Illustration — no photo of this home on file yet

Livermore Care Home

Small home·Licensed for 6·Livermore, California

Licensed since 2019Licence #19200853
(510) 825-2383From the state roster · September 13, 2026Plan a visit
  • Care approvals on fileWheelchair · Hospice · BedriddenState licensing record · September 13, 2026
  • Estimated starting rate$5,100 a monthCovelight estimate · likely $4,200–$6,300
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Room at the last state visit4 of 6 beds occupiedJuly 1, 2026 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitAugust 31, 2026CDSS inspection record

Livermore Care Home is a small care home in Livermore — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2019. Dementia care is not on file.

Built from CDSS public records · September 13, 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 Livermore Care Home

Is Livermore Care Home licensed?

The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.

How many residents is Livermore Care Home licensed for?

6 residents — a small home, per CDSS records as of September 13, 2026.

Has Livermore Care Home been cited?

0 Type A and 3 Type B citations since 2019, per CDSS records as of September 13, 2026. Those records count 14 state visits over the same years.

Is Livermore Care Home still open?

This license was on the CDSS roster as of September 28, 2026.

What does Livermore Care Home cost?

$5,100 a month to start is a Covelight estimate, likely $4,200–$6,300. 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 10 small homes and similar homes within 10 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 34 other homes of a similar licensed size across Alameda County that publish a starting rate, the middle half runs $3,000 to $5,735 a month, and the middle figure is $4,500 (n = 34 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 Livermore Care Home 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 A1 Health Care Inc., per CDSS records as of September 13, 2026.

Is there a hospital nearby?

Stanford Health Care Tri-Valley is 4.7 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Livermore Care Home keep a resident on hospice?

Hospice care is approved on this license, covering up to 2 residents, per CDSS records as of September 13, 2026.

Livermore Care Home license and inspection record

  • Name on the license: “LIVERMORE CARE HOME”, per the CDSS roster as of May 25, 2025.
  • License #19200853. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 13, 2026.
  • Licensed to A1 Health Care Inc., per CDSS records as of September 13, 2026.
  • First licensed in 2019, per CDSS records as of September 13, 2026.
  • 14 state inspection visits since 2019, per CDSS records as of September 13, 2026.
  • 0 Type A and 3 Type B citations on file since 2019, per CDSS records as of September 13, 2026. The same records count 14 state visits in that period.
  • 2 complaints and 3 substantiated allegations on file since 2019, per CDSS records as of September 13, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is August 31, 2026, per CDSS records as of September 13, 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 · covers up to 6 residents
  • Dementia / memory careNot on file · ask the home
  • Hospice careApproved · covers up to 2 residents
  • BedriddenApproved · covers up to 1 resident

State licensing record · September 13, 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. APPROVED FOR 6 NON-AMBULATORY, OF WHICH 1 MAY BE BEDRIDDEN. 1 BEDRIDDEN IN BDRM #6 ONLY. HOSPICE WAIVER FOR 2 RESIDENTS.

935 - ELDERLY

CDSS record, verbatim · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file · covers up to 2 — care may continue at the end of life

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

    State licensing record · September 13, 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?”

Care & day-to-day support

These are the home’s own statements about its day-to-day practice — they are not part of the state licensing record, and the state has not approved or reviewed them.

What it costs here

Covelight estimate

$5,100a month to start

Likely $4,200–$6,300

From 10 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$5,100a month

Likely $4,200–$6,450

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$5,100likely $4,200–$6,300

    Covelight’s estimate starts from the rates 10 small homes and similar homes within 10 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 $4,200–$6,450
$5,100
First monthWith a one-time move-in fee · likely $4,900–$9,550
$7,100
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 10 small homes and similar homes within 10 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.

10 homes like this within 10 miles publish starting rates mostly between $4,400–$6,200.

  • 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 10 nearby homes behind this estimate

Where it is

  • 1542 Peridot Dr, Livermore, CA 94550Address from the public record · September 13, 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 13 documents for this home, and its records count 14 visits since 2019. The most recent — a complaint investigation report on July 1, 2026 — closed with the state’s outcome word: “Unsubstantiated.”

On file since
2022
State visits
14
Most recent visit
August 31, 2026
Occupied · July 1, 2026 visit
4 of 6 bedsa count on that day, not an opening

We hold 2 complaint reports the state published for this home, dated March 9, 2026 to July 1, 2026. 2 of the 2 carry the state's recorded outcome word: “Substantiated” (1), “Unsubstantiated” (1). 2 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 2 complaint reports 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 citations3typical 0
  • Substantiated allegations3typical 0
  • Total complaints2typical 0

“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer 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 2019.

Year by year
YearVisitsDocumentsSubstantiated20266712025330202411020231102022110

The last 36 months — 11 of 13 documents

The full record on the state’s site →
20266 state visits · 7 documents
Jul 1, 2026Complaint investigation reportUnsubstantiated

Allegation investigated: Staff left residents unattended

On 07/01/2026 at 12:45 p.m., Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the allegation above. LPA met with care staff Hector Calan and informed him of the purpose of the visit. Mr. Hector notified Administrator (ADM) Madeena Siddiqi by telephone. LPA was unable to speak with ADM because LPA was informed that ADM is currently in the hospital and unable to communicate. ADM later communicated with LPA via text message, granting Mr. Hector permission to sign the report. During the course of the investigation, LPA conducted interviews with the Administrator, Staff 1 (S1), Staff 2 (S2), residents R1, R2, R3, R4, and Witnesses 1 (W1), 3 (W3), and 4 (W4). Report Contiuned on LIC 9099c... Unsubstantiated It was alleged that staff left residents unattended. Based on interviews conducted with four residents (R1–R4) and two witnesses (W1–W3- W4), all stated: “They have no concern about residents being left unattended; there are always staff available to open the door”. The witnesses interviewed did not observe staff leaving residents without supervision. Residents (R1-R4) interviewed stated that “staff are always available to assist us, and don’t leave us unattended”. R3 stated that “staff don’t leave us unattended. They may be busy at times, but they are always attending to our needs”. R2 stated, “I have not been left unattended”. Based on the interviews conducted with residents (R1-R4) and Witnesses (W1-W3-W4), the allegation that staff left residents unattended is unsubstantiated: although it may have occurred or be valid, there is insufficient evidence to prove it. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 1, 2026 · control 15-AS-20260604092717
Jul 1, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Deficiencies

On 07/01/2026 at 10:00 a.m., Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a Case Management visit. LPA met with care staff Hector Calan and informed him of the purpose of the visit. Mr. Hector notified Administrator (ADM) Madeena Siddiqi by telephone. LPA was unable to speak with ADM because LPA was informed that ADM is currently in the hospital and unable to communicate. ADM later communicated with LPA via text message, granting Mr. Hector permission to sign the report. While conducting complaint investigation #15-AS-20260604092717, LPA observed that Staff 1 (S1) was not associated with the facility. LPA confirmed with ADM via text that S1 is not associated with the facility and is working to associate S1. LPA requested documents from ADM to be submitted to LPA on 6/19/26; however, LPA did not receive any of the requested documents. LPA requested the following documents: Four resident admission agreements, Physician’s Reports (LIC 602), Appraisal Needs and Services plans (LIC 625). Facility staff were unable to produce the requested documents at the time of the visit. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. An exit interview was conducted. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Jul 1, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(e)(3) · Plan of correction due date: Jul 15, 2026

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement is not met as evidenced by: Based on record review and interviews, Licensee did not comply with the regulation cited above, by not having S1 associated to the facility.the state’s words, verbatim · CDSS document, Jul 1, 2026

Plan of correction: Administrator agree to associate S1 to the facility and sumbit proof to CCLD by 7/15/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(d) · Plan of correction due date: Jul 15, 2026

87506 Resident Records (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Based on interviews, Licensee did not comply with the regulation cited above, by not residents records available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.the state’s words, verbatim · CDSS document, Jul 1, 2026

Plan of correction: Administrator agree to sumbit all request documents sent to CCLD by 7/15/26, and have residents records avalible at the facility to the licnesing agency to review.

Jun 12, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Deficiencies

On 6/12/2026, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management visit. LPA met with Administrator Madeena Siddiqi and explained the purpose of the visit. While LPA K. Nguyen was at the facility for a complaint investigation (15-AS-20260604092717), the following deficiencies were observed. At around 10:10 am, LPA observed unlocked medications on the dining room table. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty (LIC421FC), and appeal rights are provided.the state’s words, verbatim · CDSS document, Jun 12, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jun 12, 2026

Incidental Medical and Dental Care. (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having unlocked medications which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: Caregiver locked up medications on the dining table in the hallway closet during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.

May 8, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Deficiencies

On 5/8/2026 at 2:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Caregiver, Jocelyn Canlas and explained the purpose for the visit. Administrator, Madeena Siddiqi was not able to be at the facility and designated caregiver to sign licensing reports. While LPA G. Luk was at the facility for a complaint investigation (#15-AS-20260107142423), the following deficiencies were observed. LPA observed unlocked medications on the dining room table. LPA observed on Guardian system that S1 was not associated to the facility, but had fingerprint clearance. LPA observed on Guardian system that S2 determination status was "In Process". During complaint investigation, LPA observed facility did not submit incident report to CCLD when R1 was sent to the hospital on 12/6/2025. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.the state’s words, verbatim · CDSS document, May 8, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: May 8, 2026

Incidental Medical and Dental Care. (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having unlocked medications which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: Caregiver locked up medications on the dining table in the hallway closet during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87355(e)(2) · Plan of correction due date: May 11, 2026

Criminal Record Clearance. (e) All individuals subject to a criminal record review ...shall prior to working, residing or volunteering in a licensed facility:(2) Obtain a California clearance or a criminal record exemption as required by the Department or... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by having uncleared staff at the facility which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: S2 left the facility during inspection. Facility will follow up with Guardian regarding S2's fingerprint clearance and send email communication with Guardian to CCLD by POC date. Civil penalty of $100 is being assessed.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(e)(3) · Plan of correction due date: May 13, 2026

Criminal Record Clearance. (e) All individuals subject to a criminal record review ...shall prior to working, residing or volunteering in a licensed facility:(3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not associating staff to the facility which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: Facility will submit LIC9182 and a copy of S1's US issued ID to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1) · Plan of correction due date: Jun 5, 2026

Reporting Requirements. (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D)... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not submitting a written report when R1 was sent to the hospital which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: Facility will review reporting requirements and submit self-certification to CCLD by POC date.

Mar 19, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 3/19/2026 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Mabel Itigha and explained the purpose of the visit. Staff, Madeena Siddiqi arrived an hour later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full. One week supply of nonperishable and 2-day supply of perishable foods were available. Grab bars for each shower and toilet were installed. There were adequate lights in each room. LPA reviewed 3 residents and 3 staff records starting at 10:30AM. LPA reviewed a sample of resident's medications during inspection. At 11:00AM, residents does not have a current appraisal needs and service (LIC625) and preplacement appraisal (LIC603) plan on file. At 12:00PM, LPA observed unlocked medications in the refrigerator and medication cabinet was unlocked. Staff locked up the medications during inspection At 12:05PM, LPA observed unlocked knives drawer and unlocked cleaning supplies cabinet in kitchen. Staff locked up the items during inspection. At 12:15PM, LPA observed outdoor area has over grown weeds between the concrete pathway, tree droppings, cigarette buds, and a pile of items to be disposed. LPA also observed screen door in bedroom 6 has a couple large holes. (Continue on LIC809C...) At 1:30PM, LPA observed S2 does not have annual training completed. At 1:45PM, LPA observed S3 does not have initial training completed. At 3:30PM, LPA observed R2's Furosemide ran out and refill was not available during inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Madeena Siddiqi. A copy of this report, civil penalties, technical violations, and appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 19, 2026

The state marks this report as 15 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Mar 9, 2026Complaint investigation reportSubstantiated

Allegation investigated: Staff left resident is soiled diapers and linens for an extended period of time. Resident's room is malodorous. Staff do not administer medication as prescribed.

On 3/9/2026 at 3:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with caregiver, Wesley Saguinsin and explained the purpose of the visit. Administrator, Madeena Siddiqi arrived about an hour and a half later. During the course of investigation, LPA interviewed resident, staff, witnesses, and complainant. LPA reviewed and obtained LIC500, physician's report, care plan, emergency information, care notes, medication list, medication administration records, centrally stored medication records, and incident reports. Staff left resident is soiled diapers and linens for an extended period of time. Interview with witness (W1) revealed that R2 has been in soiled diapers when assisting R2 with showers. (Continue on LIC9099C...) Substantiated Resident's room is malodorous. LPA observed resident's rooms have strong urine smell during visits on 11/14/2025 and 1/14/2026. Staff do not administer medication as prescribed. LPA observed R2 has a doctor's order for Senna with instructions to take 2 tablets at bedtime from Hospice Care agency. However, LPA observed R2's Medication Administration Records (MAR) for October 2025 indicated that R2's Senna was given 1 tablet a day. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. Resident sustained unexplained injury while in care. Interview with staff and witnesses revealed that they did not observe R2 with injuries. R2's physician's report did not indicate R2 has a history of skin conditions or breakdowns. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Mar 9, 2026 · control 15-AS-20251107095009

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87625(b)(3) · Plan of correction due date: Mar 31, 2026

Managed Incontinence. (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for...(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not me as evidence by: Based on interviews, licensee did not comply with the section cited above by having resident in soiled diapers which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Mar 9, 2026

Plan of correction: Administrator has agreed to create a plan to address managing resident's incontinence care and submit written plan to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Mar 10, 2026

Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement is not me as evidence by: Based on observation, licensee did not comply with the section cited above by having resident's room with strong urine smell which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Mar 9, 2026

Plan of correction: LPA observed on 3/9/2026 visit that resident's rooms did not have urine smell. Deficiency cleared.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Mar 31, 2026

Incidental Medical and Dental Care. (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication...(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not me as evidence by: Based on record review, licensee did not comply with the section cited above by not following doctor's orders for R2's medication which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Mar 9, 2026

Plan of correction: Administrator has agreed to conduct in-service training to staff on medication administration. Administrator will submit staff sign-in sheet and training material to CCLD by POC date.

Jan 14, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Deficiencies

On 1/14/2026 at 11:30AM, Licensing Program Analysts (LPAs) G. Luk and A. Christy arrived unannounced to conduct a case management visit. LPA met with Caregiver, Wilson Censon and explained the purpose for the visit. Administrator, Madeena Siddiqi was not able to be at the facility and designated caregiver to sign licensing reports While LPA G. Luk was at the facility for a complaint investigation (#15-AS-20260107142423), the following deficiencies were observed. LPAs observed R1 had full bed rails and R1 was not on hospice care. Caregiver removed the full bed rail during inspection. LPAs observed unlocked nasal spray and over the counter medication unlocked in R1's room. During visit, medication closet was unlocked prior to LPAs reviewing facility and resident files. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.the state’s words, verbatim · CDSS document, Jan 14, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jan 15, 2026

Incidental Medical and Dental Care. (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having unlocked medications which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jan 14, 2026

Plan of correction: Caregiver locked up medications and locked it up in hallway closet during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87608(a)(5)(B) · Plan of correction due date: Jan 15, 2026

Postural Supports. (a) Based on the individual's preadmission appraisal...Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include...(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having full bed rails for R1 who is not on hospice care which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jan 14, 2026

Plan of correction: Caregiver removed the full bed rails during inspection. Deficiency cleared.

20253 state visits · 3 documents
Nov 14, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Deficiencies

On 11/14/2025 at 12:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Administrator, Madeena Siddiqi and explained the purpose for the visit. While LPA G. Luk was at the facility for a complaint investigation (#15-AS-20251107095009), the following deficiency was observed. LPA observed unlocked cleaning supplies in both bathrooms. The knives and sharps drawer was left unlocked. Staff locked up the items during inspection. Civil penalty of $250 is being assessed for a repeat violation. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.the state’s words, verbatim · CDSS document, Nov 14, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Nov 15, 2025

Storage Space and Access. Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions,...knives, matches, tools, sharp objects...are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above having cleaning supplies and knives unlocked which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Nov 14, 2025

Plan of correction: Staff locked up the items and knives drawer during inspection. Deficiency cleared Civil penalty of $250 is being assessed for a repeat violation.

Mar 19, 2025Facility evaluation reportReport on file

Type of visit: POC

On 3/19/2025 at 12:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPA met with caregiver, Wilson Censon and informed him the reason for the visit. The following deficiencies were cleared by visit: - 87303(e)(2); LPA measured hot water temperature at 117.2 degrees F in the hallway bathroom. - 87309(a); LPA observed cleaning supplies and lighters were locked Facility still has the following deficiencies that were not cleared and were issued on 3/13/2025 from California Code of Regulations, Title 22: - 87465(h)(2); LPA observed unlocked medications in the refrigerator. Staff went out to obtain a lockbox for the medications. Staff locked up the medications in the refrigerator during POC visit. Deficiency cleared today. - 87355(e)(2); LPA observed S4 was present at the facility and was not fingerprint cleared in the Guardian system. S4's determination status indicated as "not yet requested" as of 3/15/2024. Civil penalties of $500 is assessed for the period of 3/15/2025 to 3/19/2025 for failure to correct for each deficiencies 87465(h)(2) and 87355(e)(2). Total civil penalties in the amount of $1000 is being assessed today. Facility is subject to ongoing civil penalties until deficiencies are corrected. Exit interview conducted. A copy of this report, civil penalties, appeal rights, and POC letter provided.the state’s words, verbatim · CDSS document, Mar 19, 2025
Mar 13, 2025Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 3/13/2025 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Lawrence Walker and explained the purpose of the visit. Staff, Madeena Siddiqi arrived a couple hours later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. First Aid kit is complete. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 2/18/2025. One week supply of nonperishable and 2-day supply of perishable foods were available. Grab bars for each shower and toilet were installed. Non-skid mats/material were observed. There were adequate lights in each room. LPA reviewed 5 residents and 4 staff records starting at 10:30AM. LPA reviewed a sample of resident's medications and MAR (Medication Administration Record). At 10:00AM, LPA observed unlocked lighters and cleaning supplies in kitchen. Staff locked up the items during inspection. At 10:05AM, LPA observed unlocked medications in the refrigerator and cabinet. Staff locked up the medication found in the cabinet. At 10:10AM, LPA observed hot water was measured at 128 degrees F in the hallway bathroom. At 12:30PM, LPA observed on Guardian that S4 is not fingerprint cleared and was assisting residents. S4 left the facility during inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Madeena Siddiqi. A copy of this report, civil penalties, and appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 13, 2025

The state marks this report as 9 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

20241 state visit · 1 document
Mar 26, 2024Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 3/26/2024 at 9:20AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Caregiver, Wilson Censon and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory residents of which 1 may be bedridden and 2 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Centrally stored medications were locked in hallway closet. First Aid kit is complete. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 1/11/2024. One week supply of nonperishable and 2-day supply of perishable foods were available. Hot water temperature was measured at 109.2 degrees F in the hallway bathroom sink. Grab bars for each shower and toilet were installed. Non-skid mats/material were observed. There were adequate lights in each room. LPA reviewed 4 residents and 3 staff records starting at 10:40AM. LPA conducted interviews with 2 residents and 2 staff during inspection. LPA also reviewed a sample of resident's medications and MAR (Medication Administration Record). At 10:10AM, LPA observed unlocked knives in backyard and kitchen drawer. There was unlocked lighters and tools in kitchen drawers. Cleaning supplies cabinet was unlocked during inspection. Staff locked up the items and cabinet during inspection. At 10:20AM, LPA observed room 4's screen door is in disrepair with large holes present. LPA observed dog feces in the backyard in the grass and pathway areas. At 11:00AM, LPA observed R1, R2, and R3 does not have current needs and service plans on file. (Continue on LIC809C...) At 11:10AM, LPA observed R3 and R4 does not have TB test results on file. At 11:45AM, LPA observed S2 and S3 does not have current first aid training on file. At 12:00PM, LPA observed S2 and S3 does not have initial or current annual training on file. At 12:45PM, LPA observed R1 had doctor's order for Vitamin D 4000 units with one soft gel daily. However, LPA observed R1 has a bottle of Vitamin D3 2000 units and R1's MAR stated 1 soft gel given. At 1:00PM, LPA observed the four resident rooms have baby monitor with audio located near resident's bed and the baby monitor receivers are located in the common area near the dining table. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Wilson Censon. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 26, 2024

The state marks this report as 10 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

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.
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