Belmont Village San Ramon
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.
1000 Walnut Drive · San Ramon, 94583
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 33 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
Severity66thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency53thDeficiencies 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
Belmont Village San Ramon scores B. Better than 73% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 66th percentile. Repeats: top 0%. Frequency: 53th 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 / xl beds (33 facilities).
Citation severity over time
↑ worseningWeighted severity score per month · 24 months
Weighted score (24mo)
19
Last citation
Mar 26
Finding distribution
4 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 dementia-care training must staff complete?22 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 176 licensed beds:
One awake caregiver on duty, one on-call caregiver physically on premises, and one additional on-call caregiver.
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
- 079201442
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 176
- Operator
- Belmontvillage Sanramon Tenantllc;belmontvillagelp
Inspections & citations
7
reports on file
4
total deficiencies
1
Type A (actual harm)
Other visitMarch 4, 2026Type A1 deficiency
Plain-language summary
On March 4, 2026, an unannounced licensing visit found unlocked scissors in three memory care resident rooms. The facility was cited for this unsafe storage of sharp objects. The facility must correct this issue by the deadline stated in their plan of correction.
View full inspector notes
On 3/4/2026 at 4:40pm, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a Case Management visit. LPA met with Executive Director (ED) Jennifer Coons and explained the purpose of the visit. While LPA A. Gomez was conducting a complaint investigation (15-AS-20260227115032 ) on 3/4/2026. LPA observed unlocked/unsecured scissors in 3 memory care resident rooms. 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. This requirement was not met as evid…
Inspector finding
Based on observation the facility failed to identify dangerous items in residents room. LPA observed scissors in 3 seperate memory care residents rooms which poses an imediate safety risk to residents in care.
Other visitMarch 4, 2026· SubstantiatedType B2 deficiencies
Inspector: Alona Gomez
Plain-language summary
During an inspection, investigators found that the facility was mismanaging medications for residents, including incorrect medication counts, duplicate medications stored improperly, and one resident who had not received their morning medications by 1:00 pm without proper documentation of why. Staff were unfamiliar with proper procedures for documenting medication refusals and late doses, and the facility was cited and assessed a $250 civil penalty for this repeat violation within a 12-month period. The facility stated that staff training on medication procedures is scheduled for March 9-11, 2026.
View full inspector notes
On the allegation " Facility mismanaging residents medications" and " Facility not keeping accurate medication records/log" LPA observed that the medications for R1, and R2 are being mismanaged. LPA observed medication counts for R1 were off. LPA observed a prescription for R1 that stated for them to take 1 tablet daily had a half tab and staff where unable to explain why. ED states that R1 used to manage their own medication however when the facility took over the proper procedure may not have been done to ensure that the counts were correct. LPA also observed several duplicate medications for R1 that were being used simultaneously when the excess should have been stored in over-flow. LPA also observed that at approximately 1:00pm that R2 had not been administered any of their morning medications. LPA also observed that the proper documentation was not done in the E-MAR as to why the medications were not administered. Through interviews with staff LPA found that they were not familiar with how to properly document medication refusals/ late administration or familiar with medication administration procedures. ED states that they had already identified that staff needed additional training and that it is scheduled for March 9-11 2026. Therefore the allegations "Facility mismanaging residents medications" and "Facility not keeping accurate medication records/log" are Substantiated. ***Civil Penalties assessed for $250 for repeat violation in 12 month period*** Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(c) If the resident's physician has stated... all of the following requirements are met:(3 )A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response.
Inspector finding
Based on interview and record review staff did not properly document the PRN history for R2 which poses a potential health and personal rights risk to residents in care
Regulation
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...for the provision of adequate services. This requirement was not met as evidence by:
Inspector finding
Based on interview and record review staff did not know how to provide proper medication assistance which attributed to medication mismanagment for R1 and R2 which poses a potential health and personal rights risk to residents in care
InspectionFebruary 6, 2026Type B1 deficiency
Plain-language summary
On February 6, 2026, the state conducted an unannounced inspection after receiving notice that a resident was mistakenly given another resident's medication on January 31, 2026; the resident who received the wrong medication did not experience any harmful effects. The staff member responsible for the error has since resigned, and the facility notified the family of the resident who received the wrong medication, though the family of the resident whose medication was given out was not notified. The facility was cited for deficiencies related to medication handling procedures.
View full inspector notes
On 2/6/2026 at 10:00AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a case management visit in regards incident report received 2/5/2026. LPA met with Executive Director (ED), Jennifer Coons and explained the reason for the visit. It was reported that on On 1/31/26, at approximately 9am, resident one (R1) was provided medication of another resident two (R2), in error by staff one (S1). ED states that S1 has since resigned from their position. ED also states that S1 previously had made medication errors/process errors and they received additional training. R1 did not sustain any negative side effects as a result of this error. ED states that S1's responsible parties where notified of the incident. ED states that R2 was not notified but that they took responsibility in notifying the pharmacy of the missing meds and replacing them. 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
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...for the provision of adequate services. This requirement was not met as evidence by:
Inspector finding
Based on record review of S1s personnel file the facility did not meet the above requirement by S1 having a prior issue related to administering residents medications which resulted in R1 receiving R2's medication on 1/31/2026 which posed a potential health and personal rights risk to residents in care
Other visitJanuary 22, 2026No deficiencies
Plain-language summary
On January 22, 2026, inspectors conducted the facility's annual required inspection and found no violations. The inspector toured the building, reviewed resident and staff records, checked safety equipment including fire extinguishers and first aid kits, and verified that medications and hazardous materials were properly locked and stored. Hot water temperatures, lighting, grab bars, food storage, and staffing qualifications all met requirements.
View full inspector notes
On 1/22/2026 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director (ED), Jennifer Coons and explained the purpose of the visit. The facility’s fire clearance was approved for 176 non-ambulatory of which 100 may be bedridden. LPA toured the facility with ED including but not limited to 7 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. Pool observed locked with an appropriate gate. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was 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 a sample of residents’ bathrooms were measured at 109, 116.8, 116.6,107.5, and 116.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid flooring. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Freezer temperature measured at -1 degrees Fahrenheit and refrigerator at 39 degrees Fahrenheit. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. LPA reviewed 6 residents records. LPA reviewed 5 staff records and 5 of 5 are associated to the facility. LPA reviewed a sample of resident’s medications. LPA observed that at least 1 person on each shift has a valid CPR certificate. 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 Fire extinguishers were last serviced on 1/8/2026. Emergency Disaster Plan was last posted on 6/18/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/10/2025. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Other visitSeptember 23, 2025No deficiencies
Plain-language summary
On September 23, 2025, inspectors conducted an unannounced visit to investigate three hip fractures from falls that occurred in late August and early September 2025. All three residents were transferred to hospitals; one has since returned with an updated care plan, and the other two will be reassessed before returning. The inspector found no violations—staff responded appropriately to each fall, and the circumstances (one unforeseeable fall, one discovered during morning care, one occurring when a resident got up at night) did not indicate negligence or policy failures.
View full inspector notes
On 9/23/2025 at 3:00PM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a case management visit in regards to three incident reports received between 8/23/2025- 9/9/2025. LPA met with Executive Director, Jennifer Coons and explained the reason for the visit. It was reported that on 8/23/2025 R1 had a fall that resulted in a right hip fracture. On 8/24/2025 R2 had a fall that resulted in a right hip fracture. On 9/9/2025 R3 had a fall that resulted in a right hip fracture. R1 and R3 are both memory care residents. LPA reviewed the footage of R1's fall and saw that it was not at fault of anyone and that staff responded to the fall within seven minutes. R1 was transferred to the hospital by paramedics and responsible parties notified. LPA interviewed Director of Resident Care Services (DRCS) in regards to R2 and R3 falls and found that staff located R2 when staff came to assist them with their morning ADL's. R2 did not activate their pendent however. R2 was also sent out to the hospital and responsible parties notified. DRCS states that on the night of the fall when R3 came out of their apartment to see what the noise was they fell. Staff located R3 quickly after the fall because they were next door assisting another resident when it happened which is what initially woke R3 up. R3 was transferred to the hospital by paramedics and responsible parties notified. R1 has since returned to the facility with an updated care plan. R2 and R3 have not yet returned but will be reassessed before returning. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Other visitJanuary 9, 2025No deficiencies
Inspector: Alona Gomez
Plain-language summary
On January 9, 2025, state inspectors conducted a second pre-licensing visit to this facility, which currently has no residents, and found that all previously noted issues had been corrected. The inspector checked hot water temperatures and other conditions and found no problems. The facility is now ready for final licensing approval, pending additional review by the state.
View full inspector notes
On 1/09/2025 at 1:45PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a second announced pre-licensing visit. LPA met with Executive Director, Jennifer Coons. The facility currently has no residents. LPA inspected the issues that were noted during the first pre-licensing visit. All issues are corrected and observed. Random hot water temperatures were measured and were between 111.7 and 113.8 degrees Fahrenheit No Issues were noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted with Administrator and a copy of this report provided. COMP III waived
Other visitJanuary 7, 2025No deficiencies
Inspector: Alona Gomez
Plain-language summary
This was a pre-licensing inspection of a new facility on January 7, 2025, when it had no residents yet. The facility had appropriate furnishings, safety equipment, temperature controls, and security features, but the hot water temperature exceeded the safe limit of 120 degrees Fahrenheit. The facility cannot operate until this issue is corrected and approved by the licensing agency.
View full inspector notes
On 1/07/2025 at 8:55 AM, Licensing Program Analyst (LPA) A. Gomez arrived announced to conduct a Pre licensing inspection. LPA met with Executive Director, Jennifer Coons and explained the purpose of the visit. The facility currently has no residents. LPA toured facility with Executive Director including but not limited to 18 bedrooms, 18 bathrooms, kitchen, common areas and courtyards. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Extra linens and hygiene supplies were available. There is sufficient lighting throughout facility. Room temperature was maintained at 72 degrees F and a sample of hot water temperature was measured over at 120 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational and facility has an interconnected sprinkler system. Fire extinguisher was last serviced on 5/13/2024. Facility pool is secured with fence and key fob activated lock from the outside. Kitchen freezer temperature was maintained at -4 degrees F and refrigerator at 38 degrees F. LPA observed the following: Hot water temperature is measuring over 120 degrees F ***Facility is not ready to be licensed*** LPA will inform CAB analyst upon receipt of proof of corrections. Final review of application, and license to be granted by CAB analyst. 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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