Janet's Residential Facility for the Elderly
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.
2970 25th Avenue · San Francisco, 94132
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)
26
Last citation
Aug 24
Finding distribution
4 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 Aug 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 8 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 Janet's Residential Facility for the Elderly'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 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?
One complaint is on file with CDSS — was it substantiated, and what remediation did the facility take in response to any substantiated findings?
The most recent inspection on 2025-08-19 is now several months past — can you provide the full deficiency notice from that visit and walk families through the corrective actions documented for each cited item?
State records
California Dept. of Social Services · Community Care Licensing- License number
- 380540408
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 8
- Operator
- Spires, Janet
Inspections & citations
4
reports on file
5
total deficiencies
2
Type A (actual harm)
2
dementia-care citations
InspectionAugust 19, 2025No deficiencies
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.
View full 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.
InspectionAugust 27, 2024Type A4 deficiencies
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.
View full 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.
Regulation
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or
Inspector finding
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…
Regulation
(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.
Inspector finding
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.
Regulation
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General.
Inspector finding
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 staf…
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 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.
InspectionAugust 24, 2022Type B1 deficiency
Inspector: Murial Han
Plain-language summary
This was a routine annual inspection conducted in August 2022. Inspectors found the facility's infection control practices, cleaning supplies, medication storage, and safety equipment to be adequate, but noted that the administrator's certification had expired and needed to be renewed. The facility was cited for this deficiency and told that failure to correct it could result in penalties.
View full inspector notes
On 8/24/2022, Licensing Program Analyst(LPA) Murial Han and Co-Worker Kevin Gaines conducted an unannounced annual inspection. LPA observed COVID-19 signs around the facility. LPA was greeted by the administrator, Janet Spires. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, resident and staff daily monitoring records reviewed and observed residents are completed on a daily basis and staff are completed but facility needs to be more consistent with the documentation. PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, and hand washing instruction is posted by the hand washing stations. Signs are posted through-out the facility. Trash cans are observed to have foot operated lids. All beds are at least 6" apart from each other. Facility has designated a staff member to care for residents who are in quarantine/isolation. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kits are inspected and complete. There are 5 residents, 4 staff members, and the administrator present during the inspection. During today's inspection, LPA requested for a copy of the current administrator certification, however, the administrator acknowledged that it was expired and will start the renewal process soon. Based on observation, and interview, this deficient is cited under California Code of Regulations, Title, 22 cited LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the Administrator and a copy is provided.
Inspector finding
(a) All facilities shall have a qualified and currently certified administrator. Deficient Practice Statement 1 2 3 4 Based on observation, interview, record review, the licensee did not comply with the section cited above as the administrator's certification expired and has yet started the renewal process which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 08/31/2022 Plan of Correction 1 2 3 4 The administrator has made arrangement for the a…
ComplaintAugust 24, 2021No deficiencies
Inspector: Murial Han
Plain-language summary
On August 24, 2021, an inspector conducted a routine annual inspection and found no violations. The facility demonstrated proper infection control practices, adequate supplies, safe storage of medications and hazardous materials, and appropriate staff-to-resident ratios during the visit.
View full inspector notes
On 8/24/2021, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Administrator, Janet Spires. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies (facility will convert one room for isolation), PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, and hand washing instruction is posted by the hand washing stations. Signs are posted through-out the facility. Trash cans are observed to have foot operated lids. All beds are at least 6" apart from each other. Facility has designated a staff member to care for residents who are in quarantine/isolation. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kits are inspected and complete. There are 6 residents, 2 staff members, the Administrator and the Administrator's son present during the inspection. No deficiency cited today. This report is reviewed and discussed with the Administrator and a copy is provided.
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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