Ava Bella Care Home
What is an RCFE with 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.
2483 Balmoral Street · Union City, 94587
Record last updated April 20, 2026.
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Quick facts
Memory care context
Ava Bella Care Home is a California-licensed Residential Care Facility for the Elderly (RCFE) designated for memory care, licensed for 6 residents. California Title 22 requires facilities serving dementia residents to meet specific standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS has cited Ava Bella Care Home three times under these dementia-care sections. State records show 8 inspections with 11 total deficiencies — 5 Type A citations (actual harm) and 6 Type B citations (potential for harm). One complaint has been filed and investigated during the period on file. The most recent inspection occurred on December 12, 2024.
Questions to ask on your tour
Based on Ava Bella Care Home's state inspection record.
State records show 5 Type A deficiencies indicating actual harm to residents — what were the circumstances of each citation, and what corrective actions were taken?
CDSS cited this facility three times under §87705 or §87706 for dementia-care requirements — which specific provisions were violated, and how has staff training or supervision changed as a result?
One complaint was filed with CDSS during the inspection period — what was the subject of that complaint, and was it substantiated?
With 11 total deficiencies across 8 inspections, what systems have been implemented to prevent recurring compliance issues?
As a 6-bed home operated by Avabella Care Home LLC, how many staff are on duty during overnight hours when all beds are occupied?
State records
California CDSS · Community Care Licensing Division- License number
- 019200549
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Avabella Care Home Llc
Inspections & citations
8
reports on file
11
total deficiencies
5
Type A (actual harm)
3
dementia-care citations
Other visitDecember 12, 2024Type A3 deficiencies
Inspector notes
On 01/29/2026 at 12:00PM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Administrator, Nicole Morales, and explained the purpose of the visit. The facility is currently at capacity with a max of six (6) residents.. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 71.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/10/2025. At 1:30PM, LPA reviewed five (5) resident files and five (5) staff files. The emergency disaster plan was last reviewed 01/29/2026. Quarterly emergency drills were last conducted 01/28/2026. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. Continued on LIC809C..... 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 Continued from LIC809..... The following deficiencies were cited during the inspection: At 12:15PM, LPA noticed knives inn the kitchen not locked in the proper drawer. At 12:30PM, LPA saw scissors in an unlocked drawer in the living room. At 12:20PM, LPA noticed chemicals in an unlocked cabinet in the kitchen. at 1:45PM, during file review, it was found no staff were currently CPR/1st Aid certified. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report, along with Appeal Rights, was made available to the administrator.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Based on observation, the licensee did not comply with the section cited above as multiple cleaning chemicals were left in unlocked cabinets in the kitchen as well as there being unlocked medicine in the kitchen fridge, which poses an immediate health, safety, or personal rights risk to persons in care. POC Due Date: 01/30/2026 Plan of Correction 1 2 3 4 On or before plan of correction due date, licensee will send to CCL photos of all chemicals moved into cabinets with locks and will send phot…
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. (1) Disinfectants, cleaning solutio…
Based on observation, the licensee did not comply with the section cited above as there were unlocked knives in the kitchen and unlocked scissors in a drawer in the living room, which poses an immediate health, safety, or personal rights risk to persons in care. POC Due Date: 01/30/2026 Plan of Correction 1 2 3 4 On or before plan of correction due date, licensee will send photos to CCL of all knives and scissors being moved to cabinets with locks.
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staf…
Based on record review, the licensee did not comply with the section cited above as no staff has current CPR/First Aid certification, which poses a potential health, safety, or personal rights risk to persons in care. POC Due Date: 02/06/2026 Plan of Correction 1 2 3 4 On or before plan of correction due date, licensee will send to CCL the CPR/1st Aid appointment information and then the cards after completion.
InspectionDecember 11, 2024Type A2 deficiencies
Inspector: Kelly Nguyen
Inspector notes
On 12/12/24 at 8:50AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an continuation of an annual required inspection upon arrival LPA met with Administrator Josephine Santos (Administrator certificate #6063810740 exp 6/23/26), and explained the purpose of the visit. LPA reviewed 5 resident files and 3 staff files. LPA interviewed 2 residents and 2 staff. The following deficiencies were observed: · medicine unlocked inside the small cabinet on the table- Cleared but Repeated Violation from 1/27/24. · Cleaning supplies/ detergent left unlocked under shared resident bathroom and common bathroom- Cleared. · Knives left unlocked in on the kitchen counter- Cleared. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate $250.00 civil penalty will be assessed on today's date for reported violation within 12month. * Exit interview conducted. A copy of the LIC421FC, this report and appeal rights provided.
(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).
Based on observation, the licensee did not comply with the section cited above by having knife left unlocked on the kitchen counter which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/11/2024 Plan of Correction 1 2 3 4 Staff locked knife during inspection. Defiency cleared
(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.
Based on observation, the licensee did not comply with the section cited above by having •medicine unlocked inside the small cabinet on the table, and detergent left unlocked under shared resident bathroom and common bathroom which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 12/11/2024 Plan of Correction 1 2 3 4 Staff locked medication during inspection. Defiency cleared
ComplaintSeptember 9, 2024Type B2 deficiencies
Inspector: Laura Hall
Inspector notes
On 4/27/2022 at 10:15AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Gerarda Bajamundi, Caregiver and explained the purpose of the visit. Administrator, Josephine Santos arrived at 11:00AM. Upon entry, LPA's temperature was not checked. LPA observed screening station that contained hand sanitizer, masks and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hot water temperature in the shared clients’ bathroom was measured at 107.3 degree Fahrenheit. Fire extinguisher was last serviced on 3/12/2021. During record review, LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE and paper supplies are sufficient. The following forms are to be updated and submitted to CCLD by 5/4/2022 : -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility Continued on LIC9099C 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 Continued from LIC9099. -LIC610E Emergency Disaster Plan -An updated copy of Administrator certificate The following deficiencies were observed: -At 10:35PM, LPA observed resident with full bed rails in bedroom #5. -At 10:50PM, LPA observed wood, plywood, cardboard boxes, and construction materials in backyard and right side of house. The following deficiencies were observed (see LIC809D) 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.
87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (5) Under n…
Based on observation, the licensee did not comply with the section cited above in having full bedrails which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/01/2022 Plan of Correction 1 2 3 4 Administrator agreed to remove bedrails, take photo and submit it to CCLD by POC date.
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Based on observation, the licensee did not comply with the section cited above in by having wood, cardboard boxes, exercise bicycle, and construction materials in the backyard and on right side of house poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/01/2022 Plan of Correction 1 2 3 4 Administrator agreed to have all items removed and submit photo to CCLD by POC date.
Other visitSeptember 9, 2024No deficiencies
Inspector: Kelly Nguyen
Inspector notes
On this day at around 1:30 pm, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection upon arrival LPA was greeted by care staff, Armand Devera. LPA spoke with Administrator Josephine Santos (Administrator certificate #6063810740 exp 6/23/26). Josephine was not available during inspection LPA explained to Josephine the purpose of the visit. Josephine gave verbal permission for care staff Armand to sign the report. During the visit, LPA inspected the facility inside and out including but not limited to resident bedrooms, bathrooms, kitchen, dining area, garage and backyard. There was sufficient supply of perishable and non perishable foods. The facility room temperature was observed set at 72 Fahrenheit. There was sufficient supply of linen, warm blankets, sheets and towels available for use of the residents. A fire extinguisher that appeared full and was last serviced on 8/21/2024 was observed. The facility has a first aid kit that appeared complete. The last fire drill was conducted on 10/30/2024. Due to insufficient time LPA will continue this annual inspection at a later time. Exit interview is conducted and a copy of this report is provided.
Other visitAugust 19, 2024No deficiencies
Inspector: Kelly Nguyen
Inspector notes
LPA conducted an unannounced case management regrading the the update physician report for R1. LPA meet with Administrator (ADM), Nicole Morales and explained the purpose of the visit. ADM explained to LPA there are some complication of R1 primary doctor, which R1 case manger is aware and is trying to schedule for R1 to see another doctor. ADM will notify LPA sometime next week of the process of getting R1 physician report. LPA explained to ADM when calling 911 for R1 regrading R1 condition. When calling 911 for R1 all staff must know the term (bariatric) in order for the emergency crew to be prepared. ADM agreed and understood. ADM confirmed with Joe fire department of the POC of the back gate from 9/9/24 to 9/18/24. No deficiency issue on today date. Exit interview is conducted a report is provided.
InspectionJanuary 27, 2024No deficiencies
Inspector: Kelly Nguyen
Inspector notes
On 8/19/24 at 9:15am LPA K. Nguyen arrived unannounced to conduct a case management in regrades of a resident health and safety by the fire department. LPA spoke with Administrator (AD), Josephine Santos regrading the purpose of the visit. AD was not able to be present due to being out of state. AD asked LPA to discuss the issue with Co-Administrator Nicole Morales who is covering for AD while AD not available. LPA meet with fire code compliance officer, Joe Villarreal during facility visit. There are recommendation that Joe advice's the facility need to do in order to be compliance with the fire clearance. Facility needs to complete and turn in by in order for the facility to be compliance with fire code: -Living room door need to be fix by 8/19/24. -Fire extinguisher with a current tag by 8/23/24. -All Room need to be labeling including residents, staff, and bathroom by 8/23/24 - Back gates need to be at least 39 inches wild for wheelchair accessible by 9/9/24 Report continue on LIC 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 LPA require documents including but not limited to: -R1 update Physician report by 9/3/24 -R1 update needs and services plan in detail 8/23/24 -Facility needs to show proof AD that R1 can exit the back gate in case of emergency (wheelchair or walker) -Administrator needs to review reporting requirements in title 22 and submit to CCLD a self certified statement stating that AD understand the regulation by 9/9/24. Exit interview is conducted and a copy of this report is provided.
InspectionDecember 29, 2022Type A4 deficiencies
Inspector: Luisa Fontanilla
Inspector notes
On this day at around 9:40 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with Administrator Nicole Morales (Administrator certificate #6063810740 exp 8/25/24). LPA explained to Nicole the purpose of the visit. During the visit, LPA inspected the facility inside and out including but not limited to resident bedrooms, bathrooms, kitchen, dining area, garage and backyard. There was sufficient supply of perishable and non perishable foods. The facility room temperature was observed set at 72 Fahrenheit. Hot water temperature measured at 107 Fahrenheit. There was sufficient supply of linen, warm blankets, sheets and towels available for use of the residents. A fire extinguisher that appeared full and was last serviced on 3/15/2023 was observed. The facility has a first aid kit that appeared complete. The last fire drill was conducted on 12/27/2023. At 10:35am, LPA reviewed 5 resident files and 4 staff files. At 1:50 pm, LPA interviewed 2 residents and 2 staff. The following deficiencies were observed: 5 bottles of medicine unlocked on the table ripped screen door, unused bed/wheelchair, recycles and other things in the backyard No approved exception for R2 no proof of staff training for R2 Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted and Appeal Rights was provided.
Based on observation, the licensee did not comply with the section cited above in having unused wheelchair, bags of recycling items, hospital bed, wood board, screen door ripped and fence leaning towards the street in the backyard which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/02/2024 Plan of Correction 1 2 3 4 Administrator will get backyard cleaned and fence fixed and submit photo proof to CCL by POC date.
Based on observation, the licensee did not comply with the section cited above in having 5 bottles of medication unlocked and acceissble to residents which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/27/2024 Plan of Correction 1 2 3 4 Administrator locked all mediations during the visit. Deficiency is cleared.
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following:
Based on observation and record review, the licensee did not comply with the section cited above in not having proof of staff training for R2 who has nephrostomy which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/09/2024 Plan of Correction 1 2 3 4 By POc date, Administrator will get all staff trained by home health nurse and submit proof of training to CCL.
(b) Written requests shall include, but are not limited to, the following: (1) Documentation of the resident's current health condition including updated medical reports, other documentation of the current health, prognosis, and expected duration of condition.
Based on observation, the licensee did not comply with the section cited above in admitting R2 who has nephrostomy but unable to manage which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/12/2024 Plan of Correction 1 2 3 4 By POC date, Administrator will submit request for exception for R2.
InspectionApril 27, 2022No deficiencies
Inspector: Liridon Fici
Inspector notes
On 12/29/2022, at 1:00 PM, Licensing Program Analyst (LPA) Liridon Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by Josephine T. Santos , Administrator and explained the purpose of todays visit. During the inspection, LPA toured facility including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. Facility has a sufficient 2-day perishable and 7-days non-perishable food supply. All sharps and toxins were locked up and inaccessible to residents in care. Common areas are disinfected frequently throughout the day. Water temperature is measured at 117.3 Degrees F. Fire extinguisher was last serviced on 4/27/2022. Facilities room temperature is maintained at 71 Degrees F. First aid kit is complete. Carbon monoxide and smoke detectors are functional. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care. During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file. No deficiencies cited during today's visit. Exit interview conducted with administrator and 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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