Abigail's Guest Home
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.
10061 la Paz Avenue · San Ramon, 94583
Quick facts
Quality snapshot
Updated April 25, 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
Severity36thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency24thDeficiencies 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
Abigail's Guest Home scores C. Better than 53% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 36th percentile. Repeats: top 0%. Frequency: 24th 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
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
45
Last citation
Jul 25
Finding distribution
10 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 Jun 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
- 079200379
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Jaakk, Inc.
Inspections & citations
4
reports on file
10
total deficiencies
4
Type A (actual harm)
1
dementia-care citations
InspectionJuly 16, 2025Type A7 deficiencies
Plain-language summary
A routine annual inspection on July 16, 2025 found several safety issues: staff were sleeping in the living room, knives and scissors were left unlocked and unsupervised in the kitchen, medications were unlocked in the kitchen, expired canned goods were stored in the facility, the shower lacked non-slip mats for a resident with mobility concerns, and a resident's hand was being restricted with thick socks without a doctor's order. The facility's fire safety equipment, lighting, temperature, grab bars, and staff first aid training were all in proper condition.
View full inspector notes
On 7/16/2025 at 8:00am Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required visit. Upon arrival, LPA was greeted by Caregiver, Marilou Aguilar. Administrator, was unable to attend and approved caregiver to sign report. The facility's fire clearance was approved for all may be non-ambulatory LPA toured the facility with Caregiver including but not limited to the bedrooms, bathrooms, kitchen, common areas, and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.2 degrees F. Residents’ shared bathroom is equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 04/15/2025. Emergency Disaster Plan last updated 7/30/2024. Fire drill was last conducted on 06/30/2025. First aid kit was observed complete. LPA reviewed 3 staff records and 3 of 3 staff are associated and have first-aid training. LPA reviewed 6 resident records. report continues on LIC809-C 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 THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed that staff are sleeping in the living room on a cot LPA observed unlocked and unsupervised knives and scissors in the kitchen LPA observed unlocked medications in the kitchen LPA observed multiple expired canned goods LPA observed that facility is limiting R3's use of their hand by placing thick socks over their hand that they cant remove and there is no doctors order. LPA observed that there are not non-slip mats in the residents shower R3 has a restricted health condition The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in Knives and scissors being accesable which poses an immediate safety risk to persons in care. POC Due Date: 07/16/2025 Plan of Correction 1 2 3 4 Staff locked away knives and scissors POC clear
Regulation
(h) The following requirements shall apply to medications which are centrally stored: (2) 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.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in having residents medicines unsecured which poses an immediate safety risk to persons in care. POC Due Date: 07/16/2025 Plan of Correction 1 2 3 4 Staff locked away medications POC clear
Regulation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in not having non slip mats in the showerwhich poses a potential safety risk to persons in care. POC Due Date: 08/01/2025 Plan of Correction 1 2 3 4 By POC facility agrees to purchace and install non-slip mats and notify CCLD
Regulation
(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents an shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner.
Inspector finding
Based on observation, the licensee did not comply with the section cited above having food of poor quality by it being expired which poses a potential health and personal rights risk to persons in care. POC Due Date: 08/01/2025 Plan of Correction 1 2 3 4 By POC facility agrees to dispose of all expired foods and purchase replacments and notify CCLD
Regulation
(a)Based on the individual's preadmission appraisal…(5)Under no circumstances shall postural supports include … limiting the use of a resident's hands or feet.
Inspector finding
Based on observation and interview, the licensee did not comply with the section cited above by limiting R3's use of their hands by having socks over them which poses an immediate personal rights risk to persons in care. POC Due Date: 07/18/2025 Plan of Correction 1 2 3 4 By POC facility agrees to remove the restraints and notify CCLD
Regulation
(a)Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:
Inspector finding
Based on observation and interview, the licensee did not comply with the section cited above by staff sleeping in the living room which poses a potential personal rights risk to persons in care. POC Due Date: 08/01/2025 Plan of Correction 1 2 3 4 By POC facility agrees to update the caregivers approved room to be able to accommodate staff sleeping and notify CCLD of the update.
Regulation
(a)The licensee shall be permitted to accept or retain a resident who requires the use of an indwelling catheter under the following circumstances:
Inspector finding
Based on observation and interview, the licensee did not comply with the section cited above in R3 having a catheter which they try ripping out when unsupervised which poses a potential safety risk to persons in care. POC Due Date: 08/01/2025 Plan of Correction 1 2 3 4 By POC facility will discuss alternative solutions with the responsible parties and notify CCLD of the plan.
InspectionJune 13, 2024Type B1 deficiency
Inspector: Alona Gomez
Plain-language summary
During a routine annual inspection on June 13, 2024, inspectors found that the facility had insufficient staffing to meet residents' care needs—some residents required one-on-one assistance throughout the day but the facility did not have enough staff scheduled to provide it. The facility's safety features, including fire detection equipment, grab bars, emergency supplies, and staff first aid training, were all in good working order. The facility was cited for this staffing deficiency and given time to correct it.
View full inspector notes
On 6/13/2024 at 3:30pm Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required visit. Upon arrival, LPA was greeted by Caregiver, Kevin Sobritchea. Backup Administrator, James Santos arrived at 4:00pm. The facility's fire clearance was approved for all may be non-ambulatory LPA toured the facility with Backup Administrator including but not limited to the bedrooms, bathrooms, kitchen, common areas, and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.3 degrees F. Residents’ shared bathroom is equipped with grab bars and non-skid mat. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/09/2024. Emergency Disaster Plan last updated 7/22/2023. Fire drill was last conducted on 05/17/2024. First aid kit was observed complete. LPA reviewed 2 staff records and 2 of 2 staff are associated and have first-aid training. LPA reviewed 4 resident records. report continues on LIC809-C 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 THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed that there was only staff on schedule and some residents needs and services state that they require 1:1 assistance throughout the day with activities. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident's physical, social, emotional, safety and health care needs as identified in his/her current appraisal.
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited above in only having 1 staff on duty when 2 residents needs and services state they need 1:1 assistance with specific tasks which poses a potential safety risk to persons in care. POC Due Date: 06/13/2024 Plan of Correction 1 2 3 4 Administrator states they will stay on duty and also call in more staff.
InspectionJanuary 26, 2024Type A2 deficiencies
Inspector: Alona Gomez
Plain-language summary
This was a routine annual inspection on April 25, 2026. Inspectors found that a caregiver's personal bed was stored in the living room (which was removed during the visit) and that a fire exit door from one bedroom was blocked and inaccessible. The facility's safety features including smoke detectors, carbon monoxide detectors, grab bars, and lighting were in working order.
View full inspector notes
Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required visit on this date starting at 9:00am. Upon arrival, LPA was greeted by Caregiver, Marilou Aguilar. Administrator was not available during visit. The facility's fire clearance was approved for all may be non-ambulatory LPA toured the facility with Caregiver including but not limited to the bedrooms, bathrooms, kitchen, common areas, and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 69 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 111.6 degrees F. Residents’ shared bathroom is equipped with grab bars and non-skid mat. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/07/2023. Emergency Disaster Plan last updated 7/22/2023. Fire drill was last conducted on 09/08/2023. First aid kit was observed complete. LPA reviewed 3 staff records and 3 of 3 staff are associated and have first-aid training. LPA reviewed 5 resident records. report continues on LIC809-C 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 The following deficiencies were observed during visit: At 9:00am upon arrival LPA observed a roll out bed with bedding in living room. Caregiver stated that they used it to sleep on. Caregiver removed bed during visit. Deficiency cleared At 11:01 during tour LPA observed walk way/ fire exit outside blocked (door leading outside from room 1 is inaccessible.) The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in having a fire exit blocked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/29/2024 Plan of Correction 1 2 3 4 By POC date administrator agrees to clear fire exit and submit photographic proof to CCLD
Regulation
(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:
Inspector finding
Based on observation, the licensee did not comply with the section cited above in care staff having a bed for sleeping in living room which poses/posed a potential personal rights risk to persons in care. POC Due Date: 01/26/2024 Plan of Correction 1 2 3 4 Caregiver removed bed durring visit.
InspectionJuly 27, 2022No deficiencies
Inspector: Lizette Francisco
Plain-language summary
An unannounced infection control inspection was conducted on July 27, 2022, and found the facility met requirements in all areas reviewed: screening procedures at entry, proper hand washing and disinfection practices, adequate food and personal protective equipment supplies, and current health screening and tuberculosis tests for staff. No violations were cited, though the facility was asked to submit updated documentation to licensing by August 1, 2022.
View full inspector notes
On 7/27/2022 at 3:30 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to conduct Infection Control Inspection. Upon arrival, LPA was greeted by Care Staff, Marilou Aguilar and LPA explained the purpose of the visit. Administrator was not available during visit. During the Infection Control Inspection, LPA toured facility with Care Staff including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. At 3:57 PM, LPA reviewed 3 staff records and 3 of 3 have health screening and TB test on file. Facility has a mitigation plan and maintains record of routine screening for residents and staff. REPORT CONTINUES ON 809C 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 Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 8/1/2022 LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
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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