StarlynnCare

California · San Francisco

Autumn Glow

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.

654 Grove Street · San Francisco, 94102

Quick facts

Licensed beds15
Memory careYes
Last inspectionApr 2026
Last citationMay 2024
Operated byAutumn Glow Alzheimer's Home, Inc.
Map showing location of Autumn Glow

Inspection comparison

Updated May 1, 2026

Compared to 151 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 →

Peer comparison

Percentile vs 151 similar California CA / rcfe_memory_care / small beds facilities · higher = better

Severity
82th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
77th

Deficiencies per inspection

Tick mark at 50% = peer median

Citation severity over time

stable

Weighted severity score per month · 24 months

Jun 24peer medianMay 26

Weighted score (24mo)

0

Finding distribution

2 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLG1HID1EFABCSev 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 May 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 15 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

Questions to ask on your tour

Based on Autumn Glow's state inspection record.

  1. The April 2026 inspection cited one serious deficiency — can you provide your corrective-action plan for the cited item, and show families any documentation of remediation steps taken?

  2. The facility has one dementia-care citation on file under Title 22 §87705 or §87706 — can you provide the written dementia-care program required by §87705, and explain what specific corrective steps were taken to address the cited deficiency?

  3. The most recent inspection on April 16, 2026 resulted in two deficiencies — can you walk families through the specific Title 22 sections that were cited and provide documentation showing how each deficiency was corrected?

  4. Zero complaints are on file with CDSS — can you explain your internal grievance process and show families how concerns are documented and resolved before they escalate to state complaints?

State records

California Dept. of Social Services · Community Care Licensing
License number
385600141
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
15
Operator
Autumn Glow Alzheimer's Home, Inc.

Inspections & citations

3

reports on file

2

total deficiencies

1

Type A (actual harm)

1

dementia-care citations

InspectionApril 16, 2026
No deficiencies

Plain-language summary

An unannounced annual inspection of the facility was conducted on May 16, 2026, and no violations were found. The inspector checked the building's safety systems (smoke and carbon monoxide detectors, fire extinguisher, and sprinkler system), verified that medications and hazardous materials were properly stored and locked away, confirmed adequate food supply and appropriate temperatures, and found all hallways and common areas free of hazards. An advisory note was issued for a technical matter, but the facility met all required standards.

View full inspector notes

On 05/16/26, LPA Yi Sam Jian conducted an unannounced annual visit to the facility. LPA met with administrator Kit Fong, LPA explained the purpose of the visit. LPA toured the physical plant. This is a 2-story building with basement level. Building has kitchen, dining room, 9 bedrooms, backyard, and 6 bathrooms. All hallways, passageways, and the backyard were observed to be free of hazards and obstructions. The kitchen was inspected, and a sufficient supply of food was observed. Infection control practices were reviewed. Medications, toxins, and sharps were stored appropriately and kept inaccessible to clients. A comfortable temperature was maintained throughout the facility, with hot water temperature inspected to be in compliant. Furnishings and lighting were adequate for comfort and safety. The carbon monoxide and smoke detection systems were inspected and meet required standards. The fire extinguisher was checked and is fully charged. Facility has a sprinkler system. The first-aid kit was inspected and is complete. Chemicals & sharps are locked. Facility has an evacuation chair in the stairwell at the second floor. No deficiencies cited today. See Advisory Note issued for technical violation. Report is reviewed and copy is provided to administrator.

InspectionMay 1, 2025
No deficiencies

Plain-language summary

On May 1, 2025, an unannounced annual inspection found no violations at the facility. The inspector checked the building's physical condition, safety systems including fire extinguishers and smoke detectors, medication and chemical storage, food supply, and infection control practices, and found everything in order. An advisory note was issued for a minor technical issue.

View full inspector notes

On 05/01/25, LPA Yi Sam Jian conducted an unannounced annual visit to the facility. LPA met with the House Supervisor Yongchuan Ruan and administrator Kit Fong, LPA explained the purpose of the visit. LPA toured the physical plant. This is a 2-story building with basement level. Building has kitchen, dining room, 9 bedrooms, backyard, and 6 bathrooms. All hallways, passageways, and the backyard were observed to be free of hazards and obstructions. The kitchen was inspected, and a sufficient supply of food was observed. Infection control practices were reviewed. Medications, toxins, and sharps were stored appropriately and kept inaccessible to clients. A comfortable temperature was maintained throughout the facility, with hot water temperature inspected to be in compliant. Furnishings and lighting were adequate for comfort and safety. The carbon monoxide and smoke detection systems were inspected and meet required standards. The fire extinguisher was checked and is fully charged. Facility has a sprinkler system. The first-aid kit was inspected and is complete. Chemicals & sharps are locked. Facility has an evacuation chair in the stairwell at the second floor. No deficiencies cited today. See Advisory Note issued for technical violation. Report is reviewed and copy is provided.

InspectionMay 23, 2024Type A
2 deficiencies

Inspector: Grace Donato

Plain-language summary

On May 23, 2024, state inspectors conducted a routine unannounced inspection and found the facility in generally good condition—rooms and bathrooms were well-maintained, temperature controls and fire safety systems were working, and medications were properly accounted for and stored. However, inspectors identified three deficiencies: three of four resident medical records were missing updated physician reports, and the facility did not have an evacuation chair in the stairwell. The facility was asked to correct these issues or face potential penalties.

View full inspector notes

On 5/23/24, LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with the House Supervisor Yongchuan Ruan, LPA explained the purpose of the visit. LPA toured the facility inside and outside including a random sample of resident rooms, common areas, and kitchen area. LPA observed some residents were at the dining area eating. While touring the facility it was observed that the temperature was at 69deg F. Hot water was also tested in the resident apartments and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current. Facility has a sprinkler system. Resident bedrooms and bathrooms were observed to be in good repair. There is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Chemicals & sharps are locked. Four resident records and four staff records were reviewed. Three out of four resident records does not have an updated LIC602 (Physicians Report). Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Facility doesn't have an evacuation chair in the stairwell. LPA requested the following documents: LIC308, Liability Insurance, Copy of Administrator Certificate, Control of Property, LIC610. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed and a copy is provided with appeal rights.

Type ACCR §87705(c)(4)(A)

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. (A) In addition to requirements specified in Section 8741…

Inspector finding

Based on record review, the licensee did not comply with the section cited above in 3 out of 4 resident files reviewed doesn't have an upadated annual assessment which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 05/24/2024 Plan of Correction 1 2 3 4 Licensee to submit a plan to ensure that residents with dementia has an updated assessment. Licensee to submit plan by POC due date.

Type B

Regulation

(f) A facility shall have both of the following in place: (1) An evacuation chair at each stairwell, on or before July 1, 2019.

Inspector finding

Based on observation, the licensee did not comply with the section cited above by not having an evacuation chair in the stairwell in case of emergency which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/30/2024 Plan of Correction 1 2 3 4 Licensee to submit a plan to provide an evacuation chair in the stairwell. Licensee to submit photo of evacuation chair placement in the stairwell once done.

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.

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