Emmaus Homecare Inc.
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.
3203 Munras Place · San Ramon, 94583
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 214 California RCFE facilities of similar size, over the last 36 months.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity55thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency63thDeficiencies 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
Emmaus Homecare Inc. scores B. Better than 73% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 55th percentile. Repeats: top 0%. Frequency: 63th percentile.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general / small beds (214 facilities).
Citation severity over time
↑ 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 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
- 079201142
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Emmaus Homecare Inc.
Inspections & citations
5
reports on file
3
total deficiencies
1
Type A (actual harm)
InspectionMarch 23, 2026Type A1 deficiency
Plain-language summary
On March 23, 2026, inspectors conducted the facility's annual inspection and found that the home is generally well-maintained with adequate lighting, temperature control, working smoke and carbon monoxide detectors, and safety features like grab bars in bathrooms. One deficiency was noted: a cabinet containing medications was found unlocked, and the facility was asked to lock it and update its emergency disaster plan. The administrator was also advised to have families sign annual care plans and to submit several required documents to the licensing department by March 31, 2026.
View full inspector notes
On 3/23/2026 starting 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Luz Gutierrez and explained the purpose of the visit. The facility’s fire clearance was approved for all six (6) residents may be non-ambulatory. There were 2 staff and 4 residents present during inspection. Administrator, Quennie Balmeo cert #7033883740 EXP: 6/14/2026 arrived at 11:20 AM. LPA toured facility with Caregiver including but not limited to 6 bedrooms, 3 bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are for residents and 1 bedroom is for staff. 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 Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in residents’ shared bathroom was measured at 119.9 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. Centrally stored medication were unlocked and sharps were locked and inaccessible to residents. Three smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 1/20/2026 . Emergency Disaster Plan was last posted on 1/15/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 1/16/2026. LPA requested for Emergency Disaster Plan to be updated in detail and submitted to the department as well as posted. At 12:15 PM, LPA reviewed 4 residents records. LPA advised Administrator to have residents responsible parties sign their annual appraisal of needs and services. At 12:35 PM LPA reviewed 3 staff records and 3 of 3 have current first aid training and are 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 VISIT: LPA observed cabinet in kitchen with centrally stored medications unlocked Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 3/31/2026: LIC 308 Designation of Administrative Responsibility 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 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
(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 kitchen cabinet with centrally stored medications unlocked which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/23/2026 Plan of Correction 1 2 3 4 Caregivers locked medications POC clear.
InspectionMarch 17, 2025No deficiencies
Inspector: Alona Gomez
Plain-language summary
On March 17, 2025, the state conducted a routine annual inspection of this six-resident facility and found no violations. The inspector verified that the home maintained adequate fire safety equipment, secure medication storage, proper bathroom safety features, and appropriate staffing with current first aid training. All common areas, bedrooms, and outdoor spaces were clean and safe, with comfortable temperature and lighting throughout.
View full inspector notes
On 3/17/2025 starting 12:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Liza Dantoc and explained the purpose of the visit. The facility’s fire clearance was approved for all six (6) residents may be non-ambulatory. There were 2 staff and 5 residents present during inspection. Administrator was out of town but gave authority over the phone for Caregiver, Liza Dantoc to sign report. LPA toured facility with Administrator including but not limited to 6 bedrooms, 3 bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are for residents and 1 bedroom is for 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 residents’ shared bathroom was measured at 109.8 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. Centrally stored medication and sharps were locked and inaccessible to residents. Three smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 1/22/2025 . Emergency Disaster Plan was last posted on 1/23/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 1/10/2025. At 12:15 PM, LPA reviewed 5 residents records. At 12:35 PM LPA reviewed 3 staff records and 3 of 3 have current first aid training and are associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionFebruary 28, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
On February 28, 2024, a state licensing inspector conducted the facility's required annual inspection and found no violations. The inspector verified that the home met standards for safety, sanitation, staffing qualifications, emergency preparedness, and resident care across all areas reviewed, including bedrooms, bathrooms, medication storage, and food supplies. All staff had current first aid training and emergency procedures were current.
View full inspector notes
On 2/28/2024 starting 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Quennie Balmeo and explained the purpose of the visit. The facility’s fire clearance was approved for all six (6) residents may be non-ambulatory. There were 2 staff and 5 residents present during inspection. LPA toured facility with Administrator including but not limited to 6 bedrooms, 3 bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are for residents and 1 bedroom is for 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 residents’ shared bathroom was measured at 110.6 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. Centrally stored medication and sharps were locked and inaccessible to residents. Three smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 1/30/2024 . Emergency Disaster Plan was last posted on 2/3/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 2/22/2024. At 10:00 AM, LPA reviewed 5 residents records. At 10:35 AM LPA reviewed 3 staff records and 3 of 3 have current first aid training and are associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Other visitMarch 17, 2023Type B2 deficiencies
Inspector: Lizette Francisco
Plain-language summary
During an unannounced annual inspection on March 17, 2023, inspectors found that oxygen tanks in one resident's bedroom were not secured, and medications for another resident were stored in pill boxes without proper documentation. The facility otherwise maintained safe conditions including working smoke and carbon monoxide detectors, secure medication storage, adequate staffing with current first aid training, and appropriate food supplies, though inspectors requested updated administrative and insurance documentation.
View full inspector notes
On 3/17/2023 starting 9:50 AM, Licensing Program Analysts (LPAs) L. Francisco and L. Holmes arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Quennie Balmeo and explained the purpose of the visit. The facility’s fire clearance was approved for all six (6) residents may be non-ambulatory. There were 2 staff and 3 residents present during inspection. Starting at 10:15 AM, LPAs toured facility with Administrator including but not limited to 6 bedrooms, 3 bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are for residents and 1 bedroom is for 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. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in 1 of 3 residents’ shared bathroom was measured at 111 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. Centrally stored medication and sharps were locked and inaccessible to residents. Three smoke detectors were tested and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 2/1/2023. Emergency Disaster Plan was last posted on 2/4/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/15/2023. At 2:00 PM, LPAs reviewed 3 residents records. At 11:05 AM LPAs reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. At 3:10 PM, LPAs reviewed a sample of resident’s medications. 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 THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: -At 10:25 AM, LPAs observed two oxygen tanks in R3's bedroom close not secured -At 3:10 PM, LPAs observed medication prepared in pill boxes for R3 Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 3/24/2023: 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 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
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.
Inspector finding
Based on observation, the licensee did not comply with the section cited above by preparing medications in pill boxes for a couple of days in advance which poses a potential health and safety risks to persons in care. POC Due Date: 03/20/2023 Plan of Correction 1 2 3 4 By POC date, Administrator agrees to discontinue preparing R3's medication and review medication, and submit a self-certification letter to CCLD.
Regulation
(3) Ensuring that the use of oxygen equipment meets the following requirements: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall.
Inspector finding
Based on observation, the licensee did not comply with the section cited above by not having two oxygen tank R1's bedroom closet which poses/posed a potential health and safety risk to persons in care. POC Due Date: 03/20/2023 Plan of Correction 1 2 3 4 By POC date, Administrator will secure oxygen tanks in a stand and submit a photo to CCLD
Other visitFebruary 22, 2022No deficiencies
Inspector: Lizette Francisco
Plain-language summary
On February 22, 2022, state licensing analysts conducted a training presentation with the facility's owners on regulations for operating a memory care home. The presentation covered required compliance standards, and the analysts noted that the owners appeared to understand the regulatory requirements. An exit interview was held and the owners received a copy of the report.
View full inspector notes
On 2/22/2022 at 11:05 AM, Licensing Program Analysts (LPAs) LPAs L. Francisco and K. Nguyen conducted a face to face Component III presentation. LPAs met with Licensees Quennie Balmeo and Marcel Balmeo. LPAs presented Component III power point and discussed the regulations embodied in the power point. LPAs observed the two participants gained knowledge about running and maintaining the facility in accordance with regulations. 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.