Illustration — no photo of this home on file yet
- Care approvals on fileWheelchair · Dementia · Hospice · BedriddenState licensing record · September 27, 2026
- Starting rate$4,200 a monthListed by the home on Seniorly · September 9, 2026
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Room at the last state visit5 of 6 beds occupiedDecember 8, 2025 · not a current opening
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitJanuary 14, 2026CDSS inspection record
Lovely Care Home is a small care home in San Jose — 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 2004.
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 Lovely Care Home
Is Lovely Care Home licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Lovely Care Home licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Lovely Care Home been cited?
4 Type A and 2 Type B citations since 2004, per CDSS records as of September 27, 2026. Those records count 10 state visits over the same years.
Is Lovely Care Home still open?
This license was on the CDSS roster as of September 28, 2026.
What does Lovely Care Home cost?
$4,200 a month to start — listed by the home on Seniorly · September 9, 2026.
The home lists this starting rate on Seniorly for assisted living shared bedroom, seen September 9, 2026.
Among 50 other homes of a similar licensed size in San Jose that publish a starting rate, the middle half runs $3,500 to $5,000 a month, and the middle figure is $4,200 (n = 50 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 Lovely 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 Eliza G. Daquioag, per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Kaiser Foundation Hospital-San Jose is 4.5 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Lovely 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 27, 2026.
Lovely Care Home license and inspection record
- Name on the license: “LOVELY CARE HOME”, per the CDSS roster as of May 25, 2025.
- License #435201229. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of September 27, 2026.
- Licensed to Eliza G. Daquioag, per CDSS records as of September 27, 2026.
- First licensed in 2004, per CDSS records as of September 27, 2026.
- 10 state inspection visits since 2004, per CDSS records as of September 27, 2026.
- 4 Type A and 2 Type B citations on file since 2004, per CDSS records as of September 27, 2026. The same records count 10 state visits in that period.
- 1 complaint and 1 substantiated allegation on file since 2004, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
- The most recent state visit on file is January 14, 2026, per CDSS records as of September 27, 2026.
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
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 careApproved by the state
- Hospice careApproved · covers up to 2 residents
- BedriddenApproved by the state
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 OLDER. FIVE (5) RESIDENTS MAY BE NON-AMBULATORY. ONE (1) RESIDENT MAY BE BEDRIDDEN. ABLE TO CARE FOR RESIDENTS WITH DEMENTIA. LICENSE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE HOSPICE WAIVER FOR TWO (2).
983 - RCFE / DEMENTIA
CDSS record, verbatim · September 27, 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 27, 2026
- If memory loss develops
Dementia-care designation on file
Ask: “Can we read the dementia care disclosure and discuss how daily support works?”
State licensing record · September 27, 2026
3 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?”
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.
Incontinence care
Reported on aplaceformom.com · seen September 9, 2026.
What it costs here
This home’s starting rate
$4,200a month to start
Listed by the home on Seniorly · September 9, 2026 · See listing
Likely monthly total
$4,200a month
Likely $4,200–$4,800
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 · where the price comes from
Starting monthly rate$4,200this home
The home lists this starting rate on Seniorly for assisted living shared bedroom, seen September 9, 2026.
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–$4,800
- $4,200
- First monthWith a one-time move-in fee · likely $4,200–$8,300
- $6,200
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.
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 worksWhere this price comes from
The home lists this starting rate on Seniorly for assisted living shared bedroom, seen September 9, 2026.
17 homes like this within 5 miles publish starting rates mostly between $2,850–$4,200.
- 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 17 nearby homes behind this estimate
- Golden Hills Care HomeSan Jose · 1.0 mi · Small home$3,500Listed on Seniorly · assisted living · seen September 9, 2026
- Grace Garden RCFESan Jose · 1.8 mi · Small home$3,500Listed on Seniorly · seen September 9, 2026
- Marilag's Care HomeSan Jose · 2.0 mi · Small home$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- River Park Homes IISan Jose · 2.7 mi · Small home$4,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Real Elderly CareSan Jose · 3.1 mi · Small home$3,000Listed on Seniorly · seen September 9, 2026
- Oak Grove Residential Care HomeSan Jose · 3.2 mi · Small home$3,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Saint Michael Residential HomeSan Jose · 3.3 mi · Small home$2,700Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Safe Haven Villa Care HomeSan Jose · 4.0 mi · Small home$3,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Bonnevie Residence and CareSan Jose · 4.0 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Laurel HavenSan Jose · 4.0 mi · Mid-size home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Constantin's Care HomeSan Jose · 4.1 mi · Small home$2,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Laurel Crest ManorSan Jose · 4.3 mi · Small home$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Mayflower Care HomeSan Jose · 4.6 mi · Small home$4,000Listed on Seniorly · seen September 9, 2026
- Amor Residential Care HomeSan Jose · 4.8 mi · Mid-size home$4,300Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- A Heavenly Care HomeSan Jose · 4.8 mi · Small home$2,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Pendar's Residential CareSan Jose · 4.8 mi · Small home$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Sandy's Residential Care HomeSan Jose · 4.9 mi · Small home$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Where it is
- 3640 Heathcot Court, San Jose, CA 95121Address 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 11 documents for this home, and its records count 10 visits since 2004. The most recent is a facility evaluation report, dated January 14, 2026.
- On file since
- 2022
- State visits
- 10
- Most recent visit
- January 14, 2026
- Occupied · December 8, 2025 visit
- 5 of 6 bedsa count on that day, not an opening
We hold 3 complaint reports the state published for this home, dated August 22, 2025 to December 8, 2025. 3 of the 3 carry the state's recorded outcome word: “Substantiated” (2), “Unfounded” (1). 3 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 3 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 citations4typical 0
- Type B citations2typical 0
- Substantiated allegations1typical 0
- Total complaints1typical 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 2004.
Year by year
The last 36 months — 9 of 11 documents
Jan 14, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Eliza Daquioag. During the visit, LPA observed 5 residents and 3 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 5 restrooms and 5 residents bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 117 degrees F in resident bathrooms. ADM stated she has scheduled to have the fire extinguishers at the facility inspected this Friday. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on December 12, 2025. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. No deficiencies cited during today's visit. This report was reviewed with Administrator Eliza Daquioag and a copy of the signed report was provided.the state’s words, verbatim · CDSS document, Jan 14, 2026
Dec 8, 2025Complaint investigation reportUnfounded
Allegation investigated: Facility is not meeting the hygiene needs of residents in care
Licensing Program Analyst (LPA) Monter conducted an unannounced complaint inspection to deliver the findings on the above allegation. LPA met with Administrator (ADM) Eliza Daquioag. Facility is not meeting the hygiene needs of residents in care On July 10, 2025, the Department received a complaint alleging Facility is not meeting the hygiene needs of residents in care. It has been alleged that resident R1 was observed with multiple diapers. On July 11, 2025, LPA interviewed Witness W1 and W2. Both witnesses interviewed stated they have observed resident R1 wearing multiple diapers at the same time, on at least 5 different occasions. W1 and W2 stated they were told by the ADM to use multiple diapers on resident R1. Unfounded On July 15, 2025, LPA Monter interviewed residents R1-R3. All residents interviewed were unable to respond to questions about complaint allegations due to their neurocognitive disorders. On July 15 & 24 and August 13, 2025, LPA Monter interviewed Staff S1 and S2. Both admitted they were using multiple diapers on R1, due to R1’s urination, which soils his/her bed and the resident him/herself. S1 stated if residents R1 or R2 get wet at night, they will use 3-4 diapers. S2 stated only R1 has multiple diapers at night. Both staff interviewed acknowledged there wasn’t a difference between R1 soiling him/herself at night or during waking hours. On July 15 & 24 and August 13, 2025 LPA interviewed ADM. ADM admitted staff place double diapers on R1 at night. ADM stated Only R1 has 2 diapers, because he/she has heavy urination. LPA asked ADM if there is a discrepancy with R1 when he/she soils him/herself in the morning, evening or night. ADM acknowledged that there wasn’t a difference. ADM stated R1 has two diapers at night because at night is easier to take it off and change him/her when he/she has 2 diapers. ADM stated she did instruct her staff to put 2 diapers on R1 at night. Based on a review of R1's Appraisal / Needs and Services Plan (ANS), dated May 28, 2025, R1 has episodes of yelling, screaming and hitting staff. Furthermore, the ANS states R1 needs 2 people during care. The ANS does not outline a specific bowel and bladder management plan for resident R1. The Department has completed the investigation of the above allegation. Based on interviews conducted and records review, the department has found that the above allegation were UNFOUNDED, meaning that the allegation was false, could not have happened and/or are without a reasonable basis.the state’s words, verbatim · CDSS document, Dec 8, 2025 · control 26-AS-20250710151220
Dec 8, 2025Facility evaluation reportReport on file
Type of visit: Office
An informal meeting was conducted today at the San Jose Adult and Senior Care Regional office. Present in the meeting was Licensing Program Manager (LPM) Romeo Manzano, LPM Christine Kabariti, Licensing Program Analyst (LPA) Manuel Monter, Administrator / Licensee Eliza Daquioag During the meeting, LPM discussed the informal meeting process as a course of action for the facility to achieve compliance with Title 22 Regulations. The administrative action process was discussed by LPM. This informal meeting was initiated due to a recent serious violation issued to the facility at the conclusion of a complaint investigation (26-AS-20250710151220), regarding the allegation facility staff restrained resident. During office visit, deficiencies were discussed. LPA and LPM requested the facility ADM provide an action plan to discuss the following, Due 12/22/2025: Ensure resident's personal rights are not violated and residents are not restricted in their movement. How the facility staff will be trained in dealing with the many types of behaviors related to residents with neurocognitive disorder associated with behaviors such combativeness, confusion in the facility. How the facility will ensure residents appraisals are updated in writing as frequently as necessary to note significant changes in condition and to keep the appraisal accurate. How the facility shall be trained regarding personal rights and reporting requirements. During this office visit, LPM's and LPA's informed Licensee, the complaint dated July 10, 2025, 26-AS-20250710151220, to amend findings for the allegation: Facility is not meeting the hygiene needs of residents in care, from Substantiated to Unfounded, due to additional information The Department inadvertently did not issue Title 22 code of regulation, 87468.1 Personal Rights of Residents in All Facilities(a)(1), on August 22, 2025. RO provided PIN 22-24-ASC Collaborating With Home Health Agencies and Hospice Agencies To Provide Care To Residents RO provided the Licensees information regarding the Department’s technical support program (TSP) and provided a TSP brochure, Community Care Licensing Division (CCLD) website www.cdss.ca.gov The Licensee was advised a the end of the office meeting that non-adherence to the plan will result in a non-compliance conference. Deficiencies are being cited during this meeting, see LIC809-D. This report was reviewed and explained to Administrator / Licensee Eliza Daquioag. Appeal Rights were provided.the state’s words, verbatim · CDSS document, Dec 8, 2025
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Dec 9, 2025
87468.1 Personal Rights of Residents in All Facilities(a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews conducted, facility staff S1-S3 and ADM admitted to putting multiple diapers on resident R1 and R2. S1, S2 and ADM admitted that R1 feet were tied. This poses an immediate threat to residents health, safety and personal rights.the state’s words, verbatim · CDSS document, Dec 8, 2025
Plan of correction: ADM stated the facility will not use multiple diapers on the resident. ADM stated if a resident is being combative, staff will give resident time to calm down and redirect his/her behaviors. ADM stated she shall provide training to staff training regarding personal rights. ADM stated will consult medical doctor to address behavior. ADM stated she will submit the written plan of correction to LPA by POC due date, December 9, 2025.
Sep 3, 2025Facility evaluation reportReport on file
Type of visit: POC
Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on Administrator Eliza Daquioag, during the conclusion of a complaint investigation. LPA explained the purpose of the visit. The facility was cited the following Type A deficiencies on August 22, 2025 1569.50 Denial, suspension or revocation of license, POC due date August 23, 2025 87405 Administrator - Qualifications and Duties (d)(2), POC due date August 23, 2025 The Facility was cited the following Type B deficiencies on August 22, 2025. 87463 Reappraisals (a), POC due date August 29, 2025 87211 Reporting Requirements (a)(1)(D), POC due date August 29, 2025 LPA received plan of corrections by POC date. Deficiencies cleared during todays visit. POC cleared letter provided to ADM. No deficiency was cited during todays visit. This report was reviewed with Administrator Eliza Daquioag.the state’s words, verbatim · CDSS document, Sep 3, 2025
Aug 22, 2025Complaint investigation reportSubstantiated
Allegation investigated: Staff restrained resident Facility is not meeting the hygiene needs of residents in care
Licensing Program Analyst (LPA) Monter conducted an unannounced complaint inspection to deliver the findings on the above allegation. LPA met with Administrator (ADM) Eliza Daquioag. Facility is not meeting the hygiene needs of residents in care On July 10, 2025, the Department received a complaint alleging Facility is not meeting the hygiene needs of residents in care. It has been alleged that resident R1 was observed with multiple diapers. On July 11, 2025, LPA interviewed Witness W1 and W2. Both witnesses interviewed stated they have observed resident R1 wearing multiple diapers at the same time, on at least 5 different occasions. W1 and W2 stated they were told by the ADM to use multiple diapers on resident R1. Page 1 Out of 4. Substantiated On July 15, 2025, LPA Monter interviewed residents R1-R3. All residents interviewed were unable to respond to questions about complaint allegations due to their neurocognitive disorders. On July 15 & 24 and August 13, 2025, LPA Monter interviewed Staff S1 and S2. Both admitted they were using multiple diapers on R1, due to R1’s urination, which soils his/her bed and the resident him/herself. S1 stated if residents R1 or R2 get wet at night, they will use 3-4 diapers. S2 stated only R1 has multiple diapers at night. Both staff interviewed acknowledged there wasn’t a difference between R1 soiling him/herself at night or during waking hours. On July 15 & 24 and August 13, 2025 LPA interviewed ADM. ADM admitted staff place double diapers on R1 at night. ADM stated Only R1 has 2 diapers, because he/she has heavy urination. LPA asked ADM if there is a discrepancy with R1 when he/she soils him/herself in the morning, evening or night. ADM acknowledged that there wasn’t a difference. ADM stated R1 has two diapers at night because at night is easier to take it off and change him/her when he/she has 2 diapers. ADM stated she did instruct her staff to put 2 diapers on R1 at night. Based on a review of R1's Appraisal / Needs and Services Plan (ANS), dated May 28, 2025, R1 has episodes of yelling, screaming and hitting staff. Furthermore, the ANS states R1 needs 2 people during care. The ANS does not outline a specific bowel and bladder management plan for resident R1. Based on interviews and documents review the preponderance of evidence has been met therefore the above allegations is found to be SUBSTANTIATED. Staff restrained resident On July 10, 2025, the Department received a complaint alleging Staff restrained resident. It has been alleged that R1 was observed lying in bed with both of his/her legs tied together with a bed sheet. Page 2 Out of 4. On July 11, 2025, LPA interviewed Witness W1 and W2. Both witness interviewed stated on July 7, 2025, around 9am both W1 and W2 entered the facility and met with the facility administrator. W1 and W2 headed towards R1’s bedroom and observed resident R1 had his/her feet tied together with a bedsheet. W1 stated he/she asked ADM why R1 feet were tied. Both witnesses stated the ADM had told them, R1 was tied because R1 was being combative when he/she was being changed. On July 15, 2025, LPA Monter interviewed residents R1-R3. All residents interviewed were unable communicate or respond to interview questions due to their neurocognitive disorder. On July 15 & 24 and August 13, 2025, LPA Monter interviewed Staff S1. S1 stated on July 7, 2025, the ADM and S2 called him/her for assistance. S1 stated he/she went to R1’s room and helped by holding R1’s hands and holding them close to R1’s chest, while ADM cleaned R1. S1 stated R1 was tied in a manner that was not tight, but closed off enough to keep R1 from kicking his/her feet. S1 stated ADM initiated tying R1’s feet. S1 stated after R1 was tied, two hospice care givers arrived at the care home. S1 stated the hospice care givers arrived either a few minutes or half an hour after R1’s diaper was changed. On July 15 & 24 and August 13, 2025, LPA Monter interviewed staff S2. S2 stated that morning, R1 was yelling and found R1 had a large bowel movement (BM). S2 stated staff attempted to change R1 but he/she was combative. S2 stated that R1 was mostly kicking and moving his/her arms. S2 stated he/she and the ADM were the ones who did the tying. S2 stated R1 was tied with the bedsheet around R1’s ankles area. S2 stated after R1 was changed, 5-10 minutes later, two staff from redwood hospice came and saw that R1 was tied. S2 stated they forgot to remove the tied bed sheet. On July 15 & 24 and August 13, 2025, LPA Monter interviewed ADM. ADM stated on July 7, 2025 , around 7:30-8:30am R1 woke up, yelling. ADM stated she saw R1’s had a defecated so much that it leaked out of the diaper. ADM asked S2 for assistance, but R1 was kicking and swinging his/her arms. ADM stated because R1 was being combative, and she decided to tie R1, to get R1 clean and to minimize R1’s from hitting and swinging his arms or hurting himself or the staff. ADM stated R1 was tied slightly above the ankle area. ADM described the tying as not tight, but closed off enough to keep R1 from kicking while he/she is being changed. ADM stated R1 was tied around 8-9am. ADM stated after they assisted R1, the care givers from redwood hospice arrived 15-20 minutes after, and that’s when they saw R1 tied. Page 3 Out of 4. Staff S1, S2 and ADM stated that was the only time resident R1 was tied. S1, S2 and ADM acknowledged that R1 has had this combative behavior since move in. S1, S2 and ADM acknowledged that there wasn’t a discrepancy when R1 soiled him/herself in the morning, evening or night. Based on a review of R1's Appraisal / Needs and Services Plan (ANS), dated May 28, 2025 , R1 has episodes of yelling, screaming and hitting staff. Furthermore, the ANS states R1 needs 2 people during care. The ANS does not detail how the facility will change resident R1 when he/she is being combative. Based on interviews conducted, Witness observed resident R1’s feet were tied on July 7, 2025. Interviews conducted with facility staff confirmed that on July 7, 2025, R1’s feet were tied, and his/her personal rights were violated. Staff interviewed, stated they tied R1 because of his/her combative behavior when he/she is being changed. Facility staff confirmed R1 has had this combative behavior since move in and R1’s ANS does not detail how the facility will change R1 when he/she is being combative. Based on interviews and documents review the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC9099-D. This report was reviewed with Administrator Eliza Daquioag. A copy of the report was provided. Appeal rights were provided. Page 4 Out of 4. END OF REPORT.the state’s words, verbatim · CDSS document, Aug 22, 2025 · control 26-AS-20250710151220
From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.50(a)(3) · Plan of correction due date: Aug 23, 2025
1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, staff S1, S2 and ADM admitted that resident R1 feet were tied because he/she was being combative when he/she was being changed. This poses an immediate threat to residents health, safety and personal rights.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will conduct a personal rights training with her staff. ADM stated she will send documentation of the training with the following information: who participated, who conducted the training, duration of the training, what materials were used. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87405(d)(2) · Plan of correction due date: Aug 23, 2025
87405 Administrator - Qualifications and Duties (d) (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by; Based on interviews conducted, ADM admitted to tying R1’s feet, due to R1 being combative when he/she is being changed and the deficiencies cited during this complaint investigation. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will also send a letter of understanding regarding the regulation and her duties and responsibilities as administrator, which includes respecting residents personal rights not be tied or restrained. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Aug 29, 2025
87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, … shall be updated in writing as frequently as necessary … keep the appraisal accurate… This requirement was not met as evidenced by; Based on records reviewed, resident R1’s ANS does not address R1’s combative behavior when he/she is being changed. The ANS also does not detail R1’s incontinence plan. This poses a potential Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will develop an updated care plan, to address R1's combative behavior when he/she is being changed, without restraining or tying. ADM stated the updated care plan will also detail R1's updated incontinence plan. ADM stated she will send the updated care plan to LPA by POC date, August 29, 2025.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Aug 29, 2025
87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: Based on interviews conducted, facility staff admitted that R1 was tied and they should have reported it. Based on records reviewed, the facility did not submit an incident report for the incident where R1 was tied. This poses a potential Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will conduct a training regarding reporting requirement. ADM stated she will submit documentation this training took place by POC date, August 29, 2025. ADM stated she will send a letter of understanding regarding the regulation, and the importance of reporting any incident which threatens the welfare, safety or health of any resident. ADM stated she will send the plan of correction by POC date, August 29, 2025.
Aug 22, 2025Complaint investigation reportSubstantiated
Allegation investigated: Staff restrained resident
Licensing Program Analyst (LPA) Monter conducted an unannounced complaint inspection to deliver the findings on the above allegation. LPA met with Administrator (ADM) Eliza Daquioag. (The complaint allegation "Facility is not meeing the hygine needs of residents in care," is amended to from SUBSTANTIATED to UNFOUNDED due to new information.) Page 1 Out of 4. Substantiated (The complaint allegation "Facility is not meeting the hygiene needs of residents in care," is amended to from SUBSTANTIATED to UNFOUNDED due to new information.) Staff restrained resident On July 10, 2025, the Department received a complaint alleging Staff restrained resident. It has been alleged that R1 was observed lying in bed with both of his/her legs tied together with a bed sheet. Page 2 Out of 4. On July 11, 2025, LPA interviewed Witness W1 and W2. Both witness interviewed stated on July 7, 2025, around 9am both W1 and W2 entered the facility and met with the facility administrator. W1 and W2 headed towards R1’s bedroom and observed resident R1 had his/her feet tied together with a bedsheet. W1 stated he/she asked ADM why R1 feet were tied. Both witnesses stated the ADM had told them, R1 was tied because R1 was being combative when he/she was being changed. On July 15, 2025, LPA Monter interviewed residents R1-R3. All residents interviewed were unable communicate or respond to interview questions due to their neurocognitive disorder. On July 15 & 24 and August 13, 2025, LPA Monter interviewed Staff S1. S1 stated on July 7, 2025, the ADM and S2 called him/her for assistance. S1 stated he/she went to R1’s room and helped by holding R1’s hands and holding them close to R1’s chest, while ADM cleaned R1. S1 stated R1 was tied in a manner that was not tight, but closed off enough to keep R1 from kicking his/her feet. S1 stated ADM initiated tying R1’s feet. S1 stated after R1 was tied, two hospice care givers arrived at the care home. S1 stated the hospice care givers arrived either a few minutes or half an hour after R1’s diaper was changed. On July 15 & 24 and August 13, 2025, LPA Monter interviewed staff S2. S2 stated that morning, R1 was yelling and found R1 had a large bowel movement (BM). S2 stated staff attempted to change R1 but he/she was combative. S2 stated that R1 was mostly kicking and moving his/her arms. S2 stated he/she and the ADM were the ones who did the tying. S2 stated R1 was tied with the bedsheet around R1’s ankles area. S2 stated after R1 was changed, 5-10 minutes later, two staff from redwood hospice came and saw that R1 was tied. S2 stated they forgot to remove the tied bed sheet. On July 15 & 24 and August 13, 2025, LPA Monter interviewed ADM. ADM stated on July 7, 2025 , around 7:30-8:30am R1 woke up, yelling. ADM stated she saw R1’s had a defecated so much that it leaked out of the diaper. ADM asked S2 for assistance, but R1 was kicking and swinging his/her arms. ADM stated because R1 was being combative, and she decided to tie R1, to get R1 clean and to minimize R1’s from hitting and swinging his arms or hurting himself or the staff. ADM stated R1 was tied slightly above the ankle area. ADM described the tying as not tight, but closed off enough to keep R1 from kicking while he/she is being changed. ADM stated R1 was tied around 8-9am. ADM stated after they assisted R1, the care givers from redwood hospice arrived 15-20 minutes after, and that’s when they saw R1 tied. Page 3 Out of 4. Staff S1, S2 and ADM stated that was the only time resident R1 was tied. S1, S2 and ADM acknowledged that R1 has had this combative behavior since move in. S1, S2 and ADM acknowledged that there wasn’t a discrepancy when R1 soiled him/herself in the morning, evening or night. Based on a review of R1's Appraisal / Needs and Services Plan (ANS), dated May 28, 2025 , R1 has episodes of yelling, screaming and hitting staff. Furthermore, the ANS states R1 needs 2 people during care. The ANS does not detail how the facility will change resident R1 when he/she is being combative. Based on interviews conducted, Witness observed resident R1’s feet were tied on July 7, 2025. Interviews conducted with facility staff confirmed that on July 7, 2025, R1’s feet were tied, and his/her personal rights were violated. Staff interviewed, stated they tied R1 because of his/her combative behavior when he/she is being changed. Facility staff confirmed R1 has had this combative behavior since move in and R1’s ANS does not detail how the facility will change R1 when he/she is being combative. Based on interviews and documents review the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED. Deficiencies are being cited per California Code of Regulations, Title 22. See LIC9099-D. This report was reviewed with Administrator Eliza Daquioag. A copy of the report was provided. Appeal rights were provided. Page 4 Out of 4. END OF REPORT.the state’s words, verbatim · CDSS document, Aug 22, 2025 · control 26-AS-20250710151220
From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.50(a)(3) · Plan of correction due date: Aug 23, 2025
1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, staff S1, S2 and ADM admitted that resident R1 feet were tied because he/she was being combative when he/she was being changed. This poses an immediate threat to residents health, safety and personal rights.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will conduct a personal rights training with her staff. ADM stated she will send documentation of the training with the following information: who participated, who conducted the training, duration of the training, what materials were used. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87405(d)(2) · Plan of correction due date: Aug 23, 2025
87405 Administrator - Qualifications and Duties (d) (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by; Based on interviews conducted, ADM admitted to tying R1’s feet, due to R1 being combative when he/she is being changed and the deficiencies cited during this complaint investigation. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will also send a letter of understanding regarding the regulation and her duties and responsibilities as administrator, which includes respecting residents personal rights not be tied or restrained. ADM stated she will send the plan of corrections to LPA by POC date, August 23, 2025.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Aug 29, 2025
87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, … shall be updated in writing as frequently as necessary … keep the appraisal accurate… This requirement was not met as evidenced by; Based on records reviewed, resident R1’s ANS does not address R1’s combative behavior when he/she is being changed. The ANS also does not detail R1’s incontinence plan. This poses a potential Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will develop an updated care plan, to address R1's combative behavior when he/she is being changed, without restraining or tying. ADM stated the updated care plan will also detail R1's updated incontinence plan. ADM stated she will send the updated care plan to LPA by POC date, August 29, 2025.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Aug 29, 2025
87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: Based on interviews conducted, facility staff admitted that R1 was tied and they should have reported it. Based on records reviewed, the facility did not submit an incident report for the incident where R1 was tied. This poses a potential Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 22, 2025
Plan of correction: ADM stated she will conduct a training regarding reporting requirement. ADM stated she will submit documentation this training took place by POC date, August 29, 2025. ADM stated she will send a letter of understanding regarding the regulation, and the importance of reporting any incident which threatens the welfare, safety or health of any resident. ADM stated she will send the plan of correction by POC date, August 29, 2025.
Jul 24, 2025Facility evaluation reportReport on file
Type of visit: Case Management - Other
Licensing Program Analyst Manuel Monter and Simi Rai conducted an unannounced case management to amend a Complaint investigation, LIC9099, LIC9099-C and LIC9099-D issued on July 15, 2025. LPA met with Administrator Eliza Daquioag explained the purpose of the visit. The complaint investigation closed on July 15, 2025 is being amended and re-opened due to new information provided to the Department. No deficiencies cited during todays visit. This Report was reviewed with Administrator Eliza Daquioag. A signed copy was provided.the state’s words, verbatim · CDSS document, Jul 24, 2025
Jan 28, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On January 28, 2025, at 1:00 PM, Licensing Program Analysts (LPA), Kenneth Madrigal and Manuel Monter, conducted an unannounced annual inspection and met with Eliza Daquioag, Administrator (ADM) and discussed the purpose of the visit. LPAs observed two staff members, and four residents during the visit. LPAs toured the facility inside and out which included 5 resident rooms, four bathrooms, a living room, a kitchen, a dining area, and staff areas. LPAs toured the front and back of the facility. LPAs observed a shed in the backyard being used a storage area. There were no obstructions that blocked the emergency exit doors. In the kitchen, LPAs observed that all sharps are in a locked container and that the chemicals are locked in the cabinet. LPAs observed seven-day nonperishable and a two-day perishable food supply. LPAs observed the freezer and refrigerator temperatures recorded within the regulated range. The room temperature is 78 degrees Fahrenheit. The facility water temperature was recorded 109 degrees Fahrenheit.In the hallway, the fire extinguisher was last serviced in January 2025. LPAs observed the emergency fire and earthquake drill logs. The last drill was conducted on December 4, 2024. ADM tested the smoke detectors in the facility. LPAs reviewed three staff records, four resident records, and four resident centrally stored medication records. LPAs conducted two staff interviews (S2 & S3) and one resident interview (R1). LPAs provided ADM CDSS changes in regulations for RCFE/Dementia Flyer. No deficiencies were cited today per today’s visit. A signed copy of this Evaluation Report was provided to the administrator and was reviewed with the administrator.the state’s words, verbatim · CDSS document, Jan 28, 2025
Feb 22, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Eliza Daquioag. During the visit, LPA observed 5 residents and 2 staff. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 4 restrooms and 5 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 117 degrees F in resident bathrooms. Fire extinguisher was serviced in February 7, 2024. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on December 3, 2023. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 2 staff (S1 to S3) and 2 residents (R1-R2). 1 resident was attending day program during LPA's visit. No deficiencies cited during today's visit. This report was reviewed with Administrator Eliza Daquioag and a copy of the signed report was provided.the state’s words, verbatim · CDSS document, Feb 22, 2024
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Life here
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