Our House
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.
1916 Shoreview Avenue · 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
Severity5thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency3thDeficiencies 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
Our House scores D. Better than 36% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 5%. Repeats: top 0%. Frequency: bottom 3%.
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)
107
Last citation
Mar 26
Finding distribution
19 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
- 415600158
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Pagador, Lionel & Ursula
Inspections & citations
4
reports on file
19
total deficiencies
8
Type A (actual harm)
InspectionMarch 3, 2026Type B1 deficiency
Plain-language summary
A routine inspection of the facility found the building and grounds safe, with appropriate storage of medications and hazardous materials, working grab bars and nonskid flooring in bathrooms, and proper food supplies and first-aid kits on hand. Staff background clearances and training records were reviewed and found to be in order. Some regulatory paperwork was requested to be submitted by mid-March 2026, and deficiencies were noted on a separate page of the inspection report.
View full inspector notes
LPA Audrey Jeung toured facility and grounds,which is level and fenced. There is a detached storage shed, which is used by administrator and locked. There are 3 shared client bedrooms, and 2 staff rooms--1 room has 1 bed for 2 persons and the other has 3 beds for one staff. There are no accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Hot water temperature is tested at 118 degrees in clients' bathroom. Food supply and first-aid kit are inspected and complete. Client files are reviewed, including Centrally Stored Medications Records--provided by pharmacy--and records of cash resources for 2 clients. A Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records and training. RCFE administrators, Lionel Pagador (x 12/27) and Lionel Pagador Jr.(x 10/27) oversee facility operations. Proof of current liability insurance and Emergency Disaster Plan (LIC610D) are given to LPA today. The following information/forms are requested to be sent to CCLD BY 3/17/26: - Designation of Facility Responsibility (LIC308) - Personnel Report (LIC500) - Affidavit Regarding Client Cash Resources (LIC400) Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following page..
Regulation
PERSONNEL REQUIREMENTS GENERAL Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met, as all staff have expired first-aid training. Licensee failed to ensure that staff providing care maintain
Inspector finding
valid first-aid training, which poses a potential health and safety risk to clients in care.
InspectionMarch 5, 2025Type A1 deficiency
Inspector: Audrey Jeung
Plain-language summary
A routine annual inspection was conducted on March 4, 2025, and the facility was found to have violations of state regulations for residential care facilities. The specific violations are detailed in the citations issued to the facility.
View full inspector notes
LPA Jeung issued citations and Technical Advisory Note to complete annual inspection of 3/4/25. Deficiencies observed on 3/4/25 of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are cited on a following page.
Regulation
PERSONNEL RECORDS The licensee shall maintain documentation that an administrator has met... recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met, as there is no evidence that administrator has met the
Inspector finding
RCFE administrator recertification requirements. Licensee failed to ensure that there is certified RCFE administrator overseeing facility operations, which poses an immediate health, safety or personal rights risk to clients in care.
Other visitMarch 4, 2025Type A15 deficiencies
Inspector: Audrey Jeung
Plain-language summary
An inspector toured the facility and grounds and found the building to be safe and well-maintained, with appropriate storage of medications and hazardous materials, adequate bathrooms with safety features, and complete emergency and food supplies. However, the administrator does not have current required certification, and there are violations of state regulations that will be detailed in citations to be issued later.
View full inspector notes
LPA Audrey Jeung toured facility and grounds,which is level and fenced. There is a detached storage shed, which is used by administrator and locked. There are 3 shared client bedrooms, and 2 staff rooms--1 room has 1 bed for 2 persons and the other has 3 beds for one staff. There are no accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Hot water temperature is tested at 114 degrees in clients' bathroom. Food supply and first-aid kit are inspected and complete. Client files are reviewed, including Centrally Stored Medications Records--provided by pharmacy--and records of cash resources for 3 clients. A Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. RCFE administrator, Lionel Pagador, does not have current administrator certification. Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed. Citations and Advisory Notes will be issued at a later date due to technical difficulties.
Regulation
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,00…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,00…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,00…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
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 [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,00…
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
Regulation
(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period.
Inspector finding
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: Plan of Correction 1 2 3 4
InspectionApril 8, 2024Type B2 deficiencies
Inspector: Audrey Jeung
Plain-language summary
During a routine inspection, the facility met standards for safe medication storage, accessible bathrooms with safety features, appropriate temperature and lighting, and emergency preparedness, with an updated disaster plan in place. Hot water temperature was checked at 115 degrees, and food and first-aid supplies were found complete and properly stored. The inspector noted some deficiencies in staffing records and regulatory compliance that the facility was asked to correct by April 22, 2024.
View full inspector notes
LPA Audrey Jeung toured facility and grounds, including, detached storage shed, which is locked. There are no accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Hot water temperature is tested at 115 degrees in clients' bathroom. Food supply and first-aid kit are inspected and complete. Client files are reviewed, and medications are recorded on Centrally Stored Medications Records, provided by pharmacy. An updated Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Lionel Pagador is a certified RCFE administrator that oversees facility operations. The following form is requested to be updated and returned to CCL by 4/22/24: • LIC 500 Personnel Report Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following pages. Also, see Advisory Notes for technical violations to be corrected--3 pages.
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: (1) Four hours of training on the care, supervis…
Inspector finding
Based on staff record review, the licensee did not comply with the section cited above, as there is no evidence that all staff have received at least 4 hours of training on hospice care, restricted health conditions and postural supports. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/22/2024 Plan of Correction 1 2 3 4 All staff shall receive at least 4 hours of training on hospice care, restricted health conditions and postural supports. P…
Regulation
(f) A facility shall have both of the following in place: (2) A set of keys available to facility staff on each shift for use during an evacuation that provides access to all of the following: (D) All facility cabinets and cupboards or files that contain elements of the emergency and disaster plan, including, but not limited to, food supplies and…
Inspector finding
(A) All occupied resident units. (B) All facility vehicle (C) All facility exit doors. Based on observation, the licensee did not comply with the section cited above, as an emergency set of keys is not maintained, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/22/2024 Plan of Correction 1 2 3 4 An emergency set of keys will be maintained and include all occupied resident units, all facility vehicles, all facility exit doors, all facility ca…
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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