California · San Francisco

Janet's Residential Facility for the Elderly.

RCFE · Memory Care8 bedsDementia-trained staff(415) 713-8238
Limited Inspection History · fewer than 4 records in 3 years
Facility · San Francisco
A 8-bed RCFE · Memory Care with 4 citations on file.
Licensed beds
8
Last inspection
Aug 2025
Last citation
Aug 2024
Operated by
Spires, Janet
Snapshot

A medium home, reviewed on public record.

Peer Comparison

Compared to 152 California facilities with a similar number of beds.

RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.

Severity rank
70th%
Weighted citations per bed.
peer median
0
100
Repeat rank
Not enough repeat citations
among peers to rank.
Repeat deficiencies as share of total.
Frequency rank
56th%
Deficiencies per inspection.
peer median
0
100

Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.

FACILITY WATCH · FREE

Janet's Residential Facility for the Elderly has 4 citations on record. Know the moment anything changes.

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The Record

Citation history, plotted month by month.

4 deficiencies on record. Each bar is a month with a citation.

Peer median 25 · dashed
Last citation: AUG 2024. Compared against peer median (dashed).
peer median
AUG 2024
Jul 2024as of Jun 2026

Finding distribution

4 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G2
H
I
Sev 2
D2
E
F
Sev 1
A
B
C
The Rulebook

The rules that apply to this facility.

State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.

What dementia-care training must staff complete?22 CCR §87705 / HSC §1569.625
Cited Aug 2024+
Plain language

Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an 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

Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?

Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Janet's Residential Facility for the Elderly's record and state requirements.

01 /

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?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

The facility has 2 dementia-care citations under §87705 or §87706 on file — can you provide the written dementia-care program required by §87705, and explain what specific changes were made to achieve compliance with the cited sections?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

One complaint is on file with CDSS — was it substantiated, and what remediation did the facility take in response to any substantiated findings?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

Full Inspection Record

Every inspection visit, verbatim.

2 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

2
reports on file
4
total deficiencies
2
severe (Type A)
2025-08-19
Annual Compliance Visit
No findings

Plain-language summary

During an unannounced annual inspection on August 19, 2025, inspectors found the facility in good order: buildings and hallways were unobstructed, rooms had proper safety features like grab bars and non-skid flooring, emergency alarms and fire equipment were functional, food supplies were adequate, and medications were properly stored and accounted for. Temperature, lighting, and cleanliness met standards, with hazardous materials locked away from residents. No violations were noted.

Read raw inspector notes

On 8/19/2025, Licensing Program Analyst(LPA) Grace Donato conducted an unannounced annual inspection. LPA met with administrator, Janet Spires. LPA explained the purpose of the visit. LPA toured the facility. Facility is a two story facility with 3 resident rooms in the first floor and 2 resident bedrooms upstairs. All outdoor and indoor passageway are free and clear of obstruction. LPA observed sufficient furniture and lighting throughout the facility, and a comfortable temperature of 69 degF is maintained . Trash cans were observed to have touch free operated lids. Hot water temperature was measured at 106 degF. Auditory alarms are all working. All personal belongings are intact. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid floor. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. LPA observed sharps, toxins and chemicals to be locked and inaccessible to residents. Five resident records and five staff records were reviewed. Resident records are updated, complete and signed. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. LPA received a copy of the Liability Insurance. This report is reviewed and discussed with the Administrator and a copy is provided.

2024-08-27
Annual Compliance Visit
Type A · 4 findings
Inspector · Yi Sam Jian

Plain-language summary

During an unannounced annual inspection on August 27, 2024, inspectors found the facility's physical environment to be well-maintained with proper temperature, lighting, and safety equipment, though some fire extinguishers and safety detectors were overdue for servicing. Inspectors identified documentation issues: three of four residents' care plans and medical reports needed updating, two staff members lacked required health screening records on file, and staff training records were incomplete. The facility was given time to correct these deficiencies.

Type A22 CCR §87355(e)(3)
Verbatim citation text · 22 CCR §87355(e)(3)

Based on record review, the licensee did not comply with the section cited above in 2 out of 2 staff who are fingerprint cleared but not properly associate to the facility, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/28/2024 Plan of Correction 1 2 3 4 Licensee agrees to contact Guardian background check bureau and ensure staff (S3 & S4) are associated to the facility by POC date 8/28/2024. Licensee to provide proof of associated staff by POC date 9/3/2024.

Type A22 CCR §87705(j)
Verbatim citation text · 22 CCR §87705(j)

Based on observation, licensee did not comply with the section cited above in all exits requiring auditory alarms not in order, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/28/2024 Plan of Correction 1 2 3 4 Licensee agrees to ensure all auditory alarms are installed and functioning and submit photo proof of evidence to CCLD by POC date 8/28/2024.

Type B22 CCR §87412(a)(11)
Verbatim citation text · 22 CCR §87412(a)(11)

Based on record review, the licensee did not comply with the section cited above in 2 out 2 staff without health screening reports on file, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2024 Plan of Correction 1 2 3 4 Licensee agrees to submit Health Screening Reports for staff (S3 & S4) by POC date 9/3/2024. In addition, LPA's requested for Licensee to ensure health screening reports are updated for any additional or incoming staff.

Type B22 CCR §87705(c)(5)
Verbatim citation text · 22 CCR §87705(c)(5)

Based on record review, the licensee did not comply with the section cited above in 3 out of 4 needs and service plans and physician's reports in need of updating for residents with dementia, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/10/2024 Plan of Correction 1 2 3 4 Licensee agrees to submit updated Needs & Service Plans and Physician's Reports for residents (R1, R2 & R3) by POC date 9/10/2024.

Read raw inspector notes

On 8/27/2024, Licensing Program Analyst(LPA) Dominic Tobola and LPA Yi Sam Jian conducted an unannounced annual inspection. LPAs were greeted by the administrator, Janet Spires(S1) and staff Damien Spires(S2) at 10:10 AM. LPA explained the purpose of the visit . Also present were home care aide Jacqueline Lafleur, staff Karen Lopez, and 4 residents: some with dementia. LPA Tobola and LPA Jian toured and inspected the physical plant with S2 including but not limited to the kitchen, three bedrooms for residents; one bathroom; laundry area, basement and backyard area. All outdoor and indoor passageway are free and clear of obstruction. LPA observed sufficient furniture and lighting throughout the facility, and a comfortable temperature of 75 degrees F is maintained . Trash cans were observed to have touch free operated lids. All beds are at least 6" apart from each other. Hot water temperature was measured at 110 degrees Fahrenheit in resident bathroom sink , which is within the required range of 105 to 120 degrees. Auditory alarm required for resident with dementia were not operable during inspection. No accessible bodies of water or fire safety hazards observed . Fire extinguishers were found to be last serviced and inspected on September 8, 2023 . Carbon monoxide detector and smoke detector system were last inspected by outside vendor on 03/2023 in the hallway. Facility has a written emergency disaster plan. Licensee stated there are no firearms or ammunition at the facility. Licensee has at least one completed first aid kit located in the kitchen. Centrally stored medications are locked in a cabinet near the kitchen entrance in the first floor. Each room is equipped with a bed for each resident working lights and a night stand. Toxins and sharps are stored appropriately and inaccessible to clients. There were sufficient supply of both perishable and nonperishable foods . Food stored in the kitchen refrigerator were properly stored. 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 Infection control practices are reviewed: PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap. During resident file review, LPA found that 3 out of 4 residents needs and services plan and physician reports were in need of updating. LPA found that 2 staffs (S3) (S4) were fingerprint cleared, however not properly associated to the facility. Administrator had submitted request to update facility roaster but pending association. In addition, 2 staffs (S3) (S4) health screen were not on file. Staff training were also in need of updating, technical violation issued. 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.

2 older inspections from 2021 are not shown above.

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