Alder House is a residential care home for the elderly (RCFE) in Arroyo Grande, San Luis Obispo County, California — state license #405801283, licensed for 32 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 8 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated May 7, 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 8 times and filed 8 documents. The most recent is a facility evaluation report, dated May 7, 2026.
The state's published file for this home includes 3 documents with transcribed findings, dated September 9, 2021 to February 8, 2024. 3 of the 3 carry the state's recorded outcome word: “Substantiated” (1), “Unsubstantiated” (2). 3 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 3 documents 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
May 7, 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.
Jul 11, 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.
Jul 11, 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.
Feb 8, 2024Unsubstantiated
Allegation investigated: Staff are not following infection control protocols.
Licensing Program Analyst (LPA) Erika Miller (Miller) conducted an unannounced complaint visit and issued final findings on the allegation above. During the investigation, LPA, Miller, toured the facility and interviewed, staff, and residents on February 8, 2024, from 9:30 a.m. to 10:05 a.m. LPA also obtained and reviewed relevant documents. LPA met with Todd Tose, administrator and explained the purpose of the visit. Todd Tose reported a Covid positive case to County Public Health on January 16, 2024. On the allegation: Staff are not following infection control protocols. Staff 1 indicated that the facility was on lock down effective January 16, 2024 to February 5, 2024. As a result of a Covid positive patient, the infection control plan was implemented. Residents were isolated for ten days, and staff donned required PPE upon entering each room. Staff was required to wear an N95 mask throughout the duration of their shift. Staff 1 further stated that residents in isolation, that did nthe state’s words, verbatim · CDSS document, Feb 8, 2024 · control 29-AS-20240202093908
Year-by-year trend
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Is Alder House licensed?
Yes — Alder House is a licensed residential care home for the elderly (RCFE) in Arroyo Grande (San Luis Obispo County): California license #405801283, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 32 residents. State records list 8 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated May 7, 2026, appears in the inspection record on this page.
Can Alder House 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 Alder House with clearances for wheelchair / non-ambulatory and hospice care; it does not list dementia / memory care and bedridden. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope 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 record32 NON-AMBULATORY. HOSPICE WAIVER FOR 6.
How much does Alder House cost?
California's public licensing record does not include Alder House's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in San Luis Obispo 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 Alder House accept Medi-Cal or the Assisted Living Waiver?
Alder House 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 →
23 of 32 beds occupied (72%) when the state visited on February 8, 2024. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Alder House?
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 8 state visits and 8 dated documents since 2021 for Alder House; 3 complaint-investigation narratives are transcribed verbatim below. The most recent, dated February 8, 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
2022
2021
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 8 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.
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(805) 489-1266Resident 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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