Mid-size home · Licensed for 15 · San Francisco

Lady of Perpetual Help Rfe #1

476 Fair Oaks Street, San Francisco, CA 94110Licensed since 1999

Overview

Estimated starting rate

$4,900 a month

Covelight estimate · likely $3,850–$6,450 See costs

No openings reported

Approved by the state: Wheelchair · Dementia · HospiceState licensing record · October 26, 2026
Licensed for 15: a mid-size care homeThe state license record

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Care and support

Wheelchairup to 6 residents
Dementia
Hospice

Not on file: bedridden approval.

Approved by the state · State licensing record · October 26, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording

AGE RANGE 60 AND OVER. SIX (6) MAY BE NON-AMBULATORY. LICENSE IS SUBJECT TO THE TERMS AND CONDITIONS OF A DEMENTIA AND HOSPICE WAIVER. CLIENTS WITH DEMENTIA MAY BE IN THE DESIGNATED NON-AMBULATORY ROOMS ONLY.

935 - ELDERLY

CDSS record, verbatim · October 26, 2026

As needs change

Staying through hospice
Hospice waiver on file — care may continue at the end of life
State licensing record · October 26, 2026
If memory loss develops
Dementia-care designation on file
State licensing record · October 26, 2026

We’ll ask for you. Not on file for Lady of Perpetual Help Rfe #1: two-person transfers or a lift, who is awake overnight and help with medicines. When we check availability, we ask about these too.

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What it costs here

Covelight estimate

$4,900a month to start

Likely $3,850–$6,450

From 13 nearby homes that publish rates · this home’s rate is not on file

Monthly cost breakdownWith a shared room and basic help · room, care and fees$4,900likely a month

Room

Daily care

Sharing the room

Starting monthly rate$4,900likely $3,850–$6,450
Covelight’s estimate starts from the rates 13 homes with 7 to 49 beds and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (44 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,500one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,500 (133 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,850–$6,600: $4,900
First monthWith a one-time move-in fee · likely $4,650–$9,650: $7,400

How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance

MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.

If the money runs out, what Medi-Cal covers

Rates at nearby homes13 nearby homes publish starting rates of $4,000 to $6,500

13 homes like this within 5 miles publish starting rates mostly between $4,000–$5,500.

Merced Girard Residential Care FacilitySan Francisco · 1.6 mi · Mid-size home
$4,500Listed on Seniorly · seen September 9, 2026
Autumn GlowSan Francisco · 2.0 mi · Mid-size home
$4,000Listed on Seniorly · assisted living one bedroom · seen September 9, 2026
Julie's Care HomeSan Francisco · 2.3 mi · Mid-size home
$5,500Listed on Seniorly · seen September 9, 2026
Kimochi HomeSan Francisco · 2.6 mi · Mid-size home
$4,335Listed on Seniorly · assisted living · seen September 9, 2026
Guirola Resident CareSan Francisco · 2.7 mi · Small home
$4,095Listed on Seniorly · assisted living studio · seen September 9, 2026
Fook Hong SF Care HomeSan Francisco · 3.1 mi · Mid-size home
$5,500Listed on Seniorly · seen September 9, 2026
Janet's Residential Facility for the ElderlySan Francisco · 3.3 mi · Mid-size home
$5,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Sunset GardensSan Francisco · 3.5 mi · Mid-size home
$6,500Listed on Seniorly · seen September 9, 2026
Gonzales HomeSan Francisco · 3.5 mi · Small home
$5,500Listed on Seniorly · seen September 9, 2026
Cayco's Care HomeSan Francisco · 3.8 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Quality Care Homes, LLC 2San Francisco · 4.8 mi · Small home
$5,000Listed on Seniorly · seen September 9, 2026
Sutro HeightsSan Francisco · 4.9 mi · Mid-size home
$5,000Listed on Seniorly · seen September 9, 2026
Elle's Care HomeDaly City · 5.0 mi · Small home
$6,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026

How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 13 homes with 7 to 49 beds and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
It cannot see this home’s specials, how it assesses care, or which rooms are open.

Avoid surprises on the billWhat changes the price, and what to ask

The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
Move-in costs
A one-time move-in fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

Ask for the price

An estimate for planning, not a quote. A home sets the price after hearing about the care needed.

Daily life

Rooms, meals, activities and house rules, in the home’s own words. Open any detail to see where it came from.

Search the home’s details

Rooms & the spaces they will use (1)Room types

Room typesStudio
Reported on A Place for Mom · seen September 9, 2026.

Where it is

476 Fair Oaks Street, San Francisco, CA 94110Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

California Pacific Medical Center - Mission Bernal Campus and Orthopedic InstituteHospital · General acute care, on the state’s list0.2 mi

Straight-line distances; check the drive or the walk. Hospital: the nearest general acute care hospital on the state’s list (CDPH, September 16, 2026).

Open directions

The state record

California inspects every licensed home and publishes what it found. A citation does not make a home unsafe, and an empty file does not make a home good.

CDSS public record, read October 26, 2026 · License #380504039 · See the state’s own record

The last 36 months — 2 of 5 documents

20251 state visit · 1 document

Aug 25, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On 08/25/2025, Licensing Program Analyst (LPA) LPA Yi Sam Jian conducted an unannounced annual inspection. LPA met with staffs, Franco Balancio and Manuel Manasala. LPA explained the purpose of the visit. LPA spoke with Administrator Maricel Grepo who stated that she could not make the visit and gave permission for Staff, Franco Balencio to sign required paperwork. The main level had 7 bed rooms for residents, 2 staff rooms, kitchen, dining room, and 3 bathrooms. Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Licensee has at least one completed first aid kit located in the kitchen. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Upon record reviews and licensee interview, LPA found 1 staff did not have documentation of first aid and CPR training, no documentation for reappraisals in past 12 months for 5 out 5 clients, and no documentation for quarterly emergency drills. Deficiencies of the California Code of Regulations, Title 22 are cited on LIC809-D. Exit interview conducted with Staff, Franco Balencio, and copy of report and appeals left at facility.the state’s words, verbatim · CDSS document, Aug 25, 2025

20241 state visit · 1 document

Oct 9, 2024Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

On 10/09/2024, Licensing Program Analyst (LPA) Dominic Tabola and LPA Yi Sam Jian conducted an unannounced annual inspection. LPA met with staff members, Franco Balancio and Gloria Balancio. Administrator Ceasar Grepo joined shortly thereafter. LPA explained the purpose of the visit. The main level had 7 bed rooms for residents, 2 staff rooms, kitchen, dining room, and 3 bathrooms. Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Licensee has at least one completed first aid kit located in the kitchen. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Upon record reviews and licensee interview, LPA found 1 staff not fingerprint cleared but had been working in facility. Upon review of records, health screening reports for all staff were not on file, residents' admission agreements were not on file , all staffs required updated first aid and CPR training. Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Deficiencies of the California Code of Regulations, Title 22 are cited on LIC809-D.the state’s words, verbatim · CDSS document, Oct 9, 2024

Earlier years2022 to 2023 · 3 documents

20232 state visits · 2 documents

Sep 25, 2023Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required inspection and met with Lead Staff, Gloria Balencio and explained the reason for the visit. LPA Lund spoke with Administrator Ceasar Grepo who stated that he could not make the visit and gave permission for Lead Staff, Gloria Balencio to sign required paperwork. Census 11 residents, none of which with a diagnosis of dementia and none of which are on hospice. LPA Lund & Lead Staff, Gloria Balencio toured/inspected facility and grounds was found to be at a comfortable temperature with all exits free from obstruction. No accessible bodies of water or fire safety hazards observed. Rooms have the proper furnishings for residents in care. Fire Extinguishers were found to be last serviced and inspected in 2018. Smoke and Carbon monoxide were tested and functional. There was sufficient supply of seven day perishable and two day nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins were stored in a secured maintenance closet location in the facility basement. LPA Lund reviewed two staff & three residents files. Deficiencies observed with Code of Regulations, Title 22, which are cited on a following page.Exit interview conducted with Lead Staff, Gloria Balencio, and copy of report and appeals left.the state’s words, verbatim · CDSS document, Sep 25, 2023

May 22, 2023Complaint investigation reportUnsubstantiated

Allegation investigated: - Staff mistreats the residents while in care - Staff inappropriately elbowed a resident while in care - Resident sustained injuries from multiple falls while in care

Based on interviews with staff, clients and witnesses, these allegations are determined to be unsubstantiated. Some residents participate in household chores if they choose to do so; none of the 5 clients that LPA interviewed reported that anyone is forced to do chores if they object. The incident of a client being elbowed by a staff may have occurred over 2 years ago and information is not readily available. It cannot be determined that injuries sustained by a client are attributed to negligence by staff. Although the allegations may have occurred or are valid, there is not enough evidence to prove the alleged violations did or did not occur. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 22, 2023 · control 14-AS-20220527162849

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

20221 state visit · 1 document

Jun 3, 2022Facility evaluation reportCase Management - DeficienciesDeficiency pages: Type A, Type B

Type of visit: Case Management - Deficiencies

During initial complaint visit, LPAs Varilla and Jeung observed deficiencies of the CA Code of Regulations, Title 22, which are cited on a following page. Upon entry, LPAs were not checked for COVID symptoms nor temperature; there is no visitor log maintained. Residents and staff are also not checked daily for COVID symptoms nor temperature, and there is no log maintained. Bathrooms are also observed without paper towels, but handwashing reminder signs and liquid soap are available. Revised facility sketch is requested to be submitted to CCLD, in which room numbers are correctly referenced.the state’s words, verbatim · CDSS document, Jun 3, 2022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)2) · Plan of correction due date: Jun 6, 2022

CRIMINAL RECORD CLEARANCE All individuals subject to a criminal record review pursuant to H & S Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility, request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met, as evidenced by presence of staff M.G., who is not associated to facility, and has been working for 7 days. M.G. has criminal record clearance with RCFE administrator certification. Licensee failed to ensure that staff with client contact has criminal record clearance and assoication with facility, which poses an immediate health, safety or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Jun 3, 2022

Plan of correction: Criminal Record Clearance Transfter Requiest (LIC9182) to be completed and submitted to CCLD with M.G.'s photo identification by DUE DATE

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a)1) · Plan of correction due date: Jun 6, 2022

STORAGE SPACE 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. Storage areas for poisons...shall be locked. This requirement was not met, as evidenced by observation of 4 gallon size containers of weed killer, flea/tick killer, bed bug killer, "Bug Stop," 3 cans of paint, spray paints on wooden work table in back patio. Also, container of acetone in dining room. Licensee failed to ensure that toxic chemicals are stored where inaccessible to clients, which poses an immediate health and safety risk to clients in care.the state’s words, verbatim · CDSS document, Jun 3, 2022

Plan of correction: Toxic chemicals, including paints and acetone, will be removed from wooden table in patio and from dining room, and secured where inaccessible to clients. Proof of correction to be sent to CCLD by DUE DATE

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Jun 6, 2022

PERSONAL RIGHTS IN ALL FACILITIES Residents in all RCFEs shall have the personal rights to be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met, as procedures for mitigation of COVID are not being followed: Visitors are not screened for COVID and temperature checked upon entry and staff and residents are not being screened daily for COVID symptoms and fever. Licensee failed to ensure that procedures to prevent the spread of COVID infections are being followed according to CCLD Provider Information Notices, which poses a potential health, safety or personal rights risk.the state’s words, verbatim · CDSS document, Jun 3, 2022

Plan of correction: Daily COVID and temperature checks shall be completed and recorded, for residents and staff, and visitor log shall be maintained to document this informatiion for visitors. Proof of correction to be sent to CCLD BY DUE DATE

10 of 15 beds were occupied at the May 22, 2023 state visit — a count on that day, not an opening.

License holder

Grepo, Ceasar, licensed since 1999.

The state’s totals for this licenseSince 1999, as the state’s facility page counts them

State visits on file: 5
Total complaints: 1
Substantiated allegations: 0
Type A citations: 0
Type B citations: 0

These are the state’s own totals for this license since 1999, per CDSS records. The state counts them apart from the documents above, and they can differ from what those documents show; the documents say what each visit found. One complaint can contain several allegations.

Compare with homes the same size

	This home	Typical
Type A citations	0	0
Type B citations	0	0
Substantiated allegations	0	0
Total complaints	1	1

“Typical” is the statewide median for licensed homes this size. It does not adjust for years licensed, and older licenses have had more visits and reports. The median is across the 327 licensed mid-size homes (7–15 beds) in the state record. The figures compared are the state’s totals, not the documents.

What the state’s words mean

Routine visita visit the state records as “Required” — a scheduled visit, not one made in answer to a complaintSubstantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

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, and we publish no reviews — the state’s dated documents stand in their place.

Open CDSS facility search ↗Report a record error Operate this home? Respond or correct, free →

Frequently asked questions

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about Lady of Perpetual Help Rfe #1

Is Lady of Perpetual Help Rfe #1 licensed?

The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.

How many residents is Lady of Perpetual Help Rfe #1 licensed for?

15 residents — a mid-size home, per CDSS records as of October 26, 2026.

Has Lady of Perpetual Help Rfe #1 been cited?

0 Type A and 0 Type B citations since 1999, per CDSS records as of October 26, 2026. Those records count 5 state visits over the same years.

Is Lady of Perpetual Help Rfe #1 still open?

This license was on the CDSS roster as of November 11, 2026.

What does Lady of Perpetual Help Rfe #1 cost?

$4,900 a month to start is a Covelight estimate, likely $3,850–$6,450. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 12 other homes of a similar licensed size in San Francisco that publish a starting rate, the middle half runs $4,215 to $5,500 a month, and the middle figure is $5,000 (n = 12 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.

A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.

Does Lady of Perpetual Help Rfe #1 take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by Grepo, Ceasar, per CDSS records as of October 26, 2026.

Is there a hospital nearby?

California Pacific Medical Center - Mission Bernal Campus and Orthopedic Institute is 0.2 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Lady of Perpetual Help Rfe #1 keep a resident on hospice?

Hospice care is approved on this license, per CDSS records as of October 26, 2026.