Retirement Plus of San Carlos
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.
612 Chestnut Street · San Carlos, 94070
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
Severity21thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency16thDeficiencies 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
Retirement Plus of San Carlos scores C−. Better than 46% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 21th percentile. Repeats: top 0%. Frequency: bottom 16%.
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)
41
Last citation
Jan 26
Finding distribution
9 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
- 410508550
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Lee, Michelle
Inspections & citations
3
reports on file
9
total deficiencies
2
Type A (actual harm)
InspectionJanuary 16, 2026Type A3 deficiencies
Plain-language summary
During a routine annual inspection on January 16, 2026, inspectors found that the facility's hot water temperature was set too high at 164 degrees when it should be between 105 and 120 degrees, creating a scalding risk. Inspectors also found that some staff members had not completed required training in dementia care and specialized support techniques within the past year, and two residents' files were missing required assessments of their care needs. The facility was given citations and must correct these issues by a specified deadline.
View full inspector notes
On 1/16/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Teofila "Sophie" Oueis, Administrator and explained the purpose of the visit. LPA toured the physical plant. This is a 1-story building with 7 bedrooms, 9 and a half bathrooms, a kitchen, living room, dining room, office, laundry room, and front yard. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. All bathrooms had anti-skid flooring and grab bars. The facility's smoke alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last checked on 12/11/2025. The facility had the required 7 days of non perishables and 2 days of perishables on hand. No food was expired. All sharp objects, soap, poisons, detergents, and medications were observed to be locked and in-accessible to persons in care. LPA reviewed 5 resident files and 3 staff files. All resident files except two that were missing Appraisals of Needs and Services. During the physical plant tour, LPA observed that hot water temperature was measured at 164 degrees Fahrenheit which is outside of the required 105-120 degree range. A Type A citation was provided for this deficiency. 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 record review, LPA observed that facility staff did not have the required 8 hours of Dementia training and 4 hours of training on postural supports, hospice, and restricted health conditions within the last year. In addition, LPA observed that 2 residents did not have appraisals of needs and services. Type B citations were provided for these deficiencies. Deficiencies are cited under the California Code of Regulations(CCR), Title 22. Failure to correct the Deficiencies by the Proof of Correction(POC) due date may result in Civil Penalties. The Annual Inspection will be completed at a later date. An exit interview was conducted. A copy of this report along with Appeal Rights were provided.
Regulation
HSC 1569.696(a)(1) Other Provisions: (a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: (1)Four hour…
Inspector finding
Based on record review, the Licensee did not ensure that their staff had been provided training within the last year including four hours on the subjects of postural supports, restricted health conditions, and hospice care which is a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/30/2026 Plan of Correction 1 2 3 4 Licensee will conduct training and send list of atendees, subjects of trainings and dates to the Department by the POC due date.
Regulation
HSC 1569.695(e)(2): Other Provisions: 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
Based on document review, Licensee did not ensure that an appraisal of resident needs and services plan had been created for R1 and R2 which is a potential health, safety, or personal rights risk to persons in care. POC Due Date: 01/30/2026 Plan of Correction 1 2 3 4 Licensee will create an appraisal of resident needs and services plan for R1 and R2 and submit them to the Department by the POC due date.
Regulation
87303(e)(2): Maintenance and Operations: 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 degree F (41 degree C) and not more than …
Inspector finding
Based on observation, Licensee did not ensure hot water temperature was maintained between 105-120 degrees as evidenced by temperature reading of 164 degrees during the inspection, which is an immediate health, safety, or personal rights risk to persons in care. POC Due Date: 01/17/2026 Plan of Correction 1 2 3 4 Licensee will turn down water temperature and send proof of correction by the POC due date.
InspectionDecember 27, 2024Type A6 deficiencies
Inspector: John Calandra
Plain-language summary
On December 27, 2024, state licensing conducted the annual inspection of this facility. The inspector found the home well-maintained with proper safety equipment, adequate food and supplies, secure storage of hazardous materials, complete resident and staff records, and correctly labeled medications. The facility was asked to submit current liability insurance documentation by January 3, 2025.
View full inspector notes
On 12/27/2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 12:50 PM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Teofila Oueis, Administrator and explained the purpose of the visit. During the visit, LPA observed 1 resident in the living room watching television, 1 resident in bed asleep, and a third resident eating lunch in their room. LPA toured the physical plant. This is a 1-story building with 7 bedrooms (6 bedrooms for residents and 1 for staff), 2 bathrooms, kitchen, office, back and front yards, sunroom, living room, and dining room. All bedrooms had the required furniture and sufficient lighting. The facility was maintained at a comfortable temperature. Per interview with the Administrator, the facility's fire alarms are connected directly to the fire department. The fire alarm panel was observed to be in working order. The facility had the required carbon monoxide detectors which were observed to be in working order. The facility had the required 7 days of non perishables and 2 days of perishables on hand. No food was expired. All sharp objects, detergents, poisons, etc. were observed to be locked and in-accessible to persons in care. LPA Calandra reviewed 3 resident files and 4 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 Calandra requested the following documents be sent to CCLD by 1/3/2024: Current LIC 500 Liability Insurance 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 Teofila Oueis, Administrator and a copy of the report along with Appeal Rights left at the facility.
Regulation
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staf…
Inspector finding
Based on record review, no staff have active CPR and first aid training, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/28/2024 Plan of Correction 1 2 3 4 Administrator to arrange for CPR and first aid training for staff and submit proof that training is scheduled and proof of completion to CCLD
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 of personnel records, S1 started in March 2020 and per the Health Screening Report, S1's TB results were in 2014, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 Administrator to have S1 schedule a TB exam and submit updated Health Screening Report or Chest X-ray results to CCLD by the POC due date.
Regulation
(6) The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that indicates whi…
Inspector finding
Based on record review and interview of Administrator, no training records were available to be reviewed by the LPA for S1, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 Administrator to submit documentation pertaining to staff training, including topics of training, dates of trainings, and logs showing which employees attended trainings as well as information such as qualification of the trainer and…
Regulation
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following:
Inspector finding
Based on record review, S1 has not received training on postural supports, restricted conditions, and hospice care which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 Administrator to submit proof that S1 has received training on postural supports, restricted conditions 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 and interview of the Administrator, the facility has not conducted quarterly emergency drills, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/17/2025 Plan of Correction 1 2 3 4 Administrator to submit proof that trainings have been completed to the Department by the Plan of Correction due date.
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
Based on record review, R1 did not have an Appraisal of resident needs and services plan, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 01/10/2025 Plan of Correction 1 2 3 4 Administrator to submit an updated appraisal of resident needs and services plan for R1 by the POC due date.
InspectionNovember 18, 2023No deficiencies
Inspector: Jason Lund
Plain-language summary
An unannounced annual inspection was conducted with a census of 3 residents. The facility met all standards reviewed, including proper storage of medications and hazardous materials, functioning bathrooms with handwashing supplies, a complete first aid kit, and appropriate food storage. No violations were found.
View full inspector notes
Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required inspection. LPA met with Administrator, Teofila Oueis and explained the purpose of the visit. Census: 3 This is a single-story facility with 6 resident bedrooms, 1 staff bedroom, 5 half bathrooms, and 2 full bathrooms. LPA Lund & Administrator, Teofila Oueis toured/inspected the facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA observed the bathrooms, all were equipped with paper-towels, liquid soap and hand-washing sign. LPA advised Administrator to ensure all trash cans have a lid. LPA observed the 6 resident rooms. LPA toured the kitchen and observed the locked medication cabinet; LPA observed the locked cabinet with toxins and knives located under the sink. LPA observed 2- day perishable and 7- day non-perishable present. LPA observed the kitchen to be equipped with a covered trash can, liquid soap, and paper towels. A comfortable temperature is maintained, lighting is sufficient for comfort. First aid kit was observed to be completed. Extra linen was observed to be present. No deficiencies were cited during the visit and report left.
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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