Illustration — no photo of this home on file yet
- Care approvals on fileWheelchair · HospiceState licensing record · September 27, 2026
- Estimated starting rate$5,050 a monthCovelight estimate · likely $4,150–$6,250
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Room at the last state visit1 of 6 beds occupiedNovember 20, 2024 · not a current opening
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitJune 3, 2026CDSS inspection record
Roundhill Care Homes is a small care home in Alamo — 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 1989. Dementia care and bedridden care are not on file.
Built from CDSS public records · September 27, 2026. Every fact below names its source and date.
Quick answers and the state record
A citation does not make a home unsafe, and an empty file does not make a home good.
Quick answers about Roundhill Care Homes
Is Roundhill Care Homes licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Roundhill Care Homes licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Roundhill Care Homes been cited?
0 Type A and 0 Type B citations since 1989, per CDSS records as of September 27, 2026. Those records count 13 state visits over the same years.
Is Roundhill Care Homes still open?
This license was on the CDSS roster as of September 28, 2026.
What does Roundhill Care Homes cost?
$5,050 a month to start is a Covelight estimate, likely $4,150–$6,250. 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 33 other homes of a similar licensed size across Contra Costa County that publish a starting rate, the middle half runs $3,500 to $5,825 a month, and the middle figure is $4,500 (n = 33 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 Roundhill Care Homes 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 Roundhill Care Homes, Inc., per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Kaiser Foundation Hospital - Walnut Creek is 3.3 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Roundhill Care Homes keep a resident on hospice?
Hospice care is approved on this license, covering up to 3 residents, per CDSS records as of September 27, 2026.
Roundhill Care Homes license and inspection record
- Name on the license: “ROUNDHILL CARE HOMES, INC.”, per the CDSS roster as of May 25, 2025.
- License #71440596. 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 Roundhill Care Homes, Inc., per CDSS records as of September 27, 2026.
- First licensed in 1989, per CDSS records as of September 27, 2026.
- 13 state inspection visits since 1989, per CDSS records as of September 27, 2026.
- 0 Type A and 0 Type B citations on file since 1989, per CDSS records as of September 27, 2026. The same records count 13 state visits in that period.
- 1 complaint and 0 substantiated allegations on file since 1989, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
- The most recent state visit on file is June 3, 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 careNot on file · ask the home
- Hospice careApproved · covers up to 3 residents
- BedriddenNot on file · ask the home
State licensing record · September 27, 2026. An approval may cover specific rooms or residents; it does not establish an opening.
Read the state’s own wording
AGE RANGE 60 AND OVER. ALL RESIDENTS MAY BE NON-AMBULATORY. LICENSE IS SUBJECT TO THE TERMS AND CONDTIONS OF THE HOSPICE WAIVER FOR THREE (3) RESIDENTS.
935 - ELDERLY
CDSS record, verbatim · September 27, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 3 — care may continue at the end of life
Ask: “If hospice is needed, can care continue here until the end?”
State licensing record · September 27, 2026
4 more questions to ask the home
- Two-person transfers or a lift
Not on file
Ask: “If two people or a lift are needed to transfer, can the person stay?”
- Someone awake overnight
Not on file
Ask: “Who is awake overnight, and how do residents ask for help?”
- Medicines
Not on file
Ask: “Who manages the medicines, and what happens when a dose is missed?”
- If memory loss develops
Dementia-care designation not on file
Ask: “If memory loss develops, what would change — and when would a move be needed?”
What it costs here
Covelight estimate
$5,050a month to start
Likely $4,150–$6,250
From 8 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$5,050a month
Likely $4,150–$6,400
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
Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.
Starting monthly rate$5,050likely $4,150–$6,250
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 $4,150–$6,400
- $5,050
- First monthWith a one-time move-in fee · likely $4,850–$9,500
- $7,050
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 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 $3,400–$8,000.
- 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
- New Alamo Residence HomeAlamo · 0.6 mi · Small home$7,000Listed on A Place for Mom · seen September 9, 2026
- Casa Blanca Retirement HomesAlamo · 0.7 mi · Mid-size home$3,500Listed on Seniorly · seen September 9, 2026
- Brookdale DanvilleDanville · 2.2 mi · Mid-size home$10,995Listed on Seniorly · seen September 9, 2026
- Heatherwood Memory CareWalnut Creek · 3.6 mi · Mid-size home$6,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Ag Health CareWalnut Creek · 4.0 mi · Small home$3,395Listed on Seniorly · assisted living studio · seen September 9, 2026
- Aaron's Advance Care HomeWalnut Creek · 4.1 mi · Small home$3,395Listed on Seniorly · assisted living studio · seen September 9, 2026
- Camellia Garden Care VillaWalnut Creek · 4.2 mi · Small home$5,000Listed on Seniorly · seen September 9, 2026
- Wimbledon Walnut Creek Care HomeWalnut Creek · 4.8 mi · Small home$8,000Listed on Seniorly · seen September 9, 2026
Where it is
- 3053 Roundhill Road, Alamo, CA 94507Address 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 13 documents for this home, and its records count 13 visits since 1989. The most recent is a facility evaluation report, dated June 3, 2026.
- On file since
- 2022
- State visits
- 13
- Most recent visit
- June 3, 2026
- Occupied · November 20, 2024 visit
- 1 of 6 bedsa count on that day, not an opening
We hold 1 complaint report the state published for this home, dated November 20, 2024. 1 of the 1 carries the state's recorded outcome word: “Unsubstantiated” (1). 1 includes the transcribed allegation the state investigated, word for word. Summary composed by computer from the 1 complaint report below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
Beside homes the same size
- Type A citations0typical 0
- Type B citations0typical 0
- Substantiated allegations0typical 0
- Total complaints1typical 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 1989.
Year by year
The last 36 months — 12 of 13 documents
Jun 3, 2026Facility evaluation reportReport on file
Type of visit: Case Management - Health Checks
On 6/3/2026 at 1:50 PM, Licensing Program Analyst (LPA) A. Gomez conducted a Health & Safety inspection as a result of the department receiving notice that the licensee passed away. LPA met with Backup Administrator, Ana Breen and explained the purpose of the visit. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 110.4 degrees F in the hallway bathroom. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Facility grocery shops on a weekly basis. Resident's medications were kept locked in cabinet. Smoke detectors and carbon monoxide detector observe. First-aid kit was complete. Fire extinguisher was last serviced on 10/14/2025. Pool observed to be locked and secured. Indoor and outdoor passageways are free of obstruction. Facility currently has one (1) resident. There were two (2) caregivers on duty at the time of the inspection. LPA spoke with Backup Administrator, Ana Breen who is next of kin who states that they would like to begin the Emergency Approval to Operate (EAO) procedures and has submitted documents to the department. Backup Administrator states that they will submit additional required documents as soon as possible/available and will file an application for a new license. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 3, 2026
May 20, 2026Facility evaluation reportReport on file
Type of visit: Case Management - Other
On 5/20/2026 at 1:30PM Licensing Program Analyst (LPA) arrived to the facility unannounced to conduct a case management for observations made during the case management on 3/23/2026. LPA met with Administrator, Ana Breen and explained the purpose of the visit. While conducting the case management on 3/23/2026 LPA observed that the Licensee/Administrator was not of good health and unable to perform their necessary duties. Backup Administrator stated that their condition was temporary and that they should be in good health in the next few months. LPA returned to assess the condition of the Licensee/Administrator and observed that their condition remains the same. Ana explained that they are planning on taking over the facility/ License and will reach out to CAB. While conducting the case management LPA also observed the following: LPA observed kitchen cluttered throughout. LPA advised the Administrator to finish renovations and organizing and to notify CCLD upon completion. Expected completion July 17, 2026 No deficiencies cited at this time and a copy of this report provided.the state’s words, verbatim · CDSS document, May 20, 2026
Mar 23, 2026Facility evaluation reportReport on file
Type of visit: Case Management - Other
On 3/23/2026 at 1:00PM Licensing Program Analyst (LPA) arrived to the facility unannounced to conduct a case management for observations made durring the annual visit on 1/28/2026. LPA met with Administrator, Ana Breen and explained the purpose of the visit. While conducting the annual visit on 1/28/2026 LPA observed that the Licensee/Administrator was not of good health and unable to perform their necessary duties. Backup Administrator stated that their condition was temporary and that they should be in good health by the beginning of March 2026. LPA returned to assess the condition of the Licensee/Administrator and observed that their condition remains the same. While conducting the case management LPA also observed the following deficiencies: THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed expired food in the refrigerator and not stored properly LPA observed kitchen cluttered throughout, and carpets unclean with odor LPA observed unlocked paint cans on the kitchen floor and a pair of scissors in a black holster. The following deficiencies were observed (see LIC 809D) and 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 conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 23, 2026
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87470(a)(2) · Plan of correction due date: Apr 23, 2026
(a) A licensee shall ensure that infection control practices are maintained as follows: (2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in the facility being maloudorous, and Kitchen cluttered which poses a potential health and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 23, 2026
Plan of correction: By POC Facility agrees to organize and sanatize the facility and notify CCLD
From the deficiency page — Deficiency type: Type B · Section cited: CCR87555(b)(8) · Plan of correction due date: Apr 23, 2026
(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in having expired and improperly stored food in the refrigerator which poses a potential health and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 23, 2026
Plan of correction: By POC Facility agrees to organize food and clean out the refridgerators and notify CCLD
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Apr 23, 2026
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in in having accesable paint and scissors in the kitchen which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Mar 23, 2026
Plan of correction: By POC Facility agrees to organize to ensure adequete space for dangerous items and notify CCLD
Jan 28, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On 1/28/2026 at 8:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Ana Breen and explained the purpose of the visit. The facility’s fire clearance was approved for all residents may be non-ambulatory. LPA toured facility with Ana Breen including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 1 bedrooms are occupied by the residents and 3 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. Pool observed locked and secured. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 10/14/2025. LPA is requesting a new emergency disaster plan be drafted. LPA reviewed 1 residents records. LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed that the facility is cluttered and not sanitary; dust/cobwebs throughout; bathroom with urine on the toilet seat; Facility is malodorous throughout * LPA observed a pair of grey and orange scissors unlocked in kitchen and chemicals in bathroom * LPA observed expired food in the refrigerator and not stored properly; expired garlic, raw meat dripping on veggies, and uncovered open food.* LPA observed the floor in disrepair in the dining/sitting area.; Toilet seat in bathroom is broken LPA observed trash is not properly being disposed of (Piled on top of trash bin in kitchen in open paper bags) ***Civil Penalties issued for repeat violations 3 X $250 *** Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/03/2025: LIC 500 Personnel Report Change of Administrator Documents Emergency Disaster Plan LIC610E The following deficiencies were observed (see LIC 809D) and 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 conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 28, 2026
The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.
Feb 10, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On 2/10/2025 at 9:20 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Ana Breen and explained the purpose of the visit. The facility’s fire clearance was approved for all residents may be non-ambulatory. LPA toured facility with Ana Breen including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 1 bedrooms are occupied by the residents and 3 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. Pool observed locked and secured. A comfortable temperature is maintained at 68 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 110.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 11/19/2024. Emergency Disaster Plan was last posted on 02/10/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/15/2025. At 11am, LPA reviewed 1 residents records. At 11:30 am, LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. At 1:00pm, LPA reviewed a sample of resident’s medications. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed that the facility is cluttered and not sanitary; dust throughout LPA observed a pair of green scissors unlocked LPA observed expired food in the refrigerator and not stored properly; expired broccoli and uncovered open food. LPA observed unlocked medications in the refrigerator ***Civil Penalties issued for repeat violations 3 X $250 *** Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/03/2025: LIC 500 Personnel Report Current Administrator’s Certificate The following deficiencies were observed (see LIC 809D) and 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 conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 10, 2025
The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.
Nov 20, 2024Complaint investigation reportUnsubstantiated
Allegation investigated: Facility is in disrepair. Staff did not ensure facility is clean and sanitized. Facility did not follow proper reporting requirements.
On 11/19/2024 at 3:00 pm, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver amended report findings in regard to the allegations above. LPA met with Administrator, Ana Breen and explained the purpose of the visit. On the allegation of "Facility is in disrepair," LPA conducted multiple visits to assess the condition of the facility. During the initial visit on 5/09/2024, LPA observed a slow drip from the kitchen sink, which had a bucket placed underneath to catch the water. However, the sink was still operational, and the slow drip did not interfere with the facility’s daily operations. Report Continues on LIC9099-C Unsubstantiated The Administrator confirmed that the leak had been ongoing for approximately a week and was actively working to repair it. LPA also inspected the rest of the facility, including bathrooms, common areas, and the front and back yards, and found no other issues of disrepair. On 8/01/2024, during a follow-up visit, LPA confirmed that the kitchen sink had been fully repaired and no longer required a bucket to catch the water. On the allegation of "Staff did not ensure the facility is clean and sanitized," LPA conducted inspections on 5/09/2024 and 8/01/2024. During both visits, LPA observed that the facility was clean, well-maintained, and free from any visible signs of unsanitary conditions. The bathrooms, kitchen, common areas, and both the front and back yards were all in satisfactory condition with no issues regarding cleanliness or sanitation. There were no reports or evidence of pests or contamination during the visits. On the allegation of "Facility did not follow proper reporting requirements," during the initial visit on 5/09/2024 LPA spoke with the Administrator who stated that the kitchen sink had a slow drip for less than a week before LPA conducted the initial visit. LPA requested plumber invoices/quotes by 5/16/2024. The facility subsequently submitted the requested documents, and LPA reviewed them before the follow-up visit on 8/01/2024. The reports showed that the facility had gotten a quote for repair on 5/4/2024. During the visit on 8/01/2024, LPA also confirmed that the kitchen sink had been fully repaired and no longer required a bucket to catch the water. The facility was within their reporting time frame when LPA conducted the visit on 5/09/2024. LPA was unable to receive any proof from RP to substantiate the above allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Nov 20, 2024 · control 15-AS-20240502154143
Nov 20, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Other
On 11/20/2024 at 4:02PM Licensing Program Analyst (LPA) arrived to the facility unannounced to deliver an Amended report for complaint 15-AS-20240502154143. LPA met with Administrator, Ana Breen and explained the purpose of the visit. LPA delivered the amended report. All Allegations went Unsubstantiated. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 20, 2024
Mar 26, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On 03/26/2024 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Ana Breen and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 4 bedrooms are available for residents and 2 bedrooms is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. The pool is locked and secured. A comfortable temperature is maintained at 78 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 111.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is not a minimum of one week supply of nonperishable and 2-day of perishable foods once expired and spoiled food was discarded. Centrally stored medication and sharps were not locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 12/29/2023. Emergency Disaster Plan was last reviewed on 10/05/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 02/16/2024. At 11:00AM, LPA reviewed 1 of 1 residents records. At 11:30AM , LPA reviewed 3 of 3 staff records and 3 of 3 have current first aid training and arenassociated to the facility. Report continues on LIC 809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:00 AM during facility tour LPA observed that food in refrigerator is spoiled and expired. There was spoiled bok choy, tomatoes, bagged salads, uncooked sausages, uncooked corned beef, asparagus, bell peppers, uncooked tri-tip, and uncooked hot dogs among other foods. LPA advised administrator to dispose of the spoiled food as well as the food that was cross contaminated. (repeat violation) 87555(b)(8) At 10:05 AM during facility tour LPA observed unlocked knife and a pair of scissors in the top oven. Also the sharps cabinet was unlocked and contained a butcher knife. (repeat violation) 87309(a) At 10:05 AM during facility tour LPA observed the oven to be missing the knobs for function. At 10:07 AM during facility tour LPA observed animal fecal matter smeared on floor At 10:14 AM during facility tour LPA observed a disorganized closet with unlocked Combat Roach killing gel.(repeat violation) 87309(a) At 10:16 AM during facility tour LPA observed a bottle of Lisinopril 10MG on table in common area. (repeat violation) 87465(h)(2) At 10:18 AM during facility tour LPA observed a broken latch on sliding door in R1's room. Door was also cushioned with pad used for incontinence. (repeat violation) 87303(a) At 10:18 AM during facility tour LPA observed layers of cobwebs in R1's bedroom at the top of sliding door. At 10:20 AM during facility tour LPA observed infestation of ants in laundry room as well as a mildew odor Report continues on LIC 809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT CONTINUED: At 10:25 AM during facility tour LPA observed a screen door with holes and in disrepair 10:00AM -10:29AM Facility was observed unsanitary throughout. Dirt on walls, floors, grease on kitchen appliances, odor throughout facility, surfaces sticky. (repeat violation) 87303(a) At 11:30 AM during file review LPA observed that R1's physicians report states that they are bedridden and facility is not cleared for bedridden (Immediate $500 civil penalty) ***An Immediate $500 civil penalty is being assessed for fire clearance violation*** *** A $250 civil penalty is being assessed for each repeat violation ($250 X 4)**** The following deficiencies were observed (see LIC 809D) and 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 conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 26, 2024
The state marks this report as 11 pages; the online copy we transcribed has 9. You can request the full file from the county licensing office.
Jan 25, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Deficiencies
LPAs K. Nguyen and A. Gomez arrived unannounced to conduct a case management regards to LIC 500. LPA was not able to reach the Administrator. LPAs spoke with Zella Cristobal and explained the purpose of the visit. Zella stating, she was a visitor who came to visit her brother, and when asked if there’s any staff in the facility she stated “NO” only her. Zella was listed as a volunteer on the LIC 500. Later Delze Cristobal arrived. LPA spoke with Administrator, Ana Breen. arrived at 10:35am. LPAs requesting document to be submit to CCLD by 2/1/24: -Care plan for all residents LPAs toured the facility/ Observations at 10:15am: - Medication was left unlocked inside the First Aid cabinet. - Knife left out on the kitchen counter on the cutting mat. Knife left out by the sink. Dishwasher was left open knife was observed to be unlocked. - Chemical was left unlocked in the bathroom cabinet and laundry mat. - Pool gate was not lock. - Refusing entry LPAs observed a deficiency violation which have been cited (see LIC 809d) on 10/05/23. Immediate $500x3 and repeated violation $250 is assess today. Deficiencies, Plan of Corrections, Civil Penalties, Appeal Rights discussed with Ana Breen. A copy of civil penalty is issue and appeal right provided to Administrator.the state’s words, verbatim · CDSS document, Jan 25, 2024
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Jan 26, 2024
87309 Storage Space: (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients... (b) Medicines which are centrally stored shall be stored as specified in Section 87465 and separately from other items specified in (a) above... This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by leaving: - Medication was left unlocked inside the First Aid cabinet. - Knife left out on the kitchen counter on the cutting mat. Knife left out by the sink. Dishwasher was left open knife was observed to be unlocked. - Chemical was left unlocked in the bathroom cabinet which posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 25, 2024
Plan of correction: Administrator will review regulation and submit a self-certified stating that AD review and understand the regulation. Administrator will lock all chemical and medicine and submit proof to CCLD by the due date.
From the deficiency page — Deficiency type: Type A · Section cited: CCR87705(e) · Plan of correction due date: Jan 26, 2024
(e) Swimming pools and other bodies of water shall be fenced and in compliance with state and local building codes. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having an unlocked pool area which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 25, 2024
Plan of correction: By POC date Administrator agrees to have items in backyard removed or placed in a locked storage and submit photographic proof to CCLD
From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.32 · Plan of correction due date: Jan 26, 2024
1569.32 Spot inspections Any duly authorized officer, employee, or agent of the department may, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, this chapter. This requirement is not met as evidenced by: Volunteer staff refused to let LPA in when asked.the state’s words, verbatim · CDSS document, Jan 25, 2024
Plan of correction: LPA went over the regulation with Administrator to provide education to informed AD upon regulation.
From the deficiency page — Deficiency type: Type A · Section cited: HSC1548(c)(3) · Plan of correction due date: Feb 1, 2024
1548 (c)(3) Civil penalties; regulations setting forth appeal procedures for deficiencies This requirement is not met as evidenced by: LPA confirmed with Zella a voluneer at the facility that there was no staff present during the time LPA arrived.the state’s words, verbatim · CDSS document, Jan 25, 2024
Plan of correction: Administrator will insure to hire more staff. Administrator will review the regulation and submit a self-certifiy that AD review the regulation to CCLD by POC date.
Nov 30, 2023Facility evaluation reportReport on file
Type of visit: POC
On 11/30/2023 at 9:30am, Licensing Program Analysts (LPAs) A. Gomez and L. Hall arrived unannounced to conduct proof of correction (POC) visit. LPAs met with Ana Breen, Administrator, and explained the purpose of the visit. LPA A Gomez conducted a POC visit on 11/03/2023 and cited facility for the following: · 87303(a) Care Persons with Dementia- LPAs observed today swimming pool fenced and locked · 87555(b)(8) General Food Service Requirements- LPAs observed today food of good quality and labeled appropriately. · 87303(a) Maintenance and Operation- LPAs observed the facility to be clean and in good repair · 87307(d)(6) Personal Accommodations and Services- LPAs observed the facility and yard to be free of obstruction LPAs observed that all deficiencies are now clear. Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Nov 30, 2023
Nov 3, 2023Facility evaluation reportReport on file
Type of visit: POC
On 11/03/2023 at 9:30am, Licensing Program Analysts (LPAs) A. Gomez and L. Hall arrived unannounced to conduct proof of correction (POC) visit. LPAs met with Ana Breen, Administrator, and explained the purpose of the visit. LPA A Gomez conducted an Annual Inspection on 10/05/2023 and cited facility for the following: 87307(d)(4)Personal Accommodations and Services- LPA observed on today outside deck and inside flooring have been repaired . LPA A Gomez conducted an Annual Inspection on 10/05/2023 and will recite facility for the following: 87303(a) Care Persons with Dementia- LPAs observed today swimming pool not fenced and locked 87555(b)(8) General Food Service Requirements- LPAs observed today food of poor quality (banna's, apples, uncovered rice in refrigerator...) 87303(a) Maintenance and Operation- LPAs observed the facility today unsanitary and obstructed with items (dust in main living room, clothes piled in laundry room, various items throughout...) 87307(d)(6) Personal Accommodations and Services- LPAs observed roll away bed, toilet snake, a car cover filled with miscellaneous car parts... continued on LIC 809C Continued from LIC 809 LPA observed the following deficiency on todays date: At approximately 9:50AM LPAs observed unlocked medication in kitchen. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct these deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and appeal rights providedthe state’s words, verbatim · CDSS document, Nov 3, 2023
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Nov 20, 2023
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above due to facility being unsanitary which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 3, 2023
Plan of correction: By POC date Administrator agrees to have facility common areas sanitary, and laudry room clean. Administrator will submit photo to CCLD.
From the deficiency page — Deficiency type: Type B · Section cited: CCR87555(b)(8) · Plan of correction due date: Nov 20, 2023
(b) The following food service requirements shall apply: (8) All food shall be of good quality... This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having food of poor quality which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 3, 2023
Plan of correction: By POC date Administrator agrees to discard all food of poor quality and submit photographic proof to CCLD
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(e) · Plan of correction due date: Nov 20, 2023
(e) Swimming pools and other bodies of water shall be fenced and in compliance with state and local building codes. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having an unlocked pool area with a fence shorter than five feet which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 3, 2023
Plan of correction: By POC date Administrator agrees to install a fence that is in compliance with state and local building codes and submit photographic proof to CCLD
From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(d)(6) · Plan of correction due date: Nov 20, 2023
(d) The following space and safety provisions shall apply to all facilities:(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. Based on observation, the licensee did not comply with the section cited above by having outdoor area obstructedthe state’s words, verbatim · CDSS document, Nov 3, 2023
Plan of correction: By POC date Administrator agrees to have items in backyard removed or placed in a locked storage and submit photographic proof to CCLD
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Nov 4, 2023
(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 to persons other than employees responsible for the supervision of the centrally stored medication. Based on observation, the licensee did not comply with the section cited above by having unlocked medication in kitchen which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 3, 2023
Plan of correction: LPAs observed Administrator locked away medicine during visit
Oct 5, 2023Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analysts (LPAs) A. Gomez and P. Watson conducted an unannounced 1-year Required visit on this date. LPAs met and toured with Administrator, Ana Breen. The Administrator currently holds a certificate(#6051319740) to expire on 2/28/2025. The facility’s fire clearance was approved for six (6) non-ambulatory residents and subject to three (3) hospice waivers. LPAs toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (6) total bedrooms which three (3) bedrooms are occupied by the residents and three (3) bedroom is occupied by staff.A comfortable temperature is maintained at 77 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 108 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 2-day of perishable foods and a minimum 7-day non-perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 12/10/2022. First aid kit was observed to be complete. Report continues on 809C At 9:55AM LPAs reviewed two (2) staff record files and staff have criminal record clearance and are associated to the facility. 2 of 2 staff have current first aid training. LPAS reviewed two (2) resident's records. The following deficiencies were observed: 10:25AM LPA's observed moldy and expired food in kitchen fridge and pantry 10:29AM LPA's observed unlocked knives on counter (cleared during visit) 10:30AM LPA's observed the inside of the facility to be cluttered and dusty throughout common areas 10:32AM LPA's observed laundry room piled with clothes and unlocked detergent. 10:44AM LPA's observed oxygen tanks without stands in residents (R1) room with no posted signs. 10:59AM LPA's observed unlocked can of RAID bug spray in residents bathroom under sink. 11:09AM LPA's observed clutter and various items in yard (items include but are not limited to: car parts, rusted box springs, mattresses, tires, and other miscellaneous items) 11:10AM LPA's observed the backyard fence in disrepair (fence located on left side of house) 11:11AM LPA's observed an unlocked pool area with a partial fence that is the incorrect height (fence measured below 5 feet) Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Report continues on 809C (2) LPA requested the following documents to be submitted to CCLD by 10/12/2023. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance Exit interview conducted. A copy of appeal rights and this report provided.the state’s words, verbatim · CDSS document, Oct 5, 2023
What the state’s words mean
CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗
Life here
Rooms, meals, the rhythm of a day, faith and language, pets and house rules — as the home describes them. Tap any detail for its source and date; nothing here is graded.
The home has not described daily life anywhere we have reviewed yet — that is the case for most small homes, and it says nothing about the home. These questions fill in the picture; keep the ones that matter to you.
Before you call
Ask every home the same questions — the state’s record does not answer these. Keep the ones that matter and they travel with your saved homes.
- What is included in the monthly rate, and what costs extra?
- Who is awake overnight, and how do residents ask for help?
- Which rooms does the non-ambulatory approval cover, and what transfer support is provided?
- What could change whether someone can stay here?
- Can we see a bedroom and share a meal during a visit?
Other homes nearby
The nearest licensed homes in Contra Costa County, closest first. Every listed home appears on the same terms.
Welcome Home Senior Residence (Alamo)
Alamo · Small home · 0.3 mi away
$5,000 a month to start · Covelight estimate
Alamo Residence Home
Alamo · Small home · 0.4 mi away
$5,950 a month to start · Covelight estimate
Alamo Care Home
Alamo · Small home · 0.4 mi away
$5,800 a month to start · Covelight estimate
Megan Care Home
Alamo · Small home · 0.5 mi away
$5,500 a month to start · Covelight estimate
New Alamo Residence Home
Alamo · Small home · 0.6 mi away
$7,000 a month to start · Listed by the home
Casa Blanca Retirement Homes
Alamo · Mid-size home · 0.7 mi away
$3,500 a month to start · Listed by the home