Peninsula Regent (the)
CCRC
A Continuing Care Retirement Community (CCRC) offers multiple levels of care on a single campus — typically independent living, assisted living, and skilled nursing. Residents often enter under a long-term contract and can transition between care levels as their needs change. CCRCs in California are regulated by the California Department of Social Services.
1 Baldwin Avenue · San Mateo, 94401
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 19 California CCRC 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
Severity33thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency0thDeficiencies 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
Peninsula Regent (the) scores C−. Better than 44% of comparable California RCFE-CONTINUING CARE RETIREMENT COMMUNITY facilities. Severity: 33th percentile. Repeats: top 0%. Frequency: bottom 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 / ccrc / xl beds (19 facilities).
Citation severity over time
↑ worseningWeighted severity score per month · 24 months
Weighted score (24mo)
32
Last citation
Nov 25
Finding distribution
6 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 435 licensed beds:
3 awake caregivers on duty overnight, one on-call caregiver physically on premises, and one additional on-call caregiver.
State law adds one awake caregiver for each 100 residents above 200.
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
- 410508359
- License type
- RCFE-CONTINUING CARE RETIREMENT COMMUNITY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 435
- Operator
- Bass Inc; Pacific Retirement Services Inc
Inspections & citations
4
reports on file
6
total deficiencies
2
Type A (actual harm)
InspectionDecember 2, 2025No deficiencies
Plain-language summary
This was the facility's annual routine inspection conducted in November 2025. The inspector reviewed resident records and medication logs and found that required documentation was properly maintained with no violations found. There was one minor technical issue noted in the advisory section.
View full inspector notes
To complete annual inspection of 11/20/25, LPA Jeung reviewed resident records--which are accessible electronically--and Centrally Stored Medications Records. Required resident records are maintained, and clients' medications are recorded on Centrally Stored Medications REcords. No deficiencies of the California Code of Regulations, Title 22 are cited today. See Advisory Note for technical violation.
Other visitNovember 20, 2025Type A2 deficiencies
Plain-language summary
During a routine inspection of this 11-story continuing care community, inspectors found the facility has adequate emergency preparedness, including evacuation equipment, emergency food and water supplies, and documented fire drills. The facility maintains proper hot water temperature, a current activity program with a dietician, and has verified criminal background clearances for staff. The inspector noted some deficiencies in regulatory compliance that are detailed in the full report and requested additional documentation by December 4, 2025.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this Continuing Care Retirement Community, which is 11 stories tall and accommodates independent residents and assisted living residents in 20 units on the ground floor. There is an activity room with piano, an art room, and 4 guest bedrooms for visiting overnight guests of residents on the 11th floor. There is a covered swimming pool and jacuzzi tub, as well as a shallow pond on premises. Pool and jacuzzi can be accessed by a door fob issued to independent residents only. Common areas on the ground floor include beauty salon, game room, fitness room and library. There are no fire safety hazards observed. Hot water temperature is tested at 116 degrees in room 117. Food supply, signal system, and first-aid kit are inspected. Emergency food supply consists of dehydrated canned food, which must be reconstituted with water. Facility maintains supply of fresh water in addition to 2 large capacity boilers on the roof. Reports of quarterly consultations by registered dietician are maintained, Fire and emergency drills are documented and occur at least quarterly. "Stryker" evacuation chairs are maintained on the 6th floor stair landings; there is an evacuation chair for each of 4 stairwells. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as required staff records. Martin Herter is a certified RCFE administrator (x 12/25) that oversees facility operations. Resident records will be reviewed at a later date--including Centrally Stored Medications Records--due to time constraints. Three residents are receiving hospice services at this time. An updated Disaster and Mass Casualty Plan is readily available. The following forms are requested to be completed and returned to CCL by 12/4/25: • LIC 309 Administrative Organization for BASS Inc. and PRS Inc. • LIC 500 Personnel Report Deficiencies of the California Code of Regulations, Title 22 are observed and cited on following pages.
Regulation
PERSONNEL REQUIREMENTS - GENL Prior to employment or initial presence in the facility, all employees... subject to a criminal record review shall obtain a CA clearance or a criminal record exemption as required by law or Dept. regulations. This requirement is not met, as dining server staff #1 does not
Inspector finding
have criminal record clearance and is 18 years old. Licensee failed to ensure that all employees with direct client contact maintain criminal record clearance, whish poses an immediate health, safety or personal rights risk to clients in care.
Regulation
INCIDENTAL MEDICAL CARE Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met, as OTC meds
Inspector finding
& supplements are stored in 2 assisted living apartments, which are occupied by clients who are unable to safely store & administer their medications. Licensee failed to ensure that medications are inaccessible to residents who are unable to store their medications, posing an immediate health and safety risk.
Other visitDecember 2, 2024Type B4 deficiencies
Inspector: Audrey Jeung
Plain-language summary
This was a routine inspection of a continuing care retirement community with 11 stories and 20 assisted living units on the ground floor. The inspector found no fire safety hazards, appropriate storage of medications and dangerous materials, adequate lighting and water temperature, working emergency equipment, and current staff background clearances and certifications. The facility was asked to submit updated administrative and personnel forms by mid-December 2024.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this Continuing Care Retirement Community. Building consists of 11 stories, with 20 assisted living units on the ground floor. On the 11th floor, there is an activity room with piano, an art room, and 4 guest bedrooms for visiting overnight guests of residents. There is a covered swimming pool and jacuzzi tub, as well as a shallow pond on premises. Pool and jacuzzi can be accessed by a door fob issued to independent residents only. There are no fire safety hazards observed. Toxins and sharps are stored appropriately and inaccessible to clients, and lighting is sufficient for comfort and safety. Hot water temperature is tested at 118 degrees in room 117. Food supply, signal system, and first-aid kit are inspected. Emergency food supply consists of dehydrated canned food, which must be reconstituted with water. Facility maintains fresh water in 2 large capacity boilers on the roof. "Stryker" evacuation chairs are maintained on the 6th floor stair landing, and there is an evacuation chair for each of 4 stairwells, according to Mr. Herter. Some client and staff files are reviewed, and clients' medications are recorded on Centrally Stored Medications Records. An updated Disaster and Mass Casualty Plan is readily available. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Martin Herter is a certified RCFE administrator (x 12/25) that oversees facility operations. The following forms are requested to be completed and returned to CCL by 12/16/24: • LIC 309 Administrative Organization for BASS Inc. and PRS Inc. • LIC 500 Personnel Report Updated Emergency Disaster Plan (LIC610E) is provided to LPA today. PUB474, pertaining to resident councils (per AB1572) is posted, as are text of Health and Safety Code 1569.269 AND CCR Title 22 Section 87468 (Personal Rights form LIC613C) (per AB2171) and CCLD Hotline information (per SB895). Deficiencies of the CA Code of REgulations, Title 22 are cited on a following page
Regulation
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after e…
Inspector finding
Based on staff record review, the licensee did not comply with the section cited above in 2 out of 6 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care. Inspection Tool Notes: - Health screenings and TB test results for staff #1 and #2 are not maintained. POC Due Date: 12/16/2024 Plan of Correction 1 2 3 4 Health screenings and TB test results for staff #1 and #2 will be sent to CCLD BY DUE DATE.
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 staff record review, the licensee did not comply with the section cited above, as there is no evidence that care staff have received required training on postural supports and restricted health conditions. This poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/16/2024 Plan of Correction 1 2 3 4 Staff shall receivd at least 4 hours of training on postural supports, restricted health conditions and hospice care annually, and proof of training…
Regulation
(a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. (1) The text of the admission agreement, including any attachments and modifications, shall be: (A) Printed in black type of not less than 12-point type size, on plain white paper.…
Inspector finding
Based on review of clients' records, the licensee did not comply with the section cited above in 4 out of 6 files reviewed, which poses a potential health, safety or personal rights risk to persons in care. - Admission/residency agreements for clients #1, #2, #3, #5 are printed on both sides of paper. POC Due Date: 12/16/2024 Plan of Correction 1 2 3 4 Plan of correction to be submitted to CCLD BY DUE DATE, describing how admission/residency agreements will only be printed on one side of paper…
Regulation
PERSONNEL REQUIREMENTS Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.
Inspector finding
Based on review of staff training records, the licensee did not comply with the section cited above in 2 out of 6 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 12/16/2024 Plan of Correction 1 2 3 4 Proof of current first-aid training for staff #2 and #3 will be sent to CCLD BY DUE DATE.
ComplaintOctober 6, 2022No deficiencies
Inspector: Audrey Jeung
Plain-language summary
Inspectors investigated a complaint related to a resident death reported on October 4, 2022, and reviewed the facility's admission agreement, monitoring procedures for independent residents, staff schedules, and resident records with the director of health and wellness. No violations were found.
View full inspector notes
LPA Jeung and LPM Smith met with director of health and wellness in response to Death Report submitted on 10/4/22. Admission agreement for client was provided, as well as information regarding facility monitoring of independent residents. Staff schedule and client rosters are obtained. No deficiencies cited today.
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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