Royal Ilima
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.
1565 Royal Ave. · 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
Severity59thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency46thDeficiencies 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
Royal Ilima scores B−. Better than 68% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 59th percentile. Repeats: top 0%. Frequency: 46th 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
stableWeighted severity score per month · 24 months
Weighted score (24mo)
6
Last citation
Jan 25
Finding distribution
2 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
- 415600602
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Hale Kokua, Inc.
Inspections & citations
2
reports on file
2
total deficiencies
InspectionJanuary 21, 2026No deficiencies
Plain-language summary
This was a routine inspection of a facility serving elderly adults with developmental disabilities. The inspector found the facility's physical environment, safety measures, medication storage, staffing oversight, and emergency planning all in compliance with state regulations, with no deficiencies noted. The facility was asked to submit updated administrative and staff training documentation by February 4, 2026.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this facility that serves elderly developmentally disabled persons. There are 3 shared client bedrooms, activity room, 2 full bathrooms, kitchen and living/dining room on ground floor. There is a bathroom and 2 staff rooms on 2nd floor; one room has 5 beds and the other has 2 beds. The washer and dryer are located in attached 1-car garage and extra supplies are stored in storage shed in backyard. There are no accessible bodies of water or fire safety hazards observed. Toxins, medications and sharps are stored appropriately and inaccessible to clients, a comfortable room temperature is maintained, and lighting is sufficient for safety. First-aid kit is complete. Hot water temperature tested at 116 degrees F. Some client files are reviewed, including clients' cash handling transactions. Centrally Stored Medications Records are maintained. 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 training records. Pureza Ganio (x 8/27) is a certified RCFE administrator that oversees facility operations. Night staff is awake. The following updated information/forms are requested to be submitted to CCLD BY 2/4/26: - Designation of Administrative Responsibility (LIC308) - Medication training requirements for staff (per Health & Safety Code 1569.69) The following information/forms are provided to LPA today: - Personnel Report (LIC500) - page 9 of Emergency Disaster Plan (LIC610E) - proof of current liability insurance - proof of current surety bonding No deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed.. See Advisory Note issued--one page.
InspectionJanuary 30, 2025Type B2 deficiencies
Inspector: Audrey Jeung
Plain-language summary
This was a routine inspection of a facility serving elderly adults with developmental disabilities. Inspectors found the building safe and well-maintained, with proper storage of medications and hazardous materials, complete first-aid supplies, awake night staff, and required postings in place. Some violations of state regulations were cited and are detailed in a separate report.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this facility that serves elderly developmentally disabled persons. There are 3 shared client bedrooms, activity room, 2 full bathrooms, kitchen and living/dining room on ground floor. There is a bathroom and 2 staff rooms on 2nd floor; one room has 5 beds and the other has 2 beds. The washer and dryer are located in attached 1-car garage and extra supplies are stored in storage shed in backyard. There are no accessible bodies of water or fire safety hazards observed. Toxins, medications and sharps are stored appropriately and inaccessible to clients, a comfortable room temperature is maintained, and lighting is sufficient for safety. First-aid kit is complete. Some client files are reviewed, and medications are recorded on Centrally Stored Medications Records. 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 training records. Pureza Ganio (x 8/25) and Antolin Ucol (x 11/25) are certified RCFE administrators that oversee facility operations. Night staff is awake. As per legislation, effective 1/1/2015, the following information is posted: 1) PUB474, pertaining to resident councils, per AB1572; 2) text of Health and Safety Code 1569.269 AND CCR Title 22 Section 87468 (Personal Rights form LIC613C), per AB2171; 3) CCLD Hotline information, per SB895. Proof of control of property (current signed lease) is requested to be submitted to CCLD BY 2/13/25. Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on a following page. Also, see Advisory Notes issued--2 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 records, the licensee did not comply with the section cited above in 3 out of 4 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care. - There is no evidence that staff #1, #2, #4 have received training on postural supports. POC Due Date: 02/13/2025 Plan of Correction 1 2 3 4 Documentation that staff #1, #2, #4 received required training on postural supports will be sent to CCLD BY DUE DATE.
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 of disaster drill documentation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. - Emergency disaster drills are not conducted and documented quarterly. Disaster drills were conducted April 2024, January 2024 and November 2023. POC Due Date: 02/13/2025 Plan of Correction 1 2 3 4 Emergency disaster drills will be conducted and documented at least quarterly. Proof/plan of correctio…
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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