Good Shepherd of 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.
2752 Mohawk Cir · 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
Severity30thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency31thDeficiencies 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
Good Shepherd of San Ramon scores C. Better than 54% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 30th percentile. Repeats: top 0%. Frequency: 31th 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
stableWeighted severity score per month · 24 months
Weighted score (24mo)
25
Last citation
Feb 25
Finding distribution
8 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
- 079201220
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Senior Legacy Health Care Services Inc
Inspections & citations
6
reports on file
8
total deficiencies
1
Type A (actual harm)
Other visitFebruary 13, 2025Type A6 deficiencies
Inspector: Alona Gomez
Plain-language summary
During a routine annual inspection on February 13, 2025, inspectors found several staffing and safety documentation gaps: no staff on duty had CPR or First Aid certification, staff files were incomplete, the facility had no posted emergency disaster plan and no record of emergency drills since August 2024, and an unpermitted staff dwelling structure was found in the garage. The facility also had hot water temperature slightly above the safe limit and was assessed a $250 civil penalty for repeated violations; the owner was required to submit corrected documentation and emergency plans by March 31, 2025.
View full inspector notes
On 02/13/2025 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with New Owner/ Administrator of Facility, Niezen June Arcolas and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory of which 1 may be bedridden. LPA toured facility with Owner, Niezen June Arcolas including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 4 bedrooms are occupied by the residents and 1 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 71 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 95.3 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. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 07/25/2024. First aid kit was observed to be complete. At 10:40 am, LPA reviewed 4 residents records. At 11:30 am, LPA reviewed 2 staff records. Report continues on LIC 809-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: LPA observed staff files incomplete/missing. No file available for Administrator LPA observed that no staff on Duty had CPR or First Aid LPA observed Facility does not have an emergency disaster plan posted LPA observed that facility does not have record of any emergency disaster drills. Staff states that they do not recall doing drills since 8/2024 During Tour LPA observed an enclosed structure with 2 rooms in the garage that are not identified on facility sketch. Rooms are being utilized as a dwelling for staff LPA observed the water at 95.3 degrees Fahrenheit. ***CIVIL PENALTY ASSESSED $250 FOR REPEATED VIOLATIONS*** Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 03/31/2025: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate Updated Facility Sketch 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
(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 in hot water measuring at 95.3 degrees F which poses an immediate health and personal rights risk to persons in care. POC Due Date: 02/14/2025 Plan of Correction 1 2 3 4 By POC Facility agrees to adjust the water to be within regulations and notify 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 observation and record review, the licensee did not comply with the section cited above in 1 out of 3 staff not having an available personnell record which poses a potentialpersonal rights risk to persons in care. POC Due Date: 02/20/2025 Plan of Correction 1 2 3 4 By POC Facility agrees to ensure all staff have records readily available at the facility 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 not having any first aid avaialble for staff on duty] which poses a potential safety risk to persons in care. POC Due Date: 02/20/2025 Plan of Correction 1 2 3 4 By POC Facility agrees to ensure all staff have first aid and notify 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 interview and record review, the licensee did not comply with the section cited above in not having conducted a drill since 8/2024 which poses a potential safety risk to persons in care. POC Due Date: 02/20/2025 Plan of Correction 1 2 3 4 By POC Facility agrees to ensure all staff have participated in emergency drills and document and notify CCLD
Regulation
(e) A facility shall have all of the following information readily available to facility staff during an emergency:
Inspector finding
Based on observation, the licensee did not comply with the section cited above in not having an emergency disaster plan readily available or posted which poses a potential safety and personal rights risk to persons in care. POC Due Date: 02/20/2025 Plan of Correction 1 2 3 4 By POC Facility agrees to review and post an emergency disaster plan and notify CCLD
Regulation
87208(A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended...(7)Sketches, showing dimensions, of the following:
Inspector finding
Based on observation and record review, the licensee did not comply with the section cited above in facility not matching facility sketch which poses a potential personal rights risk to persons in care. POC Due Date: 02/20/2025 Plan of Correction 1 2 3 4 By POC date administrator agrees to remove structure or update the facility sketch and get the structure approved by the fire department if necessary.
InspectionFebruary 13, 2025No deficiencies
Inspector: Alona Gomez
Plain-language summary
During a routine annual inspection on February 13, 2025, inspectors learned that the facility had been sold on August 30, 2024, and ownership is in transition. The inspector requested that the facility's current licensee submit required change-of-ownership paperwork to the state, including proof that residents were notified of the ownership change and copies of the purchase and lease agreements. No violations were found during the inspection itself.
View full inspector notes
On 02/13/2025 at 2:15 PM, Licensing Program Analyst (LPA) A. Gomez conducted a case management as a result of information obtained while conducting Annual inspection on todays date. LPA met with New Owner/ Administrator of Facility, Niezen June Arcolas and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory of which 1 may be bedridden. While conducting the required annual LPA was informed that the Facility has been sold as of 8/30/2024 and is in the process of a change of ownership. LPA is requesting that current Licensee submit to CAB the change of ownership and process a change of Administrator with the regional office. LPA is also requesting a copy of the required notice provided to residents informing them of the change of ownership. LPA is also requesting a copy of the Lease back agreement (if available) along with the purchase agreement. LPA is requesting all documents to be sent by 2/20/2025. Exit interview conducted and a copy of this report provided.
InspectionApril 8, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
On April 8, 2024, a state licensing analyst conducted a health and safety inspection after a resident was relocated to this facility due to a fire elsewhere, and found no deficiencies. The facility had adequate food supplies, secure medication storage, working smoke detectors and carbon monoxide detectors, a full fire extinguisher, proper water temperature, and clear indoor and outdoor pathways. The two residents present were unable to communicate clearly with the inspector due to dementia.
View full inspector notes
On 04/08/2024 at 1:50 PM, Licensing Program Analyst (LPA) A. Gomez conducted a Health & Safety inspection as a result of CCLD receiving notification of a Resident being relocated to facility due to a fire at another facility. LPA met with Caregiver, Isagani Silvestre and explained the purpose of the visit. Administrator was unavailable. LPAs toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 105.3 degrees F in the hallway bathroom. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Resident's medications were kept locked. Smoke detectors are interconnected with the sprinkler system. A comfortable temperature was maintained at 70 degrees F. Carbon monoxide detector observe. First-aid kit was complete. Fire extinguisher was observed to be full and last serviced on 06/06/2023. There are no accessible bodies of water observed. Indoor and outdoor passageways are free of obstruction. LPA spoke with R1 and R2 to see how they are adjusting to the facility. R1 and R2 have dementia and were unable to give coherent answers. Administrator has residents files and medications at the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Other visitMarch 7, 2024Type B2 deficiencies
Inspector: Alona Gomez
Plain-language summary
This was a routine annual inspection on March 7, 2024, at which the facility was found to maintain safe conditions including proper temperature, lighting, grab bars, locked medications, and working smoke and carbon monoxide detectors. Two violations were identified: an enclosed structure in the garage with rooms not shown on the facility's floor plan (one used for staff housing), and a missing oxygen-in-use sign for a resident using oxygen, which the facility posted during the visit. The facility was asked to submit updated documents including an emergency plan, facility sketch, and insurance information by March 31, 2024.
View full inspector notes
On 03/07/2024 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Backup Administrator, Isagani Silvestre and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory of which 1 may be bedridden. LPA toured facility with Isagani Silvestre including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 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 71 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 105.9 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 and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 06/06/2023. Emergency Disaster Plan was last posted on 02/01/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 02/01/2024. At 10:40 am, LPA reviewed 5 residents records. At 11:30 am, LPA reviewed 4 staff records and 4 of 4 have current first aid training and associated to the facility. Report continues on LIC 809-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 Tour at 12:30PM LPA observed an enclosed structure with 2 rooms in the garage that are not identified on facility sketch. 1 room does appear to be utilized as a dwelling for staff During Tour at 12:55PM LPA observed oxygen in use sign not posted for a resident (R4) that is utilizing oxygen in their room. Backup Administrator posted sign during visit. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 03/31/2024: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate Updated Facility Sketch 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
(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas.
Inspector finding
Based on observation, the licensee did not comply with the section cited above in not having an oxygen in use sign posted on appropriate residents room entrance which posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/08/2024 Plan of Correction 1 2 3 4 Administrator Posted the sign during the visit deficiency cleared
Regulation
87208(A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended...7)Sketches, showing dimensions, of the following:
Inspector finding
Based on observation, the licensee did not comply with the section cited above in having an unspecified structure built in garage which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/31/2024 Plan of Correction 1 2 3 4 By POC date administrator agrees to remove structure or update the facility sketch and get the structure approved by the fire department if necessary.
Other visitMarch 23, 2023No deficiencies
Inspector: Daisy Panlilio
Plain-language summary
On March 23, 2023, the state conducted a pre-licensing inspection of this facility ahead of a change in ownership and found no issues. The inspector checked six bedrooms, bathrooms, common areas, kitchen, safety equipment, food storage, and the grounds, and confirmed the facility meets requirements for housing five non-ambulatory residents and one bedridden resident. The facility was deemed ready to be licensed pending final approval from the state's applications unit.
View full inspector notes
On 03/23/23 at 10AM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct a Change of Ownership Pre-licensing inspection. LPA met with Administrator and explained the purpose of the visit. The facility currently has 6 residents. The facility has an approved fire safety clearance for five (5) non-ambulatory and one (1) bedridden resident. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage and back yard. The facility has a total of six (6) bedrooms, one (1) being used for an office and three and one-half (2 1/2) bathrooms. There were no bodies of water present during inspection. There is sufficient lighting around the facility. Residents rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non skid mats and grab bars. Passageways and hallways are free of obstruction. Locked closet available to store medications and toxins. Locked cabinet to store sharps. Hot water temperature is measured at 108.9 degrees Fahrenheit. Fire extinguisher was last serviced on 06/20/22. There is a minimum of 7-day non-perishables and 2-day perishables foods. Carbon monoxide and smoke detectors present. First-Aid kit was observed complete. No issues were 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 with Administrator and a copy of this report provided.
Other visitMarch 23, 2023No deficiencies
Inspector: Daisy Panlilio
Plain-language summary
This was a pre-licensing inspection on March 23, 2023, where state officials met with the administrator to review how the facility must operate under California regulations and avoid common compliance problems. The administrator confirmed understanding and agreed to follow the regulations. No violations were found.
View full inspector notes
During the pre-licensing inspection on 03/23/23, Licensing Program Analyst (LPA) Daisy Panlilio conducted a Component lll presentation with administrator. During the Component lll presentation, LPA provided administrator information on how to operate the facility within Title 22 regulatory compliance as well as how to avoid common problem areas. Administrator confirmed understanding and agreed to comply with Title 22 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.
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