Kimochi San Mateo
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.
453 N San Mateo Drive · 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
Severity56thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency23thDeficiencies 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
Kimochi San Mateo scores B−. Better than 60% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 56th percentile. Repeats: top 0%. Frequency: 23th 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
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
21
Last citation
Apr 25
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 14 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
- 415600974
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 14
- Operator
- Kimochi Inc
Inspections & citations
3
reports on file
7
total deficiencies
InspectionApril 29, 2025Type B3 deficiencies
Plain-language summary
A routine annual inspection was conducted on April 24, 2025, which included review of staff training records and medication storage documentation. The inspection found deficiencies in compliance with California regulations, which are detailed in the report.
View full inspector notes
To complete annual inspection of 4/24/25, LPA Jeung reviewed staff records--including training--and Centrally Stored Medications Records. Deficiencies of the California Code of Regulations, Title 22 are cited on following pages.
Regulation
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…
Inspector finding
Based on review of staff training records, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. - Based on record of Relais on-line training, 3 out of 6 staff did not receive required 8 hours of dementia training. Staff #1 needs 2 more hours, #2 needs 2.75 more hours, #4 needs 3 more hours of dementia training. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 Proof that all staff received or will receive…
Regulation
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following:
Inspector finding
Based on staff training records review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. - Based on record of Relais training, 6 out of 6 staff did not receive required 4 hours of training on restricted health conditions, hospice care, postural supports training. Staff #1, #2, #6 received 2 hours of this training, and other staff received half an hour or no such training. POC Due Date: 05/13/2025 Plan …
Regulation
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements:
Inspector finding
Based on review of staff training records, the licensee did not comply with the section cited above in 3 out of 6 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care. - Based on record of Relais training, staff #3, #4, #5 have not received required 8 hours of annual medications training. Staff #3 and #4 need additional 1 hour and staff #5 needs additional 5 hours. POC Due Date: 05/13/2025 Plan of Correction 1 2 3 4 Proof that all staff receiv…
InspectionApril 24, 2025Type B2 deficiencies
Plain-language summary
This was a routine inspection of an 11-bedroom facility. The inspector found the facility clean and well-maintained, with appropriate storage of medications and safety equipment, adequate staffing, and proper temperature control for bathrooms and living spaces. The facility was asked to submit updated insurance documentation, hospice and bedridden care plans, and a corrected facility sketch by May 8, 2025, and some regulatory violations were noted in a separate citation document.
View full inspector notes
LPA Audrey Jeung toured facility and grounds, consisting of 11 client bedrooms--3 of which are shared--all with full private bathrooms. All but 3 rooms have direct access to enclosed paved patio. No accessible bodies of water or fire safety hazards observed. PPE supply is adequate and first aid kit is complete. Perishable and non-perishable food supply is maintained. Infection control signs are prominently posted. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Hot water temperature is tested at 119 degrees in bathroom in room #2. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Liquid soap is available at all sinks. A Disaster and Mass Casualty Plan is accessible to staff. There are 2 caregivers working. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Linda Ishii-Chan and Bhawana Shah are certified RCFE administrators (x3/26 and 7/25) that oversee facility operations. Client files are reviewed. There are 2 clients receiving hospice care. Staff files will be reviewed at a later date. The following updated forms/information are requested to be submitted to CCLD BY 5/8/25: • Proof of current Liability Insurance • Hospice plan of operation • Bedridden plan of operation • Updated facility sketch, including correct room numbers Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on a following page. See also Technical Advisiory Notes--4 pages.
Regulation
REAPPRAISALS 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. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record.
Inspector finding
Based on review of clients' record, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care. MD reports for clients #3 and #4 are dated 7/23 and 12/20, respectively. Client #3 is diagnosed with dementia. POC Due Date: 05/08/2025 Plan of Correction 1 2 3 4 Updated medical reports for clients #3 and #4 will be completed and submitted to CCLD BY DUE DATE.
Regulation
REAPPRAISALS 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 se…
Inspector finding
Based on review of clients' records, the licensee did not comply with the section cited above in 2 out of 5 records reviewed, which poses a potential health, safety or personal rights risk to persons in care. Appraisals for clients #3 and #4 are dated 10/19 and 12/20, respectively. Client #3 is diagnosed with dementia. POC Due Date: 05/08/2025 Plan of Correction 1 2 3 4 Appraisals for clients #3 and #4 will be completed, signed, and copies sent to CCLD BY DUE DATE.
InspectionJune 17, 2024Type B2 deficiencies
Inspector: Audrey Jeung
Plain-language summary
This was a routine inspection of an 11-bedroom facility serving 13 residents. The inspector found the facility met requirements for safe storage of medications and hazardous materials, adequate food and supplies, proper bathroom safety features with grab bars, appropriate staffing levels, and emergency planning documentation. The facility was asked to submit updated administrative and personnel forms by July 2024, and some regulatory deficiencies were noted and cited separately.
View full inspector notes
LPA Audrey Jeung toured facility and grounds, consisting of 11 client bedrooms, 3 of which are shared--all with full private bathrooms. All but 3 rooms have direct access to enclosed paved patio. No accessible bodies of water or fire safety hazards observed. PPE supply is adequate and first aid kit is complete. Perishable and non-perishable food supply is maintained. Infection control signs are prominently posted. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Hot water temperature is tested at 120 degrees in public bathroom. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Liquid soap is available at all sinks. An updated Disaster and Mass Casualty Plan is accessible to staff. There are 13 residents present, and 2 caregivers. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Linda Ishii-Chan is a certified RCFE administrator that oversees facility operations. Staff and client files are reviewed. The following updated forms/information are requested to be submitted to CCLD BY 7/1/24: • LIC 309 Administrative Organization • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report The following information is provided to LPA: • Proof of current Liability Insurance • Page 9 of Emergency Disaster Plan (LIC610E) Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on a following page. See also 2 Technical Advisiory Notes.
Regulation
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following:
Inspector finding
Based on review of staff training records, the licensee did not comply with the section cited above, as 4 out of 4 staff files reviewed were missing training on postural supports, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 Proof of required training on postural supports will be sent to CCLD BY DUE DATE for 4 staff.
Regulation
POSTURAL SUPPORTS A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order.
Inspector finding
Based on review of client records, the licensee did not comply with the section cited above, as clients #1 and #4 have half bed rails, but there are no MD orders maintained. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 MD orders for half bed rails for clients #1 and #4 will be sent to CCLD BY DUE DATE.
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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