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Lady of Perpetual Help Rfe #1

Mid-size home·Licensed for 15·San Francisco, California

Licensed since 1999Licence #380504039
(415) 648-9533From the state roster · September 27, 2026Plan a visit
  • Care approvals on fileWheelchair · HospiceState licensing record · September 27, 2026
  • Estimated starting rate$4,800 a monthCovelight estimate · likely $3,800–$6,350
  • Home sizeLicensed for 15Mid-size care home · a licensed care home (RCFE)
  • Room at the last state visit10 of 15 beds occupiedMay 22, 2023 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitAugust 25, 2025CDSS inspection record

Lady of Perpetual Help Rfe #1 is a mid-size care home in San Francisco — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 15 residents since 1999. Dementia care and bedridden care are not on file.

Built from CDSS public records · September 27, 2026. Every fact below names its source and date.

Quick answers and the state record

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 September 27, 2026.

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

15 residents — a mid-size home, per CDSS records as of September 27, 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 September 27, 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 September 28, 2026.

What does Lady of Perpetual Help Rfe #1 cost?

$4,800 a month to start is a Covelight estimate, likely $3,800–$6,350. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

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.

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 September 23, 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 September 27, 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 September 27, 2026.

Lady of Perpetual Help Rfe #1 license and inspection record

  • Name on the license: “LADY OF PERPETUAL HELP RFE #1”, per the CDSS roster as of May 25, 2025.
  • License #380504039. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
  • Licensed for 15 residents — a mid-size home, per CDSS records as of September 27, 2026.
  • Licensed to Grepo, Ceasar, per CDSS records as of September 27, 2026.
  • First licensed in 1999, per CDSS records as of September 27, 2026.
  • 5 state inspection visits since 1999, per CDSS records as of September 27, 2026.
  • 0 Type A and 0 Type B citations on file since 1999, per CDSS records as of September 27, 2026. The same records count 5 state visits in that period.
  • 1 complaint and 0 substantiated allegations on file since 1999, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is August 25, 2025, per CDSS records as of September 27, 2026.
Type 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

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved by the state
  • Dementia / memory careNot on file · ask the home
  • Hospice careApproved by the state
  • BedriddenNot on file · ask the home

State licensing record · September 27, 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 · September 27, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 27, 2026

4 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

  • If memory loss develops

    Dementia-care designation not on file

    Ask: “If memory loss develops, what would change — and when would a move be needed?”

What it costs here

Covelight estimate

$4,800a month to start

Likely $3,800–$6,350

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

Likely monthly total

$4,800a month

Likely $3,800–$6,500

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Room
Daily care
Sharing the room

Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.

  • Starting monthly rate$4,800likely $3,800–$6,350

    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 (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,800–$6,500
$4,800
First monthWith a one-time move-in fee · likely $4,550–$9,450
$6,800
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
  • 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 September 23, 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.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
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 community 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.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
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.

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

  • 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.
Show the 13 nearby homes behind this estimate

Where it is

  • 476 Fair Oaks Street, San Francisco, CA 94110Address from the public record · September 27, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2022, the state has filed 5 documents for this home, and its records count 5 visits since 1999. The most recent is a facility evaluation report, dated August 25, 2025.

On file since
2022
State visits
5
Most recent visit
August 25, 2025
Occupied · May 22, 2023 visit
10 of 15 bedsa count on that day, not an opening

We hold 1 complaint report the state published for this home, dated May 22, 2023. 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 complaint report below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints1typical 1

“Typical” is the statewide median across the 327 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 licence since 1999.

Year by year
YearVisitsDocumentsSubstantiated2025110202411020232202022110

The last 36 months — 2 of 5 documents

The full record on the state’s site →
20251 state visit · 1 document
Aug 25, 2025Facility evaluation reportReport 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 reportReport 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
What the state’s words mean
Substantiatedthe 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 and the questions below stand in their place.
Open CDSS facility search ↗Report a record errorOperate this home? Respond or correct, free →

Life here

Rooms, meals, the rhythm of a day, faith and language, pets and house rules — as the home describes them. Tap any detail for its source and date; nothing here is graded.

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Before you call

Ask every home the same questions — the state’s record does not answer these. Keep the ones that matter and they travel with your saved homes.

  1. What is included in the monthly rate, and what costs extra?
  2. Who is awake overnight, and how do residents ask for help?
  3. Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
  4. What could change whether someone can stay here?
  5. Can we see a bedroom and share a meal during a visit?
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