Cayco's 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.
1855 35th Avenue · San Francisco, 94122
Quick facts
Inspection comparison
Updated May 1, 2026Compared 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
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median
Citation severity over time
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
3
Last citation
Oct 24
Finding distribution
3 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.Rules this facility has been cited for are shown first.
What dementia-care training must staff complete?Cited Oct 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 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 citationsQuestions to ask on your tour
Based on Cayco's Care Home's state inspection record.
The facility has 2 serious citations on file across all inspections — can you provide your corrective-action plan for each cited item, and show families any documentation of remediation steps taken?
The October 2025 inspection cited a deficiency under §87705 or §87706 (dementia care) — can you provide the written dementia-care program required by §87705 and explain what corrective action was completed?
The facility is licensed for 6 beds and certified for memory care — can you walk us through the individualized dementia-care assessment process you use for each resident at admission?
Zero complaints are on file with CDSS — can you describe how families are informed of their right to file complaints with the state, and show us where that information is posted for residents and visitors?
State records
California Dept. of Social Services · Community Care Licensing- License number
- 385600421
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Maribel G Cayco
Inspections & citations
4
reports on file
3
total deficiencies
2
Type A (actual harm)
1
dementia-care citations
InspectionOctober 28, 2025No deficiencies
Plain-language summary
During a routine unannounced inspection on October 28, 2025, the facility was found to be clean, safe, and well-maintained, with appropriate storage of medications and proper working fire safety equipment. Four documentation issues were noted: missing written physician orders for postural supports, missing annual reassessments, and incomplete personnel records for new staff members, though these were administrative paperwork gaps rather than safety or care failures.
View full inspector notes
On 10/28/2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced annual inspection. LPA met with staff member, Elizabeth Joyce and Administrator, Maribel Cayco, joined later during visit. LPA explained the purpose of the visit. The ground floor had one resident room with bathroom, staff room, and garage. The second floor had 3 resident bed rooms, living room, kitchen, 1 bathroom. Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant , furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has at least one completed first aid kit located in the kitchen. No deficiencies were cited. Four technical violations were noted for lack of documentation for the following: written order from a physician indicating the need for the postural support, re-appraisal once every 12 months, personnel records for new staffs. The report was reviewed and discussed with Administrator. A copy of the report was left at the facility.
Other visitOctober 24, 2024Type B1 deficiency
Inspector: Dominic Tobola
Plain-language summary
During a routine annual inspection on October 24, 2024, the facility was found to be clean and safe with working smoke/carbon monoxide detectors, secured hazardous materials, adequate food and supplies, and staff with current first aid and CPR training. Two minor documentation issues were identified: one resident needed an updated physician's report, and another resident admitted in September lacked a required medical assessment prior to admission. The facility was asked to submit several documents by November 7, 2024, and the administrator's certificate is pending renewal with the state.
View full inspector notes
On 10/24/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Caregiver, Jude Torres. Licensee/Administrator, Maribel Cayco was contacted and informed of the visit but unable to attend due to being out of the country. The facility currently provides care for 5 residents, none of which are receiving hospice services and some of which with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located in kitchen and garage were found to be charged. Smoke and carbon monoxide detectors located throughout the facility were in working order. There was a sufficient supply of both perishable and nonperishable foods as required, with food stored in the kitchen, sufficient for residents in care. Food supply is replenished constantly throughout the week and stored properly. Facility provides a wide variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Sharps stored under the kitchen sink and cleaning supplies stored in the bathroom were found to be secured. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items.There is a single outdoor patio for resident use with shading. Exits are also equipped with motion sensors with auditory alarms signaling to the staff common area. Continued onto LIC809-C 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 conducted a sample file review for residents and found that one (1) resident (R1) with a primary diagnosis of dementia is in need of an updated physician's report. In addition, a technical violation was issued for a resident (R2) that was newly admitted on 9/3/2024, in need of a full medical assessment prior to admission. Upon a spot check of staff files, LPA found that caregiver staff have current 1st aid and CPR and onboard records on file. Lastly, A spot check of medications was conducted and found that all medication counts and records to be in order. Maribel Cayco's Administrator Certificate, 7011093740 is currently on the department pending list for renewal as of 7/17/2024. LPA requested the following documents be sent to CCL by COB 11/7/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan Liability Insurance Deficiency cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties
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 record review, the licensee did not comply with the section cited above in 1 resident with a diagnosis of dementia in need of an updated medical assessment, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2024 Plan of Correction 1 2 3 4 Licensee agrees to submit an updated medical assessment/physicain's report to CCLD for resident (R1) by POC date 11/7/2024.
InspectionFebruary 6, 2024No deficiencies
Inspector: John Calandra
Plain-language summary
This was a routine annual inspection conducted on February 6, 2024. No violations were found during the visit.
View full inspector notes
On February 6, 2024, Licensing Program Analyst(LPA), John Calandra arrived at the facility at 9:52 AM to complete the Annual Inspection as FAS crashed and LPA Calandra lost his report and all other pages. LPA Calandra was greeted by Rodella Pasamonte, Caregiver at the door and explained to her the purpose of his visit. Jude Torres, Caregiver arrived later during the visit. Administrator, Maribel Cayco was unavailable as she was out of town when the LPA visited. No deficiencies were cited during today's visit. A copy of the report and the POC clearance letter were sent and receipt confirmed by the Licensee/Administrator.
InspectionJanuary 5, 2024Type A2 deficiencies
Inspector: John Calandra
Plain-language summary
This was an unannounced annual inspection conducted on January 5, 2024, where the facility passed most safety checks—water temperatures, fire equipment, food storage, medication security, and physical plant conditions were all in order. However, inspectors found that four resident records were missing a required Needs and Services Plan and one was missing a physician's report, which are violations of state regulations. The facility received citations for these documentation deficiencies and was informed of appeal rights.
View full inspector notes
On January 5, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:06 AM to conduct an unannounced Annual 1-year required inspection. LPA Calandra met with Rodella Pasamonte and Jude Torres, Caregivers. Administrator, Maribel Cayco joined later in the visit. LPA Calandra toured the physical plant. This is a two story building that consists of 5 bedrooms(4 for residents and 1 staff bedroom) and 2 bathrooms. Water in all bathrooms was measured between the required 105-120 degrees Fahrenheit. Bathrooms were observed to have the required grab bars and anti-skid mats. Fire extinguisher in the facility was observed to be fully charged. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. The kitchen and garage refrigerators and freezers temperature were within the required range. All bedrooms were sufficiently lit and had the required furniture. The front and backyards were clear from obstructions. No accessible bodies of water or hazards were observed. The facility's first aid was observed to be complete. The facility does not handle any cash resources. There were 3 staff and 4 residents present during the inspection. All knives and sharp objects were observed to be locked and in-accessible to persons in care. All medications, soaps, and detergents were observed to be locked and in-accessible to persons in care. 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 reviewed 5 resident records. Four of the records did not contain a Needs and Services Plan and one did not have an LIC 602: Physician's Report. LPA also reviewed 3 resident records. All were observed to be complete. 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 interviewed 2 residents and 2 staff. Deficiencies of the California Code of Regulations, Title 22 are cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. A copy of the Report, Citation, and Technical Violation was reviewed with Administrator/Licensee, Mirabel Cayco and left at the facility. Appeal rights were provided.
Regulation
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (1) Evacuation procedures, including identification of an assembly point or points that shall be included in the facility sketch.
Inspector finding
Based on record review and interview with Caregiver, Jude Torres, the licensee did not comply with the section cited above in 1 out of 1 instances, as the facility does not currently have a facility sketch identifying evacuation procedures, including identification of an assembly point or points which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 02/07/2024 Plan of Correction 1 2 3 4 Licensee/Administrator to submit proof of correction and a writte…
Inspector finding
HSC 1569.695(e)(2): A facility shall have all fo the following information readily available to facility staff during an emergency: (2) Anappraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by review of 5 resident records, 4 of which did not contain the resident's needs and services plan. Deficient Practice Statement 1 2 3 4 Based on record review, the licensee did not comply with the section cited above in 4 out of 5 resident files in which…
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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