Complete Senior Living, Inc
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.
601 N. Idaho · San Mateo, 94401
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
Severity19thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency41thDeficiencies 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
Complete Senior Living, Inc scores C. Better than 53% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 19%. Repeats: top 0%. Frequency: 41th percentile.
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)
42
Last citation
Jan 26
Finding distribution
7 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
- 415600837
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Complete Senior Living, Llc
Inspections & citations
7
reports on file
7
total deficiencies
3
Type A (actual harm)
Other visitJanuary 29, 2026No deficiencies
Plain-language summary
An annual inspection on January 14, 2026 reviewed medication records and staff training records. The facility's medication records were found to be accurate and properly maintained. No violations were identified.
View full inspector notes
To complete annual inspection of 1/14/26, LPA Jeung reviewed clients' medication records and staff training records. Pharmacy provides Centrally Stored Medications Records for most of the residents. Centrally Stored Medications Records are maintained accurately. No deficiencies are cited today. See Technical Advisory Notes--3 pages.
Other visitJanuary 14, 2026Type A5 deficiencies
Plain-language summary
An inspector toured this 6-bedroom home and found the facility clean and safe, with proper bathrooms, grab bars, emergency supplies, and food storage in place. The inspector reviewed resident records and criminal background clearances for staff and noted that staff training records and medication records will be reviewed at a later date. The facility was cited for deficiencies in California regulations, and the operator must submit several documents including an emergency plan and proof of insurance by January 21, 2026.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 6 client bedrooms--all with half bathrooms and exit doors--one staff break room, one common half bathroom, one full bathroom for staff, office, kitchen, living and dining rooms. There is a fenced and level backyard and wooden deck around the sides and back of building. Washer and dryer are located in one car garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Fresh and non-perishable food supplies are maintained. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and hot water temperature tested. 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. No one is receiving hospice services. Client records are reviewed. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, including required staff records. Vivian Fragiacomo is a RCFE administrator (x 11/26) that oversees facility operations. Due to time constraints, staff training records and clients' medication records will be reviewed at a later date. The following information/forms are requested to be submitted to CCLD BY 1/21/26: - Personnel Report (LIC500) - Emergency Disaster Plan (9- page LIC610D) - Bedridden plan of operation - 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--3 pages.
Regulation
MAINTENANCE AND OPERATION Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).
Inspector finding
Based on observation, the licensee did not comply with the section cited above, as hot water temperature tested at 125 degrees in bathroom in room #5, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/15/2026 Plan of Correction 1 2 3 4 Hot water temperature will be lowered and maintained between 105 and 120 degrees F. Proof of correction to be sent to CCLD BY DUE DATE.
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:
Inspector finding
Based on staff records review, the licensee did not comply with the section cited above in 1 out of 3 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care. - There is no personnel record for staff #2, who was hired September 2025. POC Due Date: 01/21/2026 Plan of Correction 1 2 3 4 Staff record for staff #2 will be maintained, and proof of correction will be sent to CCLD BY DUE DATE
Regulation
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, th…
Inspector finding
Based on review of client records, the licensee did not comply with the section cited above in 5 out of 6 client records reviewed, which poses a potential health, safety or personal rights risk to persons in care. ) - There are no updated appraisals for clients #1, #2, #3, #6. POC Due Date: 01/21/2026 Plan of Correction 1 2 3 4 Signed and dated complete appraisals for clients #1, #2, #3, #6 will be sent to CCLD BY DUE DATE
Regulation
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment.
Inspector finding
Based on review of client records, the licensee did not comply with the section cited above in 5 out of 6 client records reviewed, which poses a potential health, safety or personal rights risk to persons in care. - Updated MD reports for clients #2, #3, #4, #5, #6 are dated more than 12 months ago or not on file. POC Due Date: 01/21/2026 Plan of Correction 1 2 3 4 Updated MD reports for 5 residents will be sent to CCLD BY DUE DATE.
Regulation
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Inspector finding
Based on absence of documentation of emergency drills per administrator, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. - There is no documentation that emergency drills are done at least quarterly. POC Due Date: 01/21/2026 Plan of Correction 1 2 3 4 Documentation of emergency drills will be sent to CCLD BY DUE DATE.
InspectionFebruary 10, 2025No deficiencies
Inspector: Audrey Jeung
Plain-language summary
During the annual inspection on January 21, 2025, the inspector reviewed staff records and medication records and found deficiencies in how the facility meets state regulations. The facility was asked to submit a completed Emergency Disaster Plan signed and dated by February 24, 2025.
View full inspector notes
To complete annual inspection of 1/21/25, LPA Jeung reviewed staff records and clients' Centrally Stored Medications Records. Deficiencies of the California Code of Regulations, Title 22, are cited on a following page. Completed Emergency Disaster Plan (LIC610E) is requested to be signed, dated and submitted to CCLD BY 2/24/25.
InspectionJanuary 21, 2025Type A2 deficiencies
Inspector: Audrey Jeung
Plain-language summary
During a routine inspection, the facility was found to have safe physical conditions with proper safety equipment, adequate staffing, and appropriate accommodations including grab bars and nonskid flooring in bathrooms. The inspector reviewed resident records and background clearances for staff, and the facility was asked to submit several required administrative documents and plans by February 4, 2025. Some deficiencies were noted in relation to state regulations.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 6 client bedrooms--all with half bathrooms and exit doors--one staff break room, one common half bathroom, one full bathroom for staff, office, kitchen, living and dining rooms. There is a fenced and level backyard and wooden deck around the sides and back of building. Washer and dryer are located in one car garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Fresh and non-perishable food supplies are maintained. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and hot water temperature tested at 116 degrees. 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. Two residents receive hospice services. Client records are reviewed. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Other required staff records--including current first aid training and health screenings--will be reviewed at a later date. Vivian Fragiacomo is a RCFE administrator (x 11/24) that has submitted education certificates for renewal of administrator certificate. The following information/forms are requested to be submitted to CCLD BY 2/4/25: - Administrative Organization (LIC309) - Designation of Administrative Responsibility (LIC308) - Personnel Report (LIC500) - Emergency Disaster Plan (LIC610D) - Bedridden plan of operation - Proof of current liability insurance - Infection Control Plan (LIC9282) Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following page.
Regulation
CRIMINAL RECORD CLEARANCE A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another...by providing....to the Department. This requirement is not met, as staff #1 has been working for a month, but criminal record
Inspector finding
clearance has not been associated to this facility. Licensee failed to ensure that all staff maintain criminal record clearance & association to facility. 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 full bed rails
Inspector finding
are used for client #2 in room 2. Licensee failed to prohibit use of full bed rails, which poses an immediate health, safety or personal rights risk to clients in care.
InspectionJanuary 4, 2024No deficiencies
Inspector: Jaime Vado
Plain-language summary
On January 4, 2023, inspectors conducted a routine annual inspection at the facility, reviewing records for 2 residents and 4 staff members. No violations were identified during the visit.
View full inspector notes
On 01/04/2023 at 1pm, Licensing Program Analyst (LPA) conducted an unannounced case management annual continuation visit to complete the annual that was began on 12/06/2023. LPA met with administrator Vivian Fragiacomo and explained the purpose of today's visit. During todays visit LPA conducted record reviews for 2 residents and 4 staff. Present in the facility is 6 residents and -- staff.
Other visitJanuary 4, 2024No deficiencies
Inspector: Jaime Vado
Plain-language summary
On January 4, 2023, the state completed an annual inspection of the facility, reviewing records for 2 residents and 3 staff members. The administrator's certificate has expired, though renewal has been submitted and is pending; the facility was asked to provide several updated documents including the new certificate by January 11, 2024. No violations were cited.
View full inspector notes
On 01/04/2023 at 1pm, Licensing Program Analyst (LPA) conducted an unannounced case management annual continuation visit to complete the annual that was began on 12/06/2023. LPA met with administrator Vivian Fragiacomo and explained the purpose of today's visit. During todays visit LPA conducted record reviews for 2 residents and 3 staff. Present in the facility is 6 residents and 4 staff. Two of which are agency staff. LPA reviewed the records indicated and all files reviewed are current. Administrator certificate is pending renewal and has not received the updated certificate as of this time. Administrator certificate is expired but renewal has been submitted but has not received yet. Facility does not handle resident monies. The following updated forms are being requested to be received by 01/11/2024 : • LIC610D Emergency Disaster Plan • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • Updated administrator certificate • LIC9020 Client Roster • Certificate of Liability Insurance There are no citations issued on this day. Report is reviewed with Vivian.
ComplaintDecember 6, 2023No deficiencies
Inspector: Jaime Vado
Plain-language summary
A routine annual inspection was conducted at this facility, during which inspectors checked the physical plant, kitchen, medication storage, fire safety equipment, resident rooms, and emergency procedures. Everything observed during the inspection—including cleanliness, safety systems, food storage, locked storage of hazardous items, and resident living spaces—met requirements. No violations were found.
View full inspector notes
On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required 1 year annual inspection visit. LPA met with administrator Vivian Fragiacomo and explained the purpose of today's visit. LPA was allowed entry into the facility. This is a one level facility. Annual Fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored in the kitchen locked in a drawer adjacent to the sink. Cleaning solutions are also locked below the sink. Perishable and non-perishable food items are observed as in place. LPA observed the medications as in place and locked in a hallway closet. The first aid kit observed as complete with required items. LPA observed that the facility is equipped with full sprinkler system, fire extinguishers are placed through out the facility inspected 04/13/23, smoke detector/carbon monoxide detectors are observed in place, and central heating system. PPE and additional food supplies are observed as in place in the garage. Laundry area is also observed as fully operational located in the garage. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Water temperature was measured at 118F. LPA observed several resident rooms at random and all rooms appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. Cleaning supplies are observed locked below kitchen sink and in the garage. COVID PPE and resident incontinence supplies are observed in place in the garage. This annual inspection be continued at a later date. Report is reviewed with Vivian. No citations issued.
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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