Twain Residential Care, Llc is a residential care home for the elderly (RCFE) in San Diego, San Diego County, California — state license #374603112, licensed for 12 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 7 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated August 12, 2025 — published below in full, verbatim and unscored.

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Twain Residential Care, Llc

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Residential care home for the elderly (RCFE) · Mid-size home, 12 residents · San Diego, CA · San Diego County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #374603112, held since 2011 · read from the California state record on August 2, 2026 ·See on State Site →
4626 Twain Ave · San Diego, San Diego County
Phone
(619) 281-8337
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
Print tour sheet →

Wheelchair / non-ambulatoryApproved for 12 residents
Dementia / memory careVerified in record
Hospice careVerified in record
Bedridden careVerified in record

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
FACILITY SERVES TWELVE (12) NON-AMBULATORY ELDERLY RESIDENTS; AGE 60 AND ABOVE. ONE (1) OF WHOM MAY BE BEDRIDDEN IN ROOM #A ONLY. HOSPICE WAIVER APPROVED FOR ONE (1) RESIDENT.State service designation983 - RCFE / DEMENTIAthe CDSS license record, verbatim · checked August 2, 2026

“RCFE / Dementia” is the state’s designation for a home with an approved Dementia Care Plan of Operation — it’s recorded separately from the comments above, which is why the memory-care approval may not appear in that text.

Since 2021, the state has visited this home 7 times and filed 7 documents. The most recent is a facility evaluation report, dated August 12, 2025.

Most recent state visit
August 12, 2025
Occupancy at the November 12, 2021 visit
12 of 12 beds

The state's published file for this home includes 1 document with transcribed findings, dated November 12, 2021. 1 of the 1 carries the state's recorded outcome word: “Unsubstantiated” (1). 1 includes the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 1 document below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 3 of 7 documentsFull record on the state’s site →
20252 state visits · 2 documents
Aug 12, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 3, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20241 state visit · 1 document
May 13, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Beside homes the same size
Type A citations0typical 0
Type B citations0typical 0
Substantiated complaints0typical 0
Total complaints1typical 1
State visits on file7typical 8
“Typical” is the statewide median across the 307 licensed mid-size homes (7–15 beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2011.
Year-by-year trend
YearVisitsDocumentsSubstantiated2025220202411020222202021220
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

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$5,000$7,500 /mo
our estimate — San Diego County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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What dementia training does staff have, and is the area secured?
Non-ambulatory approval — whole home or specific rooms, and is a spot open?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Is Twain Residential Care, Llc licensed?

Yes — Twain Residential Care, Llc is a licensed residential care home for the elderly (RCFE) in San Diego (San Diego County): California license #374603112, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 12 residents. State records list 7 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated August 12, 2025, appears in the inspection record on this page.

Can Twain Residential Care, Llc care for dementia, hospice, bedridden, or non-ambulatory residents?

From the CDSS license record, checked August 2, 2026.

The CDSS license record checked August 2, 2026 lists Twain Residential Care, Llc with clearances for wheelchair / non-ambulatory, dementia / memory care, hospice care, and bedridden. Clearances describe what the license permits, not day-to-day staffing — confirm current scope and availability with the home directly on a tour.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordFACILITY SERVES TWELVE (12) NON-AMBULATORY ELDERLY RESIDENTS; AGE 60 AND ABOVE. ONE (1) OF WHOM MAY BE BEDRIDDEN IN ROOM #A ONLY. HOSPICE WAIVER APPROVED FOR ONE (1) RESIDENT.

How much does Twain Residential Care, Llc cost?

California's public licensing record does not include Twain Residential Care, Llc's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in San Diego County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.

Does Twain Residential Care, Llc accept Medi-Cal or the Assisted Living Waiver?

Twain Residential Care, Llc is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.

Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

12 of 12 beds occupied (100%) when the state visited on November 12, 2021. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Twain Residential Care, Llc?

Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.

The CDSS state record checked August 2, 2026 lists 7 state visits and 7 dated documents since 2021 for Twain Residential Care, Llc; 1 complaint-investigation narrative is transcribed verbatim below. The most recent, dated November 12, 2021, records an allegation the state marked “Unsubstantiated. Open any entry to read the state's full finding, word for word.

Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.

1 transcribed report on file

2021

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedLicensee interfered with resident's guardianship.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced complaint visit to deliver a finding regarding the above allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Loida Sanga. Administrator Leonardo Simsuangco joined LPA via phone during the visit. The Reporting Party (RP) alleged that Resident #1 (R1) in the past had a guardian [i.e. Person #1 (P1)], and that Licensee removed P1 as R1’s guardian and was obscuring their name and contact information from R1’s medical provider. The Department’s investigation consisted of an unannounced tour of the facility, interviews of relevant residents, staff, and outside sources, and a review of pertinent facility, legal, and hospital records. [CONTINUED ON LIC 9099-C, 1 of 2] UnsubstantiatedCDSS inspection report, November 12, 2021 · control 08-AS-20210902152020

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 7 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for mid-size homes (7–15 beds), computed across all 307 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing. No substantiated complaints are on file.

Type A citations
0
typical for this size: 0
Type B citations
0
typical for this size: 0
Substantiated complaints
0
typical for this size: 0
Total complaints
1
typical for this size: 1
State visits on file
7
typical for this size: 8
See the full inspection record on the state's site →
Talk to this home directly

You can call them yourself, anytime — you never have to go through us.

(619) 281-8337
What isn't in the state record

Resident reviews, the exact monthly price, and the languages staff speak aren't part of California's public licensing record, so we don't show them here. Ask the home directly — the tour questions above are a good start.

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This page is generated from CDSS Community Care Licensing public records. How we build these pages →

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