Bluegarden Care
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.
2729 Marsh Dr · 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
Severity9thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency9thDeficiencies 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
Bluegarden Care scores D. Better than 39% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: bottom 9%. Repeats: top 0%. Frequency: bottom 9%.
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
36 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 Mar 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?Cited Oct 202322 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
- 079200775
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Bluegarden Care Llc
Inspections & citations
9
reports on file
42
total deficiencies
10
Type A (actual harm)
3
dementia-care citations
Other visitMarch 28, 2025No deficiencies
Plain-language summary
An unannounced annual inspection was conducted on March 12, 2024, and no violations were found. The facility met requirements for safety features including fire extinguishers, smoke and carbon monoxide detectors, grab bars, adequate lighting, and temperature controls, with staff current on first aid training. The facility is licensed to care for 6 non-ambulatory residents and currently has 6 residents living there.
View full inspector notes
On 3/12/2024 at 8:40 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with caregiver, Joana Dometita and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory. Administrator, Yanlin Huang later arrived. LPA toured facility with caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. 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 Fahrenheit. 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 108.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher purchased 3/28/2025. Emergency Disaster Plan was last posted on 12/23/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 03/01/2025. At 9:00pm, LPA reviewed 5 residents records. At 10:00pm, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. Administrator approved staff to sign
InspectionMarch 22, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
A follow-up visit on March 22, 2024 found that the facility had not completed corrections from an earlier inspection—one staff member's file was missing required documents and one resident's file was missing required forms and signatures. The administrator said they needed more time to obtain family signatures and gather the staff documents, and the inspector granted a two-week extension to complete these corrections.
View full inspector notes
On 03/22/2024 at 10:05am, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct proof of correction (POC) visit. LPA met with Carline Skang,Caregiver and explained the purpose of the visit. Administrator was notified of visit and approved caregiver to sign off on report. LPA A Gomez conducted an Annual visit on 03/12/2024 and cited facility for the following: 87412(a) : During POC visit LPA reviewed the files for caregivers on shift. Staff (S1) file was observed to be incomplete and missing the LIC 508, LIC 501, and First Aid (Deficiency not clear) 87506(a) : During POC visit LPA reviewed the files for residents and resident (R1) file was observed to be incomplete and missing signed and completed copies of the LIC 601, LIC 613C, LIC 627, and LIC 625 (Deficiency not clear) LPA spoke with administrator over the phone who stated that they need more time to obtain signatures for R1's records due to the family being unavailable. LPA also spoke to the administrator about S1 not having a complete file available at the facility for review to which the administrator requested more time. The LPA agreed to give the administrator a 2 week extension to clear the deficiencies and will return at a later date. The above POC's due date is now 4/5/2024 LPA observed that deficiency are not clear. No civil penalties assessed at this time Exit interview conducted and a copy of this report provided
Other visitMarch 12, 2024Type A9 deficiencies
Inspector: Alona Gomez
Plain-language summary
During a routine annual inspection on March 12, 2024, inspectors found multiple deficiencies including an unlocked knife in the kitchen, a resident sleeping in a room despite being ineligible to do so, missing or incomplete staff files and training documentation, a missing resident file, and an unfinished quarterly disaster drill. The facility was assessed a $4,250 civil penalty for these violations, some of which were repeat issues from previous inspections. The administrator was also found to lack a valid administrator certificate.
View full inspector notes
On 3/12/2024 at 1:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with caregiver, Carline Skang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory. Administrator, Yanlin Huang later arrived. LPA toured facility with caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. 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 Fahrenheit. 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 114.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide dectector were in operating condition during visit. Fire extinguisher available. Emergency Disaster Plan was last posted on 03/12/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 09/01/2023. At 1:30pm, LPA reviewed 5 residents records. At 4:00pm, LPA reviewed 1 staff records and 1 of 1 have current first aid training and associated to the facility. 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 Inspection: At 2:00PM during file review LPA observed R5's file missing all documents except an admission agreement and physicians report 87506(a) repeat violation At 2:20PM during facility tour LPA observed an unlocked knife in Kitchen drawer by the sink. 87705(f)(1) repeat violation At 2:30PM during facility tour LPA observed an individual sleeping in room 7 who is listed as ineligible on guardian 87355(e) repeat violation At 3:20PM during file review Administrator does not have a valid Administrators certificate. 87406(a) At 3:50PM during file review S3 did not have a file or any of the required documentation 87412(f) repeat violation At 3:50PM during file review S3 did not have a TB test on file 87411(f) At 3:50PM during file review S3 did not have First Aid 87411(c)(1) repeat violation At 4:00PM During file review S2 did not have a complete file with the required document. They only has a health screening, LIC 501, and CPR/First Aid. Other staff files unavailable 87412(a) At 4:30PM during file review Quarterly Disaster drill was not done. After notifying Administrator LPA observed administrator inputting a date for December 2023. 1569.695(c) repeat violation A civil penalty is being assessed today for $3000 for repeat violation of 87355(e) {$100 a day x 30 days} A civil penalty is being assessed today for $1250 for all other repeat violations {$250 per violation x 5} Civil penalty total= $4250 Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/31/2024: LIC 500 Personnel Report Current Administrator’s Certificate The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and 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 by email.
Regulation
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:
Inspector finding
Based on record review, the licensee did not comply with the section cited above in having uncleared person residing at facility which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024 Plan of Correction 1 2 3 4 Individual left during visit
Regulation
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).
Inspector finding
Based on observation, the licensee did not comply with the section cited above in an unlocked knife being in kitchen which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024 Plan of Correction 1 2 3 4 Caregiver removed knife
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 record review, the licensee did not comply with the section cited above in S3 not having a tb result on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to get a TB result for employee and submit copy to CCLD
Regulation
(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:
Inspector finding
Based on record review, the licensee did not comply with the section cited above in not having any file available for S3 which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to make a file for S3 and self certify to CCLD.
Regulation
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:
Inspector finding
Based on record review, the licensee did not comply with the section cited above in not maintaing staff files with the nessesary information which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to complete all staff files and notify CCLD
Regulation
(a) All individuals shall be residential care facility for the elderly certificate holders prior to being employed as an administrator.
Inspector finding
Based on record review, the licensee did not comply with the section cited above in not having a valid administrators certificate which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to submit documents for certificate renewal and notify CCLD
Regulation
(1) 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 record review, the licensee did not comply with the section cited above in S3 not being certified which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to have S3 certified and submit certificate to CCLD
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 record review, the licensee did not comply with the section cited above innot doing the required quarterly drill which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/26/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to conduct a drill and submit photographic proof of the drill in progress to CCLD
Regulation
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.
Inspector finding
Based on record review, the licensee did not comply with the section cited above ina resident having an incomplete file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/19/2024 Plan of Correction 1 2 3 4 By POC date Administrator agrees to update file and notify CCLD
Other visitOctober 31, 2023No deficiencies
Inspector: James Sampair
Plain-language summary
This was a follow-up inspection on October 31, 2023, to verify that the facility had fixed violations found during an earlier annual inspection. The facility corrected 11 out of 19 violations, but 8 violations remained uncorrected, resulting in $5,600 in fines and daily penalties of $100 per uncorrected violation until they are fixed.
View full inspector notes
On 10/31/2023 at 9:25 AM, Licensing Program Analyst (LPA) J. Sampair conducted a Plan of Correction (POC) inspection. Upon entry into the facility, LPA explained the purpose of the visit to Caregivers Carleen Sablan and Carline Skang. Licensee Yanlin "Cynthia" Huang arrived at approximately 10:00 AM. This visit was prompted by the citations from the 10/17/2023 annual inspection continuation visit. The Licensee had provided documentation of the correction of some of those citations. However, the Licensee had failed to provide documentation to the LPA that all of the citations had been corrected. During the visit, the LPA verified corrections of 11 out of 19 total citations. For those citations that had not been corrected, the Licensee incurred a total of $5,600 in fines. A civil penalty of $100 per violation per day shall be assessed until the violations are corrected. Exit interview conducted with Licensee. A copy of the Appeal Rights and this report provided to Licensee via email.
Other visitOctober 31, 2023Type A6 deficiencies
Inspector: James Sampair
Plain-language summary
This was an unannounced annual inspection conducted on October 31, 2023. The inspector found violations that resulted in one serious citation and five other citations, with details available in the full inspection report. The inspection was not completed during this visit; the inspector will return unannounced at a later date to continue the review.
View full inspector notes
On 10/31/2023 at 9:25 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced for an annual inspection continuation visit. Upon entry into the facility, LPA explained the purpose of the visit to Caregivers Carleen Sablan and Carline Skang. Licensee Yanlin "Cynthia" Huang arrived at approximately 10:00 AM. During the Inspection, the LPA reviewed facility records. 1 Type-A and 5 Type-B citations issued (for details refer to LIC809-D). Annual inspection incomplete. LPA will return unannounced at a future date and time. Exit interview conducted with Licensee. A copy of the Appeal Rights and this report provided to Licensee via email.
Regulation
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).
Inspector finding
Based on record review, the licensee did not comply with the section cited above. A pair of scissors was in unlocked drawer in kitchen, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 11/01/2023 Plan of Correction 1 2 3 4 Licensee cleared violation during visit.
Regulation
(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following:
Inspector finding
Based on record review, the licensee did not comply with the section cited above, because 0 of 2 staff members who are on duty have cardiopulmonary resuscitation (CPR) training or first aid training, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Staff members shall complete their training in CPR and first aid. Licensee shall inform LPA that they have completed their training.
Regulation
(a) The following persons providing night supervision from 10:00 p.m. to 6:00 a.m. shall be familiar with the facility's planned emergency procedures, shall be trained in first aid as required in Section 87465, Incidental Medical and Dental Care Services, and shall be available as indicated below to assist in caring for residents in the event of an…
Inspector finding
Based on record review, the licensee did not comply with the section cited above, because 0 of 2 staff members who are on duty have cardiopulmonary resuscitation (CPR) training or first aid training, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Staff members shall complete their training in CPR and first aid. Licensee shall inform LPA that they have completed their training.
Regulation
(2) The licensee shall conspicuously post in a location accessible to public view in the facility a complete copy of the approved admission agreement, modifications and attachments, or notice of their availability from the facility.
Inspector finding
Based on observation, the licensee did not comply with the section cited above, because no Admission Agreement is posted at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Licensee shall post copy of Admission Agreement. Licensee shall inform LPA when posted.
Regulation
(a) The licensee shall ensure that a current register of all residents in the facility is maintained and contains the following updated information:
Inspector finding
Based on record review, the licensee did not comply with the section cited above, because she has no register of current residents, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Licensee shall create current register of all residents in the facility. Licensee shall inform LPA when register created.
Regulation
(8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following:
Inspector finding
Based on observation, the licensee did not comply with the section cited above, because there is not a current first aid kit at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/07/2023 Plan of Correction 1 2 3 4 Cleared during inspection.
ComplaintOctober 30, 2023· MixedType B1 deficiency
Inspector: Grace Luk
Regulation
Admission Agreements. The licensee shall provide a copy of the signed ...admission agreement ...immediately upon signing the admission agreement... This requirement is not met as evidence by:
Inspector finding
Based on investigation, licensee did not comply with the section cited above by not providing a copy of the admission agreement to resident which poses a potential health and safety risk to the persons in care.
InspectionOctober 17, 2023Type A19 deficiencies
Inspector: James Sampair
Plain-language summary
During a routine annual inspection on October 17, 2023, inspectors found the facility maintained clean conditions, adequate food supplies, and attentive staff care, but issued 2 serious violations and 17 lesser violations that require correction. The inspection was not completed that day, and the inspector indicated they would return unannounced for a follow-up visit. The administrator received a copy of the detailed findings.
View full inspector notes
On 10/17/2023 at 9:00 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct an annual inspection. Upon arrival, LPA explained the purpose of the visit to Caregivers Carleen Sablan and Carline Skang. Administrator (ADM) Yanlin "Cynthia" Huang arrived at approximately 10:15 AM. During the Inspection, the LPA inspected the facility inside and outside. LPA reviewed the records of 3 residents. LPA observed that the facility has a sufficient supply of food: 2 days perishable and 7 days nonperishable. A comfortable inside temperature of 70.4 degrees F was maintained. The facility was clean and the staff attentive to residents' needs. 2 Type-A and 17 Type-B citations issued (for details refer to LIC809-D). Annual inspection incomplete. LPA will return unannounced at a future date and time. Exit interview conducted with ADM and a copy of this report provided via email.
Regulation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degre…
Inspector finding
Based on observation, the licensee did not comply with the section cited above. The hot water in kitchen measured at 128.7 degrees Fahrenheit, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/18/2023 Plan of Correction 1 2 3 4 Licensee shall send picture proof and/or attest to decreasing temperature to 105 to 120 degrees Fahrenheit.
Regulation
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in the kitchen and in the main bathroom where cleaning solution was stored in unlocked kitchen and bathroom cabinets, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/18/2023 Plan of Correction 1 2 3 4 Licensee shall attest to LPA that the cleaners have been moved to a location inaccessible to residents.
Regulation
(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to th…
Inspector finding
Based on record review, the licensee did not comply with the section cited above. There is no plan of operation at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall send a copy of the facility's plan of operation to the LPA.
Regulation
(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to th…
Inspector finding
Based on record review, the licensee did not comply with the section cited above. There is no infection control plan at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall send a copy of the facility's infection control plan to the LPA.
Regulation
(e) Water supplies and plumbing fixtures shall be maintained as follows: (6) Toilet, handwashing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or nonambulatory residents, based on the residents' needs.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in the main bathroom that has no toilet paper holder, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall have a toilet paper holder installed in the main bathroom and send picture proof to LPA.
Regulation
(5) Night lights shall be maintained in hallways and passages to nonprivate bathrooms.
Inspector finding
Based on observation, the licensee did not comply with the section cited above. There are no nightlights in the facility's hallways, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall have night lights installed in the hallways and send picture proof to LPA.
Regulation
(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:
Inspector finding
Based on record review, the licensee did not comply with the section cited above. There were no personnel records available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall get copies of all staff records to the facility and notify LPA when they are at the facility.
Regulation
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (13) For employees that are required to be fingerprinted pursuant to Section 87355, Criminal Record Clearance: (B) Documentation of either a criminal record clearance …
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No administrator records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall get copies of all administrator records to the facility and notify LPA when they are at the facility.
Regulation
(a) In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, includ…
Inspector finding
Based on observation, the licensee did not comply with the section cited above. An emergency supply of water or food for 72 hours immediately following an emergency or disaster does not exist at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall obtain and store an adequate supply of food and water for 72 hours immediately following an emergency or disaster and provide picture proof…
Regulation
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, …
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.
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 record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.
Regulation
(1) 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 record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.
Regulation
(6) The licensee shall maintain documentation pertaining to staff training in the personnel records, as specified in Section 87412(c)(2). For on-the-job training, documentation shall consist of a statement or notation, made by the trainer, of the content covered in the training. Each item of documentation shall include a notation that indicates whi…
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.
Regulation
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (4) The training shall cover all of the following areas: (A) The role, responsibilities, and limitations …
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No training records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a training plan and/or train and/or enroll all staff in the required courses for them to complete this requirement and inform LPA with proof that this has been completed.
Regulation
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No complete resident records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create complete records for each resident of the facility and notify LPA when they are at the facility.
Regulation
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8:
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No complete resident records were available at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create complete records for each resident of the facility and notify LPA when they are at the facility.
Regulation
(a) In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following:
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No emergency and disaster plan for the facility was in use or at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create an accurate and up-to-date emergency and disaster plan for the facility and send copy to LPA when it has been completed.
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 record review, the licensee did not comply with the section cited above. No emergency drill record exists at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee shall create a binder to record the quarterly emergency and disaster drills, conduct the first one of 2023 for every staff member, and record the results in the binder. Licensee shall send LPA copy when it has been complet…
Regulation
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (1) A resident roster with the date of birth for each resident.
Inspector finding
Based on record review, the licensee did not comply with the section cited above. No resident roster existed, which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/24/2023 Plan of Correction 1 2 3 4 Licensee corrected during visit.
InspectionOctober 9, 2023Type A1 deficiency
Inspector: James Sampair
Plain-language summary
On October 9, 2023, inspectors arrived unannounced to investigate a complaint and conduct the facility's annual inspection. One violation was found and the facility was issued a civil penalty of $200; the inspector noted that the annual inspection was not completed and indicated they would return unannounced to finish it.
View full inspector notes
On 10/09/2023 at 10:30 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced at facility for complaint investigation and added the required annual inspection when complaint investigation completed. Upon entry, LPA informed Caregiver Evelia Galvan of the purpose of the visit, who informed Administrator (ADM) Yanlin "Cynthia" Huang. ADM arrived at approximately 11:15 AM. During the visit, LPA reviewed facility and resident records, and interviewed 1 resident, 1 staff member, and ADM. 1 Type-A citation issued during the inspection (details in LIC809-D) and Civil Penalty of $200 (details in LIC421-BG). Annual inspection incomplete. LPA will return unannounced to complete the inspection. Exit interview conducted with Licensee and a copy of this report was provided via email.
Regulation
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 3 caregivers, which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/10/2023 Plan of Correction 1 2 3 4 Caregivers left facility during inspection and cleared deficiency.
ComplaintMay 20, 2022Type A6 deficiencies
Inspector: Lizette Francisco
Plain-language summary
During an unannounced infection control inspection on May 20, 2022, inspectors found that the facility had good practices in place for food storage, screening stations, and protective equipment supplies, but identified multiple safety and security gaps: inspectors themselves were not screened at entry, medication cabinets and kitchen knives were left unlocked, visitors were not screened or had temperatures taken, cleaning supplies were stored improperly in the medication closet, and personnel records were not being maintained. The facility was required to correct these deficiencies and submit updated documentation by May 27, 2022.
View full inspector notes
On 5/20/2022 at 2:35 PM, Licensing Program Analyst (LPAs) L. Francisco and K. Nguyeb arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrator, Yanlin "Cynthia" Huang and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility with Admnistrator 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. 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. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. THE FOLLOWING DEFICIENCIES WERE OBSERVED: At 2:38 PM, LPAs were not screened at the front main entrance At 2:45 PM, LPAs observed medication cabinet unlocked in the garage At 2:51 PM, LPAs observed unlocked knives inside kitchen cabinet. At 2:53 PM, LPAs observed unlocked medication inside the kitchen island drawer At approximate;y 2:55 PM, LPAs observed two visitors were not screened and temperature was not checked At 2:58 PM, LPAs observed Lysol and Fabuloso inside the centrally stored medication closet At: 3:30 PM, Personnel records are not being maintained at facility At 3:35 PM, LPAs observed a special vistor was not screened and temperature was not taken 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 5/27/2022: 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 The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. 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) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.
Inspector finding
Based on observation, the licensee did not comply with the section cited above. LPAs observed cleaning supplies cabinet in garage was unlocked which poses an immediate health and safety risk to persons in care. POC Due Date: 05/21/2022 Plan of Correction 1 2 3 4 Deficiency cleared during visit. LPAs observed Administrator locked cleaning supplies cabinet. In addition, Administrator will review regulation and conduct in-service training with staff and submit a copy of training agenda with sta…
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. LPAs observed unlocked medication inside kitchen drawer which poses an immediate health and safety risk to persons in care. POC Due Date: 05/21/2022 Plan of Correction 1 2 3 4 Deficiency cleared during visit. LPAs observed Administrator locked knives away. In addition, Administrator will review regulation and conduct in-service training with staff and submit a copy of training agenda with staff signature to CCLD …
Regulation
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s).
Inspector finding
Based on observation, the licensee did not comply with the section cited above. LPAs observed unlocked knives inside kitchen cabinet which poses an immediate health and safety risk to persons in care. POC Due Date: 05/21/2022 Plan of Correction 1 2 3 4 Deficiency cleared during visit. LPAs observed Administrator locked knives away. In addition, Administrator will review regulation and conduct in-service training with staff and submit a copy of training agenda with staff signature to CCLD by …
Regulation
87309 STORAGE SPACE (b) Medicines which are centrally stored shall be stored as specified in Section 87465 and separately from other items specified in (a) above.
Inspector finding
Based on observation, the licensee did not comply with the section cited above. LPAs observed disinfectant and cleaning supply stored inside centrally stored medication closet which poses an immediate health and safety risk to persons in care. POC Due Date: 05/21/2022 Plan of Correction 1 2 3 4 Deficiency cleared during visit. LPAs observed Administrator removed items and locked it away. In addition, Administrator will review regulation and conduct in-service training with staff and submit a…
Regulation
(g) All personnel records shall be maintained at the facility.
Inspector finding
Based on record review, the licensee did not comply with the section cited above. LPAs were unable to review staff records because records are not being maintained at facility which poses a potential health and safety risk to persons in care. POC Due Date: 05/24/2022 Plan of Correction 1 2 3 4 Administrator will review regulation and maintain personnel records at facility. Administrator will submit self-certification letter to CCL by POC date.
Regulation
87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations.
Inspector finding
Based on observation, the licensee did not comply with the section cited above. LPAs observed visitors are not being properly screened and staff are not wearing masks which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/25/2022 Plan of Correction 1 2 3 4 Administrator will review local county health order and Providers Information Notification from CCLD website. Administrator will implement guidance and submit self-certification letter 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.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.