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Merisol Care Home

Small home·Licensed for 6·Union City, California

Licensed since 2018Licence #19201447
  • Care approvals on fileWheelchair · Dementia · Hospice · BedriddenState licensing record · September 13, 2026
  • Estimated starting rate$3,750 a monthCovelight estimate · likely $3,050–$4,600
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitApril 22, 2026CDSS inspection record
  • Licence holderMari, Antonia B & Bacani, Soledad FSince 2018 · 2 licensed homes

Merisol Care Home is a small care home in Union City — 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 2018.

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 Merisol Care Home

Is Merisol Care Home licensed?

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

How many residents is Merisol Care Home licensed for?

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

Has Merisol Care Home been cited?

0 Type A and 0 Type B citations since 2018, per CDSS records as of September 13, 2026. Those records count 12 state visits over the same years.

Is Merisol Care Home still open?

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

What does Merisol Care Home cost?

$3,750 a month to start is a Covelight estimate, likely $3,050–$4,600. 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 8 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Among 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 Merisol 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 Mari, Antonia B & Bacani, Soledad F, per CDSS records as of September 13, 2026. See the homes licensed to Mari, Antonia B & Bacani, Soledad F — at least 2 on the state roster.

Is there a hospital nearby?

St Rose Hospital is 3.4 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Merisol 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.

Merisol Care Home license and inspection record

  • Name on the license: “MERISOL CARE HOME”, per the CDSS roster as of May 25, 2025.
  • License #19201447. 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 Mari, Antonia B & Bacani, Soledad F, per CDSS records as of September 13, 2026.
  • First licensed in 2018, per CDSS records as of September 13, 2026.
  • 12 state inspection visits since 2018, per CDSS records as of September 13, 2026.
  • 0 Type A and 0 Type B citations on file since 2018, per CDSS records as of September 13, 2026. The same records count 12 state visits in that period.
  • 0 complaints and 0 substantiated allegations on file since 2018, per CDSS records as of September 13, 2026.
  • The most recent state visit on file is April 22, 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 by the state
  • Dementia / memory careApproved by the state
  • Hospice careApproved · covers up to 2 residents
  • BedriddenApproved by the state

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 FIVE [5] NON-AMBULATORY AND ONE [1] MAY BE BEDRIDDEN IN ROOM #2 ONLY. HOSPICE WAIVER FOR TWO (2) RESIDENTS.

983 - RCFE / DEMENTIA

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

  • 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 13, 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?”

What it costs here

Covelight estimate

$3,750a month to start

Likely $3,050–$4,600

From 8 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$3,750a month

Likely $3,050–$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 · how this estimate works
Room
Daily care
Sharing the room
  • Starting monthly rate$3,750likely $3,050–$4,600

    Covelight’s estimate starts from the rates 8 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

  • Basic help with daily careUsually includedup to $600

    Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).

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

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

Likely monthly totalLikely $3,050–$4,800
$3,750
First monthWith a one-time move-in fee · likely $3,600–$8,050
$5,750
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 8 small homes and similar homes within 5 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

8 homes like this within 5 miles publish starting rates mostly between $2,500–$4,500.

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

Where it is

  • 4102 Pleiades Place, Union City, CA 94587Address 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 2025, the state has filed 12 documents for this home, and its records count 12 visits since 2018. The most recent is a facility evaluation report, dated April 22, 2026.

On file since
2025
State visits
12
Most recent visit
April 22, 2026

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints0typical 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 2018.

Year by year
YearVisitsDocumentsSubstantiated202611020257110

The last 36 months — 12 of 12 documents

20261 state visit · 1 document
Apr 22, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On this day, at around 10:30 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with direct care staff Teresita Collong. Administrator Soledad Bacani, Certificate 7011133740 dated 12/21/25 to 12/20/2027, arrived later. During the visit, LPA inspected the facility inside and out, including, but not limited to, bedrooms, bathrooms, the dining area, kitchen, garage, and backyard. Hot water is measured at 120 degrees Fahrenheit. There was a sufficient supply of perishable and non-perishable foods. Supply of linen, warm blankets, and towels was observed. The first aid kit was observed to be complete. was observed to be complete. LPA observed a fire extinguisher charge with the receipt attached, dated 4/22/26. The last fire and earthquake drill was conducted on 4/2/26. Liability Policy: PCI33893478-02 effective 4/8/26 to 4/8/27. Smoke detectors and carbon monoxide were tested and observed to be functional. LPA reviewed 4 resident files and 3 staff files. Report continues on LIC 809c… The following deficiencies were observed: - Observed that the food transfer is not properly stored - Medication/cream/ ointment observed in shared bathroom, and in RM 2 and 3 (repeat dated 4/26/25) - Observed ants inside the shared bathroom - Observed resident 1 (R1) and R2 did not have TB - Files review R3 do not have a bedrail order - Observed shared bathroom drawer is broken. Observed objects such as an electric mattress, a Hoyer lift, multiple metal racks, and a broken drawer around the facility. *Civil penalty of $250 is being assessed on today's date by having a repeat of the citation within 12 months* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by the plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421IM, and this report are provided to the Administrator.the state’s words, verbatim · CDSS document, Apr 22, 2026
20257 state visits · 11 documents
Nov 5, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

On 11/05/2025 at 1:00 PM, Licensing Program Analysts (LPAs) K. Nguyen and P .Manalo arrived unannounced to conduct case management to verify that Resident 1 (R1) who is bedridden has moved out of the facility. During the visit, LPAs observation and interview revealed that Resident 1 (R1) was able to move both legs from left right and moved both hands. With the assistance of the Direct Care Staff, Milagros Bumatay, R1 was able to turn from one side to the other holding onto the bed rail. R1 was also able to move her head up while in a laying down position. Record review of the LIC602A dated 10/24/2025 showed that R1 is ambulatory and diagnosed with Alzheimer’s dementia. No deficiencies cited. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 5, 2025
Nov 5, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

On 11/05/2025, Licensing Program Analysts (LPAs) K. Nguyen and P. Manalo arrived unannounced to conduct a case management visit. LPAs met with Direct Care Staff, Teresita Collong, and explained the purpose of the visit. While LPAs were at the facility for another visit, LPAs record review revealed that the following documents including but not limited to LIC627C (Consent Form), LIC9158 (Telecommunications Device Notification), LIC601 (Identification and Information), and LIC621 (Resident Personal Property and Valuables) was not signed and/or completed. Record review also revealed that R1 does not have a full bed rail on file. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview was conducted and Appeal Rights was provided to Collong.the state’s words, verbatim · CDSS document, Nov 5, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87608(a)(5)(b) · Plan of correction due date: Nov 20, 2025

Postural Supports (B)Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not having a full bed rail for R1 which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: The Administrator agrees to request an exception from the department for R1’s full bed rail. Proof of corrections will be sent to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(a) · Plan of correction due date: Nov 21, 2025

Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not having a complete file for R1 which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 5, 2025

Plan of correction: The Administrator agrees to complete all the documents needed for R1 and send proof to CCLD by POC date.

Oct 22, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

On 10/22/2025 at 9:45 AM, Licensing Program Analysts (LPAs) K. Nguyen and P.Manalo and arrived unannounced to conduct case management following up on R1 status. Upon the visit LPAs met with Direct Care Staff, Milagros Bumatay and explained the purpose of the visit. The Administrator (ADM) Soledad Bacani was unavailable to come. ADM gave authorization on the phone for Care Staff to sign the report. While at the facility, LPA observed the following deficiencies: During the visit, LPAs observed that Resident 1 (R1) who is bedridden per Physician's Report and is staying in an approved non-ambulatory room. The facility has an approved one bedridden fire clearance for Room #2 only. However, R1 is occupying Room #3. Interview with Direct Care Staff, Teresita, stated that the R1 was discharged from hospice on September 09, 2025. However, interview with Staff 1 (S1) revealed that R1 is unable to move side to side. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview was conducted and Appeal Rights was provided to Bumatay.the state’s words, verbatim · CDSS document, Oct 22, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87455(b)(7) · Plan of correction due date: Oct 30, 2025

87455(b)(7) Acceptance and Retention Limitations (b)The following persons may be accepted or retained by the licensee: (7) Persons who are bedridden provided the requirements of Section 87606 are met. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by having R1 in Room# 3 that is not approved for bedridden which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 22, 2025

Plan of correction: The Administrator agrees to placed R1 in an approved bedridden room per facility sketch and provide an updated physician’s report (LIC602A) to determine R1’s ambulatory status. Proof of correction will be sent to CCLD by POC date.

Oct 3, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

On 10/03/2025 at 8:20 AM, Licensing Program Analysts (LPAs) K. Nguyen and P .Manalo and arrived unannounced to conduct case management to verify that Resident 1 (R1) who is bedridden has moved out of the facility. During the visit, LPAs observation and interview revealed that Resident 1 (R1) has been moved out of the facility. Staff 1 (S1) stated that the resident moved to a different facility per conservator. No deficiencies cited. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 3, 2025
Oct 3, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Legal/Non-compliance

On 10/03/2025 at 9:00 AM, Licensing Program Analysts (LPAs) K. Nguyen and P.Manalo and arrived unannounced to conduct case management legal/Non-compliance visit and met with Direct Care Staff, Teresita Collong and explained the purpose of the visit. The Administrator was unavailable to come. While at the facility, LPA observed the following deficiencies: During the visit, LPAs observed that Resident 1 (R1) who is bedridden per Physician's Report and is staying in an approved non-ambulatory room. The facility has an approved one bedridden fire clearance for Room #2 only. However, R1 is occupying Room #3. Interview with Direct Care Staff, Teresita, stated that the R1 was discharged from hospice on September 09, 2025. However, interview with Staff 1 (S1) revealed that R1 is unable to move side to side. Administrator not present for a sufficient enough hours. The auditory signal in the kitchen/living room sliding door was not working. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Civil penalty of $750 for fire clearance violation is issued today. Exit interview was conducted and Appeal Rights was provided to Collong.the state’s words, verbatim · CDSS document, Oct 3, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Oct 4, 2025

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department... This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by having R1 in RM 3 that is not approved for bedridden. R1 physician report dated back in March 2025 showed that R1 is bedridden which poses a immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 3, 2025

Plan of correction: The Administrator agrees to notify the fire department of the bedridden resident within 24 hours and send proof to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Oct 20, 2025

(a) All facilities shall have a qualified and currently certified administrator…The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not being present at the facility for sufficient hours which poses a safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 3, 2025

Plan of correction: The Administrator agrees that the facility will hire a new full time qualified administrator per regulation requirements and send proof to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87705(d) · Plan of correction due date: Oct 17, 2025

(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having the auditory device in the kichen/living room sliding door off which posed a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 3, 2025

Plan of correction: The Administrator agrees to send an audio video 3 times a day every day for the next two weeks and send proof to CCLD by POC date.

Sep 4, 2025Facility evaluation reportReport on file

Type of visit: POC

Licensing Program Analyst (LPA) Luisa Fontanilla conducted a proof of correction (POC) visit. LPA met with Soledad Bacani, Administrator and informed her about the purpose of visit. On this day, 9/4/25 civil penalty is assessed as follows: Sec. 87611 (a)(3) 13 days x 100 = 1300 - Cleared on 9/4/25 Sec. 87611(c) 5 days x 100 = 500 - Cleared on 9/4/25 Sec 87457 (c) 3 days x 100 = 300 - Cleared on 8/25/25 The civil penalty was discussed with the Bacani. Civil Penalties in the total amount of $2,100.00 is assessed today for failure to meet/submit POCs date for deficiencies. All deficiencies have been cleared as of 9/4/2025.the state’s words, verbatim · CDSS document, Sep 4, 2025
Sep 4, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Legal/Non-compliance

LPA L. Fontanilla arrived unannounced to conduct case management legal/Non-compliance visit and met with Licensee/Administrator Soledad Bacani. During the visit, the facility was issued a deficiency and civil penalty for having Resident 1 (R1) who is bedridden per Physician's Report and LPA observation stay in a non-ambulatory room. The facility has an approved one bedridden fire clearance for Room #2 only. R1 is occupying Room #4. Civil penalty of $500 for fire clearance violation is issued today. Exit interview was conducted and Appeal Rights was provided to Bacani.the state’s words, verbatim · CDSS document, Sep 4, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 80010(a) · Plan of correction due date: Sep 5, 2025

80010 Limitations on Capacity and Ambulatory Status (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including the capacity limitation This requirement is not met as evidenced by: R1 currently occupies a non-ambulatory room (Rm#4). Based on LPA observation and Medical assessment, R1 is bedridden.Facility has one approved bedridden room(Rm#2)the state’s words, verbatim · CDSS document, Sep 4, 2025

Plan of correction: The Administrator will notify the local fire department about R1 and will apply for additional bedridden fire clearance within 24 hours.

Aug 22, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Legal/Non-compliance

At around 1pm, LPA Luisa Fontanilla conducted a case management-legal/non-compliance visit and met with staff Gloriosa Mamauag and Milagros Bumatay. LPA explained to Mamauag the purpose of visit. The Administrator was notified on the phone about LPA presence. Administrator authorized Collong to sign the report. During the visit, LPA checked all doors with auditory devices and observed devices in Rooms 3 and 4 were turned off. LPA asked staff Milagros why the devices were off and who instructed staff to turn the off. She states that they decided to turn it off and that no one gave them the instruction. Deficiency is cited per Title 22 California Code of Regulations (see Lic 809D). Civil penalty of $250.00 is assessed for repeat violation. Exit interview was conducted and Appeal Rights was provided.the state’s words, verbatim · CDSS document, Aug 22, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(d) · Plan of correction due date: Aug 25, 2025

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Based on observation, the auditory devices in Rooms 3 and 4 were off which poses an immediate risk to health and safety of clients under care.the state’s words, verbatim · CDSS document, Aug 22, 2025

Plan of correction: The Administrator will designate a staff to check and make sure all auditory devices are on and functional and submit proof to CCL by POC date.

Aug 22, 2025Facility evaluation reportReport on file

Type of visit: POC

Licensing Program Analyst (LPA) Luisa Fontanilla conducted a proof of correction (POC) visit. LPA met with Soledad Bacani, Administrator and informed her about the purpose of visit. On 8/7/25, LPA issued a citation deficiency section # 87611(a)(3) with due date 8/8/25 and 87611(c) and Sec 87457 (c) with due date 8/15/25 under case management legal-non compliance visit Administrator submitted an incomplete POC for sec 87611(a)(3) and failed to submit POC for sec 87611(c). On this day, 8/22/25 civil penalty is assessed as follows: Sec. 87611 (a)(3) 14 days x 100 = 1400 Sec. 87611(c) 7 days x 100 = 700 Sec 87457 (c) 7 days x 100 = 700 The civil penalty was discussed with the Collong. Civil Penalties in the total amount of $2,800.00 is assessed today for failure to meet/submit POCs date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies are corrected. Exit interview was conducted with Bacani. Appeal Rights, LIC421FC Civil Penalty Assessment, and copy of this report provided.the state’s words, verbatim · CDSS document, Aug 22, 2025
Aug 7, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct case management legal/non-compliance visit. LPA was met by staff Gloriosa Mamauag. The Administrator was informed about the visit over the phone. Staff Teresita Olong was authorized by Bacani to sign the report. Soledad Bacani arrived at the facility at around 2:15 pm. During the visit, LPA observed the following deficiencies: auditory device in the kitchen sliding door is not functional facility admitted Resident 1 (R1) with right leg contracture without approval from CCL; facility is in an NCC compliance plan R1 has been sleeping in the staff room which is not approved by the Fire Department as resident room no staff training on how to care for R1's contracted leg R1's Appraisal Needs and Services Plan incomplete, no preplacement appraisal Civil penalty of $500 assessed for today's visit. Exit interview was conducted with Olong/Bacani and Appeal Rights was provided.the state’s words, verbatim · CDSS document, Aug 7, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(d) · Plan of correction due date: Aug 8, 2025

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement is not met as evidenced by: LPA observed auditory device in the kitchen sliding door is not functional which poses an immediate health and safety risk to clients in care.the state’s words, verbatim · CDSS document, Aug 7, 2025

Plan of correction: Administrator will check all auditory devices in all exits and ensure all are functional. Administrator will create a daily inspection log of all the auditory devices starting 8/8/2025 and notify CCL by POC date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87203 · Plan of correction due date: Aug 8, 2025

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Based on interview conducted, R2 has been sleeping in the staff room which poses an immediate health and safety risk.the state’s words, verbatim · CDSS document, Aug 7, 2025

Plan of correction: By POC date, the Administrator will move R2 to the appropriate room and notify CCL. Civil penalty of $500 is assessed.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87611(a)(3) · Plan of correction due date: Aug 8, 2025

87611 General Requirements for Allowable Health Conditions (a) Prior to accepting or retaining a resident with an allowable health condition as specified in Section 87618, Oxygen Administration - Gas and Liquid; Section 87619, Intermittent Positive Pressure Breathing (IPPB) Machine; Section 87621, Colostomy/Ileostomy; Section 87626, Contractures; or Section 87631, Healing Wounds; licensees who have, or have had, any of the following within the last two years, shall obtain Department approval: (3) A Non-Compliance Conference as defined in Section 87101(n) that resulted in a corrective plan of action This requirement is not met as evidenced by: The facility admitted R1 who has contracture of the right leg without approval from CCL. The facility is in a non-compliance correction plan. R1 is not able to care for own needs, and has Dementia.the state’s words, verbatim · CDSS document, Aug 7, 2025

Plan of correction: The facility will submit request for exception for R1 by POC date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87611(c) · Plan of correction due date: Aug 15, 2025

87611 General Requirements for Allowable Health Conditions (c) In addition to Section 87411(d), facility staff shall have knowledge and the ability to recognize and respond to problems and shall contact the physician, appropriately skilled professional, and/or vendor as necessary. This requirement is not met as evidenced by: There is no proof of staff training on file in regards to how to care for R1's contracted right leg. R1 is not able to care for own needs.the state’s words, verbatim · CDSS document, Aug 7, 2025

Plan of correction: The Administrator will have all staff undergo training on how to care for R1's contracted leg and submit proof to CCL by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87457(c) · Plan of correction due date: Aug 15, 2025

87457 Pre-Admission Appraisal (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. R1 has right leg contracture but no preplacement appraisal was conducted. ANS is observed incomplete.the state’s words, verbatim · CDSS document, Aug 7, 2025

Plan of correction: The Administrator will complete R1's ANS and submit a copy to CCL by POC date.

Apr 24, 2025Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On this day at around 10:00 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with Administrator, Soledad Bacani. LPA explained to Bacani the purpose of the visit. During the visit, LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining area, kitchen, garage and backyard. Hot water measured at 125.7 degrees Fahrenheit. There was sufficient supply of perishable and non perishable foods. Ample supply of linen, warm blankets and towels were observed. First aid kit was observed complete. LPA observed a fire extinguisher that appeared full but did not have a tag or proof of purchase. The last fire and earthquake drill was conducted in March, 2024. Smoke detectors and carbon monoxide were tested and observed functional. LPA reviewed 5 resident files and 4 staff files. Report continues on LIC 809c… The following deficiencies were observed: · Observed hot water at 125.7 Fahrenheit · Observed transfer food are not properly storage · Chemical observed underneath kitchen sink and shared bathroom. · Medication/cream/ ointment observed in shared bathroom, in refrigerator · knives observed unlocked in the kitchen in a lock box, however not being lock. · Expired salsa/sauce observed to be on kitchen counter · Observed cockroach inside the cabinet and dinning table · Observed staffs without CPR and First Aid · Observed three staff do not have training on files · Observed resident did not have TB · Observed No plan of Operation · Observed toilet cannot flush · Observed last fire drill was conducted March 2024 · Observed bedridden in room number 3, however facility approved bedridden in room number 2 · Observed room 3 resident have oxygen, however there are no smoking sign posted in room 3 · Staff using the living room as a sleeping area Exit interview was conducted with the Administrator and Appeal Rights was provided.the state’s words, verbatim · CDSS document, Apr 24, 2025
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.

Who holds the licence

Mari, Antonia B & Bacani, Soledad F, licensed since 2018, operates 2 licensed homes in California. Running more than one home is common and is neither good nor bad on its own.

Life here

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  1. What is included in the monthly rate, and what costs extra?
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