage unit in the back yard that was observed as a living space during last annual is currently being used as a storage unit. The administrator stated that they are still working with the city of San Bruno to make the unit legalize. No deficiency is cited today. This report is reviewed and discussed with administrator. A copy of this report is provided.

InspectionNovember 19, 2024Type A
6 deficiencies

Inspector: Murial Han

Plain-language summary

This was an unannounced annual inspection on November 19, 2024, where inspectors found the facility's living spaces, kitchen, bathrooms, and safety equipment in good working order, but cited two violations: the administrator was the only staff member present and left three residents unattended in the dining room while showering another resident, with one resident calling out for help before being assisted; and an unapproved storage unit had been converted into living space for a caregiver without required documentation. A $250 civil penalty was assessed for a repeat violation.

View full inspector notes

On November 19, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with the administrator and explained the purpose of today's visit. LPA toured the facility inside and out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 3 resident rooms (2 shared and 1 private). Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas in operating condition. Showers were observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 108-111 degrees Fahrenheit. Fire extinguishers were checked. A review of (4) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. During today's visit, LPA observed the administrator was the only staff at the facility and when she was providing a shower for resident #1 (R1), the other 3 residents were in the dining room unattended and resident #2 (R2) called out several times for assistance before he/she was attended to. 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 During the tour of the facility, LPA observed a storage unit in the back yard was converted into a living space and according to the administrator, this is a living space for the caregiver and the facility did not have any documents to proof that this is an approved habitable space. Civil penalty in the amount of $250 is being assessed today for repeat violation. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in an additional civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.

Type ACCR §87305(a)

Regulation

Prior to construction or alterations, all facilities shall obtain a building permit.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a storage unit in the back yard that is being used as a living space for one of the caregivers which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/20/2024 Plan of Correction 1 2 3 4 The administrator will develop a plan in writing to address the storage unit in the backyard that is being used as a living space and the pl…

Type A

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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator was not able to provide any documents to proof that emergency drills were conducted accordingly which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/20/2024 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure emergency drills are conducted accordingly and will provide a copy of the plan to CCL …

Type ACCR §87705(c)(4)

Regulation

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs as identified in his/her current appraisal.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as during the inspection, the administrator was the only staff on-site and she was giving a shower to R1, the other 3 residents were left unattended in the dining room and R2 called out serveral times for assistance before he/she was attended to which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/20/2024 Plan of Correction 1 2 3 4 The a…

Type B

Regulation

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,00…

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above the administrator stated that the liability insurance has not been renewed which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/26/2024 Plan of Correction 1 2 3 4 The administrator will provide a copy of the current Liability Insurance to CCL by 11/26/2024.

Type B

Regulation

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator was not able to provide proof that the training was completed for Staff #1(S1) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/26/2024 Plan of Correction 1 2 3 4 The administrator will provide a copy of the required training records for S1 to CCL by 11/26/2024.

Type BCCR §87705(c)(5)

Regulation

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care …

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R3 has a diagnosis of dementia and the LIC 602 was not completed annually which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/26/2024 Plan of Correction 1 2 3 4 The administrator will provide a copy of updated LIC602 for R3 and provide a copy to CCL by 11/26/2024.

Other visitDecember 12, 2023Type A
8 deficiencies

Inspector: Murial Han

Plain-language summary

An unannounced annual inspection on December 12, 2023 found that the facility had several issues: expired medications were stored in the medication cabinet, cleaning chemicals were left unlocked and accessible to residents in a storage room, the facility could not provide documentation that required emergency drills had been completed, and all five residents' files were missing required care plans. The facility also lacked training records for one staff member, though other staffing and facility conditions—including grab bars in bathrooms, appropriate temperature controls, and adequate food supplies—met standards.

View full inspector notes

On December 12, 2023 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by staff, Emily Latu and LPA explained the purpose of today's visit. Administrator, Temaleti Latu arrived shortly thereafter and assisted with the annual inspection LPA toured the facility and ground. No accessible bodies of water of fire safety hazards observed. During the visit there were 5 residents. This is a one story facility with 3 bedrooms (2 shared rooms and 1 private room) and 2 bathrooms. The facility observed to comfortable. Bedrooms are equipped with required furniture for residents to use. Bathrooms are equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 106- 108 degrees F. Central stored medication were observed to be locked and inaccessible to residents. However, expired medications were identified. Food supplies were observed to be adequate. LPA observed chemicals in the storage room next to the bathroom was not locked and accessible to residents. In regards to facility drills, facility was not able to provide documents that they were completed. 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 reviewed 5 residents records and all of them contained identification and emergency information, admission agreement, medical assessment, and LIC 602 (Physician Order), however, 5 out of 5 residents did not have a pre-appraisal plan and an appraisal service/plan. LPA reviewed 2 staff files and all of them contained personnel records, health screening, job description, First Aide and CPR, criminal record clearance and all 2 staff are associated. However, LPA did not observed training records for staff #1 (S1). Facility does not handle resident's P & I. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.

Type ACCR §87309(a)

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

Based on observation, the licensee did not comply with the section cited above as the chemical storage room was unlocked during the facility tour which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/13/2023 Plan of Correction 1 2 3 4 The administrator will develop a plan to ensure the chemicals will be locked and inaccessible to residents at all time. The administrator will submit a copy of the plan to CCL by 12/13/2023.

Type ACCR §87465(c)(2)

Regulation

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are…

Inspector finding

Based on observation, record review and interview the licensee did not comply with the section cited above as expired medications for 2 out of 3 residents were observed which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/13/2023 Plan of Correction 1 2 3 4 The administrator will review medication for all residents and discard all the expired medication. The administrator will provide a written statement to CCL by 12/13/2023 indicating this has be…

Type A

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 observation, record review and interview the licensee did not comply with the section cited above as the facility was not able to provide documents that drills were performed accordingly which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/13/2023 Plan of Correction 1 2 3 4 The administrator will provide a plan to ensure compliance. The plan shall include when the drills will be completed. The administrator will provide a copy of the pla…

Type ACCR §87608(a)(3)

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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 5 out of 5 residents did not have an preadmission which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/13/2023 Plan of Correction 1 2 3 4 The administrator will provide a statement to ensure all preadmission appraisal is completed prior to admission. The administrator will provide a copy of the statement to CCL by 12/13/2023.

Type ACCR §87608(a)(5)(A)

Regulation

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 4 out of 5 residents have half bed rails, however, none of them have a physician's order indicating the need for the postural support which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/13/2023 Plan of Correction 1 2 3 4 The administrator will provide a plan to obtain a written order from the physician for the postural s…

Type BCCR §87113

Regulation

The license shall be posted in a prominent location in the licensed facility accessible to public view.

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA did not observed any required posters during the facility tour including by not limiting to resident's rights, CCL complaint poster, non-discrimination, etc. which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/19/2023 Plan of Correction 1 2 3 4 The administrator will post the required posters and provide a photo of the poste…

Type B

Regulation

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator was not able to provide training records for staff #1 (S1) which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/19/2023 Plan of Correction 1 2 3 4 The administrator will provide a copy of the training records for S1 to CCL by 12/19/2023.

Type BCCR §87457(c)(1)

Regulation

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. (1) The appraisal shall include, at a minimum, an evaluation…

Inspector finding

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 5 out of 5 residents did have a completed appraisal and service plan which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/19/2023 Plan of Correction 1 2 3 4 The administrator will complete an appraisal and service plan for all the residents and will provide a copy of the appraisal and service plan to CCL by 12/19/2023.

ComplaintNovember 16, 2023
No deficiencies

Inspector: Murial Han

Plain-language summary

This was a follow-up visit on November 16, 2023 to check whether the facility had fixed problems found during a complaint investigation two weeks earlier. The inspector found that medications, sharps, chemicals, and cleaning supplies were now locked and inaccessible to residents, the facility was clean, and dining and living areas had been improved, so the deficiencies were cleared.

View full inspector notes

On November 16, 2023, Licensing Program Analyst (LPA) conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on November 1, 2023 during a complaint visit. Upon arrival, administrator, LPA met with Temaleti Latu and caregiver, Emily Latu and explained the purpose of today's visit. Administrator provided a tour of the facility and LPA observed medicine cabinets were locked and inaccessible to residents in care, sharps and chemicals were locked and inaccessible to residents in care, new dining room furniture was purchased, living room appeared to be cleaned, no soiled clothes on the laundry room floor and no dirty dishes in the sink. The following deficiencies are cleared: Section: 87465 Incidental Medical and Dental Care..(h) The following requirements shall apply to medications which are centrally stored:..2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons... Section: §1569.49 Civil penalties; regulations setting forth appeal procedures for deficiencies..(c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation for any of the following serious violations:.. 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 87309 Storage Space..(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. 87303 Maintenance and Operation..(a) The facility shall be clean, safe, sanitary and in good repair at all times. Report is reviewed with administrator; POC letter is generated and provided on this day.

InspectionNovember 1, 2023Type A
3 deficiencies

Inspector: Murial Han

Plain-language summary

On November 1, 2023, inspectors arrived at the facility unannounced and found no staff present—the administrator was in the shower and was the only employee on duty. Residents had to let the inspector in, and a dog ran out to the street during entry; the inspector also found a knife on the counter near the stove, dirty dishes and water in the sink, piles of soiled clothes and towels on the floor, and poor cleanliness throughout the facility. The facility was cited for lack of supervision and assessed an immediate civil penalty.

View full inspector notes

On November 1, 2023 Licensing Program Analyst (LPA) Murial Han conducted a 10-day complaint visit in reference to complaint # 14- AS- 20231027125651, and during the visit, LPA make the following observations. At 10:30AM, LPA arrived at the facility, and rang the door bell twice but no one answered. After 10 minutes of waiting, resident # 1( R1) who was watching TV in the living room noted from the window that LPA was waiting outside and opened the door for LPA. As R1 was opening the door, a dog ran out to the street from the facility. LPA proceed to enter the facility and did not observe any facility staff was present. LPA interviewed R1 in the living room and R1 stated that he/she did not know where the staff was. LPA observed resident #2 (R2) who was eating breakfast in the dining room and also reported that he/she did not know where the staff was. LPA waited by the front door / living area and yelled for assistance for about 8 minutes and no one responded. LPA proceed to called and spoke to the administrator via cell phone and after a few minutes, the administrator came out and stated that she was taking a shower and she was the only staff at the facility. During the tour of the facility, LPA observed a knife was placed on the counter next to the stove, dirty dishes were in the sink cover with dirty water, big pile of soiled clothes on the floor in the laundry room, big soiled towel on the living room floor, in front of the fire place, fruits were placed next to big piles of paper and clothes in the kitchen counter, several piles of clothes in front of the staff room area, and a thick layer of white dust on top of the unused paper towel dispenser in the bathroom. 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 Deficiency was observed during the visit and cited from the California Code of Regulations, Title 22 and Health and Safety Code. See LIC809-D. An immediate civil penalty was assessed for Absence of supervision. Failure to correct the deficiency may result in additional civil penalty. Appeal Rights provided. This report was reviewed and discussed with administrator at the end of the inspection.

Type ACCR §1569.0822(c)(3)

Regulation

§1569.49 Civil penalties; regulations setting forth appeal procedures for deficiencies..(c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation for any of the following serious violations:..

Inspector finding

(3) Absence of supervision as required by statute or regulation. This requirement is not met as evidenced by there was absence of supervision when LPA arrived at the facility as the only staff (administrator) was taking a shower which poses an immediate health risks for residents in care.

Type ACCR §87309(a)

Regulation

87309 Storage Space..(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

This requirement is not met as evidence by LPA observed a knife on the counter next to the stove which poses an immediate health risks to residents in care.

Type ACCR §87303(a)

Regulation

87303 Maintenance and Operation..(a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by LPA observed dirty dishes in the sink, big pile of soiled

Inspector finding

clothes on the laundry room floor, fruits were stored on the counter with piles of paper, the unused towel paper dispenser in the bathroom was covered a white layer of dust etc. which poses an immediate health risk to residents in care.

Federal summary

CMS Care Compare

Not 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.

Family reviews

No reviews yet — be the first to share your experience

No published reviews yet. Use the button above to share your experience.

← Back to San Bruno