Judy's Homes for the Elderly
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.
151 28th Avenue · San Mateo, 94403
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
Severity100thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency100thDeficiencies 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
Judy's Homes for the Elderly scores A. Better than 100% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: top 0%. Repeats: top 0%. Frequency: top 0%.
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
stableWeighted severity score per month · 24 months
Weighted score (24mo)
0
Finding distribution
none · 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
- 415600586
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Judy's Homes for the Elderly, Inc.
Inspections & citations
4
reports on file
0
total deficiencies
InspectionJuly 8, 2025No deficiencies
Plain-language summary
On January 7, 2026, state inspectors conducted an unannounced pre-licensing inspection of this facility. The administrator was present and reviewed the inspection findings with the inspector. No violations were noted in this report.
View full inspector notes
On 01/07/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced pre-licensing inspection visit. LPA met with administrator Michelle Roias and explained the purpose of today's visit. Pre licensing inspection conducted. Report is reviewed with Michelle and a copy is provided.
InspectionApril 8, 2025No deficiencies
Plain-language summary
On April 8, 2025, inspectors conducted a routine annual inspection of this six-resident facility and found it in compliance with state requirements. The facility had adequate emergency food and supplies, working safety equipment including smoke detectors and fire extinguishers, secure medication storage, and current staff training and background clearances. No violations were cited.
View full inspector notes
On 04/08/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required 1 year inspection. LPA met with administrator Michelle Roias and explained the purpose of today's visit. Currently there are 6 residents in place and 2 staff. The facility is licensed for age range 60 and over. All may be non-ambulatory. The facility has a hospice waiver in place for 3 residents. 2 residents are currently on hospice. This is a single level facility. The facility ambient temperature is comfortable. LPA observed the facility's emergency food supplies such as canned goods and they are in place. There are 6 resident rooms. All rooms contain a half bathroom. Water temperature is tested in the common hallway full bathroom measuring as 110F. Cleaning supplies are observed to be locked in the garage. Facility knives are observed to be in a drawer adjacent to the refrigerator. Kitchen food supplies are observed to be in place with 2 day fresh food supply and canned goods fulfilling the 7 day emergency food supply. The garage has two additional refrigerators with A tour of the outside of the facility is conducted. Emergency routes are free and clear of any obstructions. At the rear of the facility lot is a separate dwelling that is rented out privately. There is no connecting entrances from the facility to that dwelling. Smoke detectors and carbon monoxide detectors are located through out the facility as well as fire sprinklers. The facility is also equipped with 1 fire alarm pull in the front of the facility. LPA observed 2 fire extinguishers in the facility with inspection tags dated 04/07/2025. Facility conducts emergency drill quarterly. The last drill that was conducted is logged and posted in the main hallway with a date of 12/17/2024. Linens are in place for resident use in each resident room. Continued on next page... 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 Page 2 LPA observed all resident rooms and observed that they contain the required furniture and lighting as outlined in Title 22. Medications, medical kit, and sharps are stored in locked medication closet near the front of the facility. Toilet and bathing facilities are equipped with grab bars. Hygiene supplies are in place. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed as current. LPA reviewed 4 staff files and 4 resident files on this day which appear to be current based on review. Staff training records are observed to be current and in place. Administrator certificate for Michelle Roias is observed as current expiring 12/10/2026 Report is reviewed with Michelle Roias. A copy of this report is provided to the facility. No citations issued on this day. LIC9102TV is attached on the following page.
InspectionMay 3, 2024No deficiencies
Inspector: Grace Donato
Plain-language summary
During a routine annual inspection on May 3, 2024, inspectors found the facility in good order: rooms and bathrooms were well-maintained with safety features like grab bars, temperature controls were appropriate, food supplies were adequate, medications were properly stored and accounted for, and emergency procedures were being followed. The facility had no deficiencies cited.
View full inspector notes
On 5/3/24 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Michelle Roias. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen area. The indoor and outdoor passageways were free of obstruction. LPA observed some residents were resting in their rooms and others were having breakfast. While touring the facility it was observed that the room temperature was at 69 deg F. Hot water was also tested in the bathrooms and the temperature was 112 deg F. The residents have adequate amount of linens and incontinence care items. 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. Emergency drills are logged and done every quarter. LPA observed sharps, toxins and chemicals to be locked and inaccessible to residents. Six resident records and two 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 LIC500 & LIC308. Liability Insurance & Control of property will be submitted to LPA. No deficiencies are cited at this time. Report is reviewed and a copy is provided.
InspectionJuly 5, 2023No deficiencies
Inspector: Grace Donato
Plain-language summary
This was a routine unannounced annual inspection where inspectors toured the facility, reviewed resident and staff records, and interviewed residents and staff. The facility was found to maintain safe living conditions with proper temperature control, working safety equipment, secured medications, and adequate food and supplies, though one resident had expired medications that the administrator removed immediately and one staff member needs to schedule a first aid training update. No violations were cited, though two technical violations were noted.
View full inspector notes
LPA Grace Donato made an unannounced annual visit to the facility. LPA met with administrator Michelle Roias. LPA explained the purpose of the visit. LPA toured the facility inside and outside including resident rooms, common areas, kitchen area and garage. The indoor and outdoor passageways were free of obstruction. LPA observed some residents were in the dining area having breakfast. A comfortable temperature of 68 deg F is maintained and lighting is sufficient for comfort. Hot water was also tested in the bathrooms and the temperature was 120 deg F. The residents have adequate amount of linens and incontinence care items. 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 mats and floor. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. LPA observed sharps, toxins and chemicals to be locked and inaccessible to residents. LPA reviewed 2 resident records and 3 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. One staff member needs to update first aid training and administrator will schedule for the training. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are in compliance with the required waiver requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. There were expired medications for one of the residents. The administrator took care of it right away by removing the medications and sending it out for disposal. 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 members. All staff are very competent with regards to the care of the residents. LPA requested licensee to submit the following and was received in the facility at 07/07/2023: LIC 308 Designation of Facility Responsibility LIC 500 Personnel Report Certificate of Liability of Insurance No deficiencies are cited at this time. Two technical violations are given. 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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