Penny's Guest Home
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.
78 Ryegate Place · 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
Severity75thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency83thDeficiencies 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
Penny's Guest Home scores A−. Better than 86% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 75th percentile. Repeats: top 0%. Frequency: top 17%.
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
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.Rules this facility has been cited for are shown first.
What dementia-care training must staff complete?Cited Jul 202222 CCR §87705 / HSC §1569.625
Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:
- 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
- 8 hours annual dementia in-service — required every year thereafter.
- Administrator CE — the administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle.
Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour: Ask how dementia training records are kept — families may request documentation.
How many staff must be on duty overnight?22 CCR §87415
Based on 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
- 075601514
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Penny's Guest Home, Llc
Inspections & citations
6
reports on file
2
total deficiencies
2
Type A (actual harm)
1
dementia-care citations
InspectionJuly 15, 2025No deficiencies
Plain-language summary
On July 15, 2025, state inspectors conducted a required annual inspection of this six-bed facility and found no violations. The inspector verified that the home maintained safe living conditions including adequate lighting and temperature, properly secured medications and hazardous materials, functioning fire and carbon monoxide detectors, and staff trained in first aid. All resident records reviewed were in order.
View full inspector notes
On 07/15/2025 at 2:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. Upon arrival LPA met with Caregiver, Adrian Renz Manalastas and explained the purpose of the visit. Administrator was unavailable to attend but approved caregiver to sign report. The facility’s fire clearance was approved for 6 Non-Ambulatory. LPA toured facility with caregiver 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 are 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 73 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 bathrooms was measured at 110.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum 7 day 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 detectors were in operating condition during visit. Fire extinguisher was last purchased on 03/10/2024. Emergency Disaster plan last reviewed 7/15/2025. Fire Drills conducted 4/27/2025 At 2:10 PM, LPA reviewed 4 of 4 residents records. At 2:30 PM, LPA reviewed 3 staff records and 3 of 3 have first aid training and are associated to the facility. At 2:40 PM, LPA reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Other visitMay 30, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
This was a routine annual inspection on May 30, 2024, and no violations were found. The inspector checked the facility's physical condition, safety equipment, food and medication storage, resident records, and staff qualifications, and found everything in order.
View full inspector notes
On 05/30/2024 at 9:50 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. Upon arrival LPA was greeted by caregivers. Licensee arrived at 12:14PM. LPA met with Licensee, Josefina Gardner and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory. LPA toured facility with Josefina 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 are 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 69 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 bathrooms was measured at 111.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum 7 day 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 detectors were in operating condition during visit. Fire extinguisher was last purchased on 01/10/2024. Emergency Disaster plan last reviewed 5/30/2024. At 10:30 AM, LPA reviewed 5 of 5 residents records. At 11:20 AM, LPA reviewed 3 staff records and 3 of 3 have first aid training and are associated to the facility. At 12:00 PM, LPA reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
InspectionJanuary 10, 2024No deficiencies
Inspector: Alona Gomez
Plain-language summary
On January 10, 2024, the state conducted a case management visit following the death of a resident on January 1, 2024. The resident was found unresponsive during a morning check after being seen alive at 2:30 AM; the death certificate attributed death to emphysema, with the resident having a history of hypertension and lung disease. No deficiencies were cited.
View full inspector notes
On 1/10/2024 at 11:20 AM (LPA) A. Gomez arrived unannounced to conduct a Case Management in regards to an incident report submitted to CCLD on 1/5/2024. LPA met with administrator Josefina Gardner and explained the purpose of the visit. On 1/5/2024 CCLD received an incident report stating that R1 had passed away on 1/1/2024 in their sleep after being checked on by a caregiver arround 2:30AM. When caregiver retuned at 5:00AM resident was unresponsive. LPA obtained a copy of R1's death certificate that states that resident passed due to Emphysema. R1 also had other conditions such as hypertension and lung disease. LPA also obtained a copy of R1's physicians report. No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided
InspectionJanuary 10, 2024Type A1 deficiency
Inspector: Alona Gomez
Plain-language summary
This was a routine annual inspection on April 26, 2024, and the facility was found to maintain a safe environment with working smoke detectors, carbon monoxide detectors, fire extinguishers, grab bars in bathrooms, and staff with current first aid training. One issue was noted: cleaning supplies were stored unlocked under the kitchen and bathroom sinks, but the administrator immediately locked them away during the visit. The facility was asked to submit updated documentation including an emergency disaster plan and current administrator certificate by mid-January 2024.
View full inspector notes
Licensing Program Analyst (LPA) A Gomez conducted an unannounced 1-Year Annual Required visit on this date starting at 1:20pm. Upon arrival, LPA met Administrator, Josefina Gardner. The facility's fire clearance was approved for six non-ambulatory. Administrator holds a current certificate (#6015433740) that expires 04/09/2024. During the visit, LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, backyard and common areas. A comfortable room temperature is maintained at 73 degrees F. Hot water temperature measured at 114.7 degrees F. There is a minimum of 2-day perishable and one week perishable foods. Indoor and outdoor passageways were kept free of obstruction. There are no bodies of water observed. LPA observed resident's shared bathrooms were equipped with grab bars and non-skid mat. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last bought on 1/10/2024. Emergency Disaster Plan was last posted on 10/20/2023. Fire drill was last conducted on 4/27/2023. First Aid kit was observed complete. LPA reviewed 3 staff records and 3 of 3 staff are associated to the facility and have current first aid training. LPA reviewed 4 residents records and a sample of residents 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 Tour LPA observed unlocked cleaning supplies (comet, windex, Clorox cleaner, ect) under kitchen sink and under bathroom sink. Administrator removed and locked away all chemicals clearing the deficiency. Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 1/19/2024: 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 may result in 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 in having unocked cleaner which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/11/2024 Plan of Correction 1 2 3 4 Administrator locked away all chemicals during visit.
InspectionJuly 26, 2022Type A1 deficiency
Inspector: Lizette Francisco
Plain-language summary
This was a routine infection control inspection on July 26, 2022, and the facility was found to have good overall practices including proper screening stations, hand washing supplies, and adequate personal protective equipment. However, inspectors found liquid medication stored unlocked in the refrigerator, which is a violation because medications must be secured. The facility was required to correct this issue and submit updated documentation by August 1, 2022.
View full inspector notes
On 7/26/2022, at 1:25 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to conduct Infection Control Inspection. LPA met with Care Staff Jordan Joson and explained the purpose of the visit. Administrator was not available during visit. During the Infection Control Inspection, LPA toured facility with Care Staff 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. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bin with touchless lids. LPA reviewed 3 staff records and 3 of 3 have health screening and TB test on file. The 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 DEFICIENCY WAS OBSERVED DURING THE VISIT At 1:45 PM, LPA observed unlocked liquid medication stored in the refrigerator. 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 8/1/2022 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 deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.
Regulation
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.
Inspector finding
Based on observation, the licensee did not comply with the section cited above. LPA observed unlocked liquid medication stored in the refrigerator which poses an immediate health and safety risk to persons in care. POC Due Date: 07/27/2022 Plan of Correction 1 2 3 4 By POC date, Administrator will purchase a lock box to store refrigerated medication and submit a photo to CCL.
ComplaintJuly 16, 2021No deficiencies
Inspector: Carol Fowler
Plain-language summary
Inspectors visited the facility on July 16, 2021 to check infection control practices and found the facility was prepared: hand sanitizer and COVID-19 signage were visible, bathrooms and kitchen had proper handwashing setup, staff kept temperature and visitor logs, and supplies including masks and protective equipment were adequate. No violations were found during the visit.
View full inspector notes
On 7/16//2021 at 11:05AM, Licensing Program Analysts (LPAs) C. Fowler and L. Francisco arrived unannounced to conduct an Infection Control Inspection. LPAs met with Administrator, Josefina Gardner and explained the purpose of the visit. Upon entry, we were greeted by staff, LPAs observed hand sanitizer, and COVID-19 signage, LPAs toured facility including but not limited to common areas, bathrooms, kitchen, garage, and backyard. All sinks were equipped with soap, paper towel garbage cans with lids. During record review, LPAs observed visitors log and temperature log for both residents and staff. LPAs observed facility has a copy of Mitigation Plan on file. LPAs observed PPE, food and paper supplies are sufficient. No deficiencies were cited during this inspection. Exit interview conducted. 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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