Activcare At 4s Ranch is a residential care home for the elderly (RCFE) in San Diego, San Diego County, California — state license #374603714, licensed for 60 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 11 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated June 16, 2026 — published below in full, verbatim and unscored.
No photo of this home is on file — we show real, attributed images only, never a stock photo of someone else’s building.
Since 2021, the state has visited this home 11 times and filed 11 documents. The most recent is a facility evaluation report, dated June 16, 2026.
The state's published file for this home includes 1 document with transcribed findings, dated November 21, 2024. 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
Jun 16, 2026Report 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.
Dec 22, 2025Report 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.
May 7, 2025Report 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.
Nov 21, 2024Unsubstantiated
Allegation investigated: Staff left resident on the floor after a fall
Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to deliver findings on the above-mentioned allegation. LPA met Executive Director Denise Notter and discussed the purpose of the visit. On October 28, 2024, Community Care Licensing (CCL) received a complaint alleging staff left Resident 1 (R1) on the floor after a fall. Based on R1's Physician Report dated September 3, 2024, R1 can communicate need and is able to follow instructions. During the investigation, LPA Strong conducted interviews, and reviewed facility records. According to the allegation on October 27, 2024, Resident 1 (R1) was observed to be crawling on the floor of the facility hallway after a fall and staff present left resident there an extended amount of time. Interview with staff present on the date of the incident revealed that Staff 1 (S1) was doing rounds at around 8:30pm, opened R1’s bedroom door and found R1 crawling on the floor. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 21, 2024 · control 08-AS-20241028134911
Jun 26, 2024Report 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.
Oct 16, 2023Report 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.
Sep 6, 2023Report 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.
Year-by-year trend
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Is Activcare At 4s Ranch licensed?
Yes — Activcare At 4s Ranch is a licensed residential care home for the elderly (RCFE) in San Diego (San Diego County): California license #374603714, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 60 residents. State records list 11 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated June 16, 2026, appears in the inspection record on this page.
Can Activcare At 4s Ranch 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 Activcare At 4s Ranch 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.
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 recordAGE RANGE 60 AND OVER. 60 NON-AMBULATORY, OF WHICH 15 MAY BE BEDRIDEN.APPROVED FOR DELAYED EGRESS AND SECURED PERIMETER. HOSPICE WAIVER FOR 20. WAIVER FOR LOCKED PERIMETER GATE. WAIVER APPROVED FOR NON-PHYSICIANS TO PRESCRIBE MEDICATIONS.
How much does Activcare At 4s Ranch cost?
California's public licensing record does not include Activcare At 4s Ranch'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 Activcare At 4s Ranch accept Medi-Cal or the Assisted Living Waiver?
Activcare At 4s Ranch 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 →
53 of 60 beds occupied (88%) when the state visited on November 21, 2024. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Activcare At 4s Ranch?
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 11 state visits and 11 dated documents since 2021 for Activcare At 4s Ranch; 1 complaint-investigation narrative is transcribed verbatim below. The most recent, dated November 21, 2024, 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.
2024
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 11 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 larger communities (16+ beds), computed across all 1,244 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.
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(858) 485-8001Resident 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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