Roias Home for the Elderly
RCFE · Memory Care
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 help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
311 28th Avenue · San Mateo, 94403
Quick facts
Quality snapshot
Updated April 26, 2026Compared to 182 California RCFE memory care 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
Severity85thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency77thDeficiencies 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
Roias Home for the Elderly scores A−. Better than 87% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: top 15%. Repeats: top 0%. Frequency: 77th 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_memory_care / small beds (182 facilities).
Citation severity over time
stableWeighted severity score per month · 24 months
Weighted score (24mo)
0
Finding distribution
1 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.Rules this facility has been cited for are shown first.
What dementia-care training must staff complete?Cited Apr 202422 CCR §87705 / HSC §1569.625
Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:
- 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
- 8 hours annual dementia in-service — required every year thereafter.
- Administrator CE — the administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle.
Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour: Ask how dementia training records are kept — families may request documentation.
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
- 415600251
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Roias, Michelle
Inspections & citations
2
reports on file
1
total deficiencies
1
dementia-care citations
InspectionApril 23, 2025No deficiencies
Plain-language summary
On April 8, 2025, inspectors conducted a routine annual inspection of this four-resident memory care facility and found no violations. The facility met requirements for safety equipment, resident rooms, medication storage, staff training, and emergency procedures, though the administrator was asked to submit updated documentation including a current administrator certificate and liability insurance by April 30, 2025. No citations were issued.
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 Judy Roias and explained the purpose of today's visit. Currently there are 4 residents in place and 3 staff, one of which is the administrator. A new resident is due to move in on this day but is not present during LPAs visit. The facility is licensed for age range 60 and over. All may be non-ambulatory. The facility has a hospice waiver in place for 4 residents. 2 residents are currently on hospice. This is a single level facility. The facility ambient temperature is comfortable. There are 6 resident rooms. All rooms contain a half bathroom. Water temperature is tested in the common hallway full bathroom measuring as 111F. Cleaning supplies are observed to be locked in the garage. Facility knives are observed to be locked in the medication room. 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. Majority of the canned goods are stored in the garage. The garage has two additional refrigerators with staff and resident food. Laundry area is observed in the garage as well and is fully operational. 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 as March 17, 2025. Linens are in place for resident use also stored in the medication 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, first aid kit, and sharps are stored in locked medication closet near the front of the facility. Toilet and bathing facilities are equipped with grab bars and non-skid mats. 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 Judy Roias is observed as current expiring 05/11/2025 The following updated items are to be received by 04/30/2025 : • Copy of updated administrator certificate • Copy of facility's liability insurance • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule • Copy of control of property or copy of lease Report is reviewed with Michelle Roias. A copy of this report is provided to the facility. No citations issued on this day.
InspectionApril 29, 2024Type B1 deficiency
Inspector: Audrey Jeung
Plain-language summary
This was a routine inspection of a six-resident memory care home. The inspector found the facility's physical space, safety equipment, medication storage, bathroom accessibility, and staffing credentials in order, though the facility must submit several updated administrative forms and building permits for a new structure being added to the property by mid-May.
View full inspector notes
LPA Audrey Jeung toured facility and grounds, consisting of 6 client bedrooms and 2 staff bedrooms--all with half bathrooms--full bath/shower room, living/dining area, kitchen, recreation room. There are two beds in each staff room. Washer and dryer are located in attached garage, which also accesses stairs to upper level storage rooms. An accessory dwelling unit (ADU) is being built in backyard. No accessible bodies of water or fire safety hazards observed. PPE supply is adequate. 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. 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 2 staff. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Judy Roias, Michelle Roias, and Mercy Moreira are certified RCFE administrators (x 5/25, 5/25, 12/24) that oversee facility operations. Client records are reviewed, including hospice care plans for 3 residents. The following updated forms/information are requested to be submitted to CCLD BY 5/13/24: • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Emergency Disaster Plan (page 9 signed and dated) • Building Permit for ADU - Revised sketch of facility grounds (including ADU) Deficiency of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 is observed and cited on a following page.
Regulation
CARE OF PERSONS WITH DEMENTIA Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs.
Inspector finding
Based on client records review, the licensee did not comply with the section cited above, as two out of 5 clients with dementia do not have current MD reports and/or appraisals. This poses a potential health, safety or personal rights risk to persons in care. Clients #5 and #6 both have MD reports dated 1/22 and appraisals dated 2/22 and 1/20 respectively. POC Due Date: 05/13/2024 Plan of Correction 1 2 3 4 MD reports and appraisals for clients #5 and #6 will be updated and copies sent to CCL…
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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