Discovery Commons San Ramon
RCFE
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.
12720 Alcosta Blvd · San Ramon, 94583
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 247 California RCFE facilities, over the last 36 months. Bed-size filter relaxed due to small peer set.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity68thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency65thDeficiencies 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
Discovery Commons San Ramon scores B. Better than 78% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 68th percentile. Repeats: top 0%. Frequency: 65th percentile.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general (247 facilities).
Citation severity over time
↑ worseningWeighted severity score per month · 24 months
Weighted score (24mo)
10
Last citation
Mar 26
Finding distribution
1 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.
What training are all staff required to complete?22 CCR §87411
All direct-care staff must complete:
- 10 hours initial training within the first four weeks of employment.
- 4 hours annual in-service every year thereafter.
- Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.
Ask on tour: Ask when the last staff training was completed and how it's tracked.
How many staff must be on duty overnight?22 CCR §87415
Based on 95 licensed beds:
One awake caregiver must be on duty, plus one additional caregiver on call who can respond within 10 minutes.
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
- 079201455
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 95
- Operator
- 12720 Alcosta Blvd Opco Llc; Integral Sr Mgmnt Llc
Inspections & citations
4
reports on file
1
total deficiencies
1
Type A (actual harm)
Other visitMarch 4, 2026Type A1 deficiency
Plain-language summary
On March 4, 2026, an unannounced inspection was conducted following a self-reported incident in which a memory care resident left the facility on February 24, 2026. The facility's alarm sounded around 10:45 p.m., but staff did not follow proper procedure—they reset the alarm without doing a head count or checking rooms to confirm all residents were present, assuming another resident had triggered it. Police located the resident about 35 minutes later and notified the facility; the executive director stated that additional staff training and disciplinary action were implemented in response.
View full inspector notes
On 03/4/2026 at 9:00AM Licensing Program Analyst (LPA) A Gomez conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Executive Director (ED), Kiel Stromgren, and explained the purpose of the visit. A self-reported incident report was received on 2/26/2026 from facility that indicated Resident 1 (R1) eloped from the facility on 2/24/2026. R1 is a memory care resident. During the visit, LPA interviewed ED. ED states that on the day R1 eloped from the facility the alarm went off in memory care that the door had been activated. Staff assumed that a resident (R2) with a history of triggering the door had activated the alarm and when they checked and saw R2 was present they reset the alarm and did not follow proper procedure. ED states that staff should have done a head count and room inspection to ensure all residents were accounted for. Because this did not happen staff did not realize that R1 had eloped until police notified the facility that they had found one of their residents. According to incident report the alarm went off at at approximately 10:45pm and police notified the facility of finding a resident at approximately 11:20pm . ED states that they provided additional training to staff and a disciplinary action to S1. 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) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff sha…
Inspector finding
Based on interview the facility did not meet this requirement by S1 not providing the service neccesary to insure R1's safety because they did not follow procedure when the memory care egress door alarmed which posed an immediate safety risk to residents in care.
Other visitJanuary 27, 2026No deficiencies
Plain-language summary
The facility reported that a resident was verbally threatened by a staff member on January 13, 2026, and the state conducted an investigation visit on January 27, 2026. The staff member involved has resigned, and the state reviewed the facility's internal investigation documents and admission records; no violations were found at this visit. The inspector plans to return to conduct additional interviews with staff who were present during the incident.
View full inspector notes
On 01/27/2026 at 3:00PM Licensing Program Analyst (LPA) A Gomez conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Executive Director (ED), Kiel Stromgren, and explained the purpose of the visit. A self-reported incident report was received on 1/13/2026 from facility that indicated Resident 1(R1) was verbally threatened by Staff 1 (S1). During the visit, LPA collected the facilities internal investigation documents, S1's notice of resignation, and R1's admission documents. LPA also requested to interview S2 who was present during the interaction between R1 and S1 however they were not on shift. LPA requested contact information for all staff involved in incident be emailed by 2/1/2026. LPA will return to conduct additional interviews. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided
Other visitAugust 1, 2025No deficiencies
Plain-language summary
On August 1, 2025, the state conducted an unannounced inspection after the facility reported that a resident developed a hip fracture during a morning transfer without falling. The resident's physician indicated the fracture resulted from a previous injury to the same area combined with osteoarthritis, and the facility has since updated the care plan to use a mechanical lift during transfers to reduce strain. No violations were found.
View full inspector notes
On 08/1/2025 at 8:30AM Licensing Program Analyst (LPA) A Gomez conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Resident Care Director (RCD), Ashley Paris, and explained the purpose of the visit. A self-reported incident report was received on 7/25/2025 from facility that indicated Resident 1 (R1) complained of pain however they had not had a fall and after visit summary indicated that the resident had a hip fracture. During the visit, LPA interviewed RCD. RCD states that R1 did not have a fall however during morning transfer they maneuvered in a way that caused the injury. The maneuver was common for R1 while being transferred and R1 did not immediately disclose any pain. When R1 did disclose discomfort their responsible party was notified and they were later sent out to the hospital. RCD states that R1's physician verbally told them that R1 was pre-disposition to this new injury due to them having a prior fracture in the same area. RCD also states that the doctor stated that they observed the area with the fracture to have Osteoarthritis which also contributed to R1 becoming injured. R1's care plan has since been updated to include a hoyer lift during transfer to elevate future strain and minimize R1's maneuvers during transfer. No deficiencies cited during visit. Exit interview was conducted with Resident Care Director and a copy of this report was provided.
Other visitMarch 6, 2025No deficiencies
Inspector: Alona Gomez
Plain-language summary
This was a pre-licensing inspection on March 6, 2025, of a facility with no residents at the time. The inspector found the building meets safety and operational requirements, including proper furniture, grab bars, working smoke detectors and carbon monoxide detectors, appropriate water temperatures, and a complete first-aid kit. The facility is ready to be licensed pending final approval from the state.
View full inspector notes
On 03/06/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced/announced to conduct a pre-licensing inspection. LPA met with Executive Director, Kiel Stromgren and explained the purpose of the visit. The facility currently has no residents. LPA toured facility with Executive Director including but not limited to bedrooms, 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. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 72 degrees F and hot water temperature was observed at 115.3, 110.4, and degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 12/20/2024. No bodies of water observed. Comp III Conducted/Completed No issues noted during inspection. LPAs 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 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.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.