Angel Haven
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.
1660 Wolfe Drive · San Mateo, 94402
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
Severity26thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency18thDeficiencies 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
Angel Haven scores C−. Better than 48% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 26th percentile. Repeats: top 0%. Frequency: bottom 18%.
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)
38
Last citation
Jan 26
Finding distribution
8 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
- 415600911
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Giusto, Ferlene & Jack
Inspections & citations
4
reports on file
8
total deficiencies
2
Type A (actual harm)
InspectionJanuary 15, 2026Type B1 deficiency
Plain-language summary
This was a routine state inspection of a six-bedroom home caring for five residents, including one on hospice services. The inspector found the facility to be clean and safe, with proper emergency plans, first-aid supplies, grab bars in bathrooms, and appropriate staffing and training records on file. The facility was cited for some violations of state regulations, which will be detailed in the full report being sent to the administrator.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 6 client bedrooms--all with exit doors--a staff room with 4 beds, 3 bathrooms, kitchen and living/dining room. There is a fenced and level backyard, and a detached storage shed. Washer and dryer are located in garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Food supplies are maintained. A comfortable temperature is maintained, and hot water temperature tested at 116 degrees in rear bathroom. At least 2 of 3 toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Liquid soap is available at all sinks. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 5 residents present and 3 staff. One resident is receiving hospice services. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, including required staff records and training. Client and staff files are reviewed. Ferlene Giusto is a RCFE administrator (x 7/27) that oversees facility operations. The following information/forms are provided today: - Personnel Report (LIC500) - Proof of current liability insurance Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following pages. See also Technical Advisory Notes--2 pages. ****Due to printer malfunction, report could not be printed and will be emailed to Ms. Giusto***
Regulation
POSTURAL SUPPORTS Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met, as there are
Inspector finding
2 half bed rails on bed for client #5, but full bed rails are not included in hospice care plan. Licensee failed to ensure that hospice care plan includes full bed rails for client #5, which poses a potential health, safety or personal rights risk to clients in care.
InspectionJanuary 16, 2025Type A7 deficiencies
Inspector: Audrey Jeung
Plain-language summary
This was a routine inspection of a six-bedroom home caring for six residents, three of whom receive hospice services. The inspector found the facility's physical conditions, safety equipment, temperature controls, sanitation supplies, and staff clearances to be in order, though some deficiencies were cited in the detailed report.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 6 client bedrooms--all with exit doors--a staff room with 4 beds, 3 bathrooms, kitchen and living/dining room. There is a fenced and level backyard, and a detached storage shed. Washer and dryer are located in garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Food supplies are maintained. A comfortable temperature is maintained, and hot water temperature tested at 110 degrees in bathroom near staff room. At least 2 of 3 toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Liquid soap is available at all sinks. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 6 residents present and 3 staff. Three residents receive hospice services. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, including required staff records and training. Six client files are reviewed, including Centrally Stored Medications REcord for one client. Francheska Mendoza is a RCFE administrator (x 11/25) that oversees facility operations. The following information/forms are provided today: - Personnel Report (LIC500) - Proof of current liability insurance - Designation of Administrative Responsibility (LIC308) Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following pages. See also Technical Advisory Notes--2 pages.
Regulation
STORAGE SPACE The licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage. This requirement was not met, as Comet
Inspector finding
cleansers are stored in cabinets in 2 bathrooms used by clients. Licensee failed to ensure that cleaning products are stored in secure area, inaccessible to clients. This poses an immediate health, safety or personal rights risk to clients in care.
Regulation
POSTURAL SUPPORTS Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met, as client #4 has full bed rails, but there is no
Inspector finding
hospice care plan on file. Licensee failed to ensure that hospice client has hospice care plan that includes full bed rails, which poses an immedicate health, safety or personal rights risk to clients in care.
Regulation
PERSONAL ACCOMMODATION SVCS The licensee shall ensure provision of bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. This requirement was not met, as there are no night stands or reading lamps in
Inspector finding
at least 4 out of 6 rooms, which poses a potential health, safety, or personal rights risk to clients in care. Licensee failed to ensure that all residents are provided with required furnishings. No nightstands and reading lights in rooms of C1, C2, C3, C6
Regulation
INCIDENTAL MEDICAL CARE No persons other than the dispensing pharmacist shall alter a prescription label. This requirement was not met, as start dates are written on Rx labels by staff. Licensee failed to ensure that no one alters Rx labels, which poses a potential health, safety, or personal rights risk.
Regulation
MEDICAL ASSESSMENTS The medical assessment shall include...a physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for... communicable tuberculosis.
Inspector finding
This requirement is not met, as TB test results are not maintained for 3 out of 6 residents. Licensee failed to ensure that all clients have TB test results on file, which poses a potential health, safety or personal rights risk to clients in care. Clients #1, #2, #6 do not have TB test results on file.
Regulation
ADMISSION AGREEMENTS Admission agreements shall specify... payment provisions, including...rate for all basic services which the facility is required to provide. This requirement is not met, as admission agreements for 2 out of 6 clients do not include monthly rate.
Inspector finding
Licensee failed to ensure that basic rate is included in signed admission agreements, which poses a potential health, safety or personal rights risk to clients. Monthly rate missing for clients #3 and #6.
Regulation
HOSPICE CARE A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include specific information. This requirement was not met, as there are no hospice care plans maintained for 2 out
Inspector finding
of 3 hospice residents. Licensee failed to ensure that hospice care plans are maintained for all those receiving hospice care. This poses a potential health, safety or personal rights risk to clients in care. No hospice care plans for clients #4 and #6.
InspectionFebruary 2, 2024No deficiencies
Inspector: Komal Charitra
Plain-language summary
A routine unannounced inspection on February 2, 2024 found the facility in compliance with state standards across all areas reviewed, including safe living spaces, working safety equipment, proper storage of medications and hazardous materials, complete resident and staff records, and current staff training. The inspector toured the six-bedroom single-story home and confirmed bathrooms were clean and equipped properly, the kitchen had adequate food supplies, temperature and lighting were comfortable, and emergency drills were being conducted regularly. No violations were cited.
View full inspector notes
On February 2, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Ferlene Guisto and explained the purpose of the visit. LPA toured facility and grounds. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility with 6 resident private bedrooms, 1 staff room, and 3 bathrooms. LPA observed resident bedrooms with all required furniture. Door alarms from each resident room to the outside passageway was observed to be in good working condition. Bathrooms were observed to be clean and in good repair; equipped with non-skid mats, toilet paper and liquid soap. Kitchen was observed, 2 day perishable and 7 day non-perishable was present. Toxins, sharps, and medication were locked and stored appropriately and inaccessible to residents. Living room and dining room was observed to be clear and free from tripping hazards. A comfortable temperature is maintained at 71 degrees F and lighting is sufficient for comfort. Extra linen was present and first aid kit was observed to be completed. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of June 2023. Emergency drills are logged and done every three months. LPA reviewed 5 resident records and 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No citations are issued during this visit. Report is reviewed with Administrator and a copy is provided.
InspectionFebruary 8, 2023No deficiencies
Inspector: Komal Charitra
Plain-language summary
A routine annual infection control inspection took place on February 8, 2023, and the facility passed without any violations. The inspector found that the home maintained proper hygiene standards, had adequate supplies including personal protective equipment and first aid kits, safely stored medications and hazardous materials, and that staff were following infection control practices including wearing face coverings and monitoring residents and visitors for illness.
View full inspector notes
On February 8, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival, LPA observed the COVID-19 signage posted at the front entrance. LPA met with Caregiver, Joel Quizon and Administrator, Ferlene Giusto joined shortly thereafter. LPA explained the purpose of the visit and was screened at entry point. LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story home with 6 resident bedrooms, 1 staff room, and 3 full bathrooms. LPA toured the facility with the Caregiver and observed living room and dining room to be clean and free from any tripping hazards. A comfortable temperature of 70 degrees F is maintained and lighting is sufficient for comfort. LPA observed all 6 resident rooms to be private rooms. There are currently two vacant rooms at the facility. LPA toured the full bathrooms and observed it to be equipped with liquid soap, paper towels, hand-washing signs, trash cans with fitted lids and non-skid mats. Bathrooms were observed to be in good repair. Extra linen was present and first aid kit was observed to be completed. LPA toured the kitchen and observed 2 day perishable and 7 day non-perishable. Sharps and medications were observed to be locked and inaccessible to residents. LPA toured the garage and observed chemicals and toxins to be locked. In addition, LPA observed washer and dryer to be in good working condition and observed extra food supply present. 30-day PPE supply was present. Staff room was observed to be clean and inaccessible to residents. During the visit, LPA observed all staff to have a face covering. Infection control practices are observed: entry procedures, daily monitoring log for staff, residents and visitors, 30-day PPE supply, face coverings for staff, containment strategies, staff training and policies. No citations are issued during this visit. Report is reviewed with 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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