Public Record
Five Star Care Home Ii
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About this facility
Operating details and county context
Operating details
- Capacity
- 6 residents
- Phone
- (650) 345-5784
- Address
- 789 Niantic Drive
- Licensed since
San Mateo County context
208*CCLD
Total facilities
6.0*CCLD
Avg citations
8.1*CCLD
Avg visits
1.9*CCLD
Avg complaint visits
*CCLD: California Community Care Licensing Division. Updated weekly. Last refresh .
Citations
25 citations on record
Every regulation cited on a CCLD inspection of this facility, sourced from the public record. Each row links to the visit’s inspector narrative.
What does Type A vs Type B mean?
Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.
Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.
2025
- 87355(a)Type A
87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve..or employment, .. Based on observation, interview and record review, LPA observed S1 caring for resident but criminal record clearance was incomplete which poses an immediate health and safety risks for residents in care.
- 87465(c)(3)Type A
Document each PRN medication dose taken
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R4 was admitted in May 2025 and there is no medication record which poses an immediate health, safety or personal rights risk to persons in care.
- 1569.625(b)(2)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed 2 out of 2 staff did not have their training records which poses an immediate health, safety or personal rights risk to persons in care.
- 1569.695(c)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility was not able to provide proof that the emergency drills were completed accordingly which poses an immediate health, safety or personal rights risk to persons in care.
- 1569.696(a)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed 2 out of 2 staff did not have their training records which poses an immediate health, safety or personal rights risk to persons in care.
- 87303(a)Type B
Maintain facility in clean, safe, sanitary condition
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as during the tour, LPA observed strong urine odor in resident rooms, a layer of black dust on top of the kitchen vent, dirty floor edges in the kitchen and around the facility, resident rooms were cluttered, etc. which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87303(e)(2)Type A
Provide resident hot water for personal care
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed water temperature in the kitchen and the resident bathroom were measured at 139-143 F which poses an immediate health, safety or personal rights risk to persons in care.
- 87456(a)(2)Type A
Perform a pre-admission resident appraisal
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R4 was admitted in May 2025 and there is no pre-admission appraisal which poses an immediate health, safety or personal rights risk to persons in care.
- 87456(a)(3)Type A
Obtain and evaluate recent medical assessment
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R4 was admitted in May 2024 and the facility did not have a copy of the recent medical assessment which poses an immediate health, safety or personal rights risk to persons in care.
- 87608(a)(3)Type A
Maintain physician order documentation in resident record
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed R2 and R4 have bed rails without a physician's order which poses an immediate health, safety or personal rights risk to persons in care.
- 87618(b)(3)(A)Type B
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 2 residents with Oxygen in their room and the facility was not able to provide proof that the local fire jurisdiction was notified which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87633(a)(1)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility has an approved hospice waiver for 1 but currently has 2 residents who are on hospice which poses an immediate health, safety or personal rights risk to persons in care.
- 87618(b)(3)(B)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA did not observed any "No Smoking - Oxygen in Use" signs inside and outside of the facility which poses an immediate health, safety or personal rights risk to persons in care.
- 1569.618(c)(3)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed S1 and S2's CPR/Fire aid training expired May 2024 which poses an immediate health, safety or personal rights risk to persons in care.
2024
- 1569.625(d)(1)Type B
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 2 out of 2 staff members did not have documents to proof that this training was completed which poses/posed a potential health, safety or personal rights risk to persons in care.
- 1569.695(c)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility was not able to provide proof that emergency drills were completed accordingly which poses an immediate health, safety or personal rights risk to persons in care.
- 1569.696(a)Type B
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 2 out of 2 staff did not have documents to proof that this training was completed which poses/posed a potential health, safety or personal rights risk to persons in care.
- 1569.696(a)(1)Type B
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above 2 out of 2 staff members did not have training records to proof that this was completed which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87303(a)Type B
Maintain facility in clean, safe, sanitary condition
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a hold in the wooden deck which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87307(d)(6)Type B
Passageways and stairways kept clear
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a bed that was blocking the outdoor passageway which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87457(c)(1)Type B
Minimum appraisal documentation requirements
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 4 out of 6 residents did not have a completed appraisal which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87468(d)Type B
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA did not observe the personal rights were posted which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87456(a)(2)Type A
Perform a pre-admission resident appraisal
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 4 out of 6 residents did not have a pre-admission appraisal which poses an immediate health, safety or personal rights risk to persons in care.
- 1569.625(b)(2)Type B
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 2 out of 2 staff did not have documents to proof that required training was completed which poses/posed a potential health, safety or personal rights risk to persons in care.
- 1569.618(c)(3)Type A
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 2 out of 2 staff did not have a valid First Aid Certification which poses an immediate health, safety or personal rights risk to persons in care.
Inspection record
4 visits on record since 2024. Most recent on 2025-07-11.
2 routine inspections.
- OtherNo citationsRead inspector’s narrative
- Other1 Type ARead inspector’s narrative
- Inspection11 Type A · 2 Type BRead inspector’s narrative
- Inspection3 Type A · 8 Type BRead inspector’s narrative
25 citations across the record on file
Nearby
Other licensed assisted living facilities in Foster City
FAQ
Common questions about this facility
Is Five Star Care Home Ii licensed in California?
Yes, Five Star Care Home Ii is currently licensed in California. It has been licensed since 2007.
How many citations does Five Star Care Home Ii have?
Five Star Care Home Ii has 25 citations on record: 15 Type A (more serious) and 10 Type B citations. It has received 4 visits (2 inspections, 2 other visits).
When was Five Star Care Home Ii last inspected?
Five Star Care Home Ii was last inspected on July 11, 2025 (about 12 months ago). California inspects licensed assisted living facilities (RCFEs) on a periodic basis or following a complaint.
What type of assisted living facility is Five Star Care Home Ii?
Five Star Care Home Ii is a Residential Care Facility for the Elderly (RCFE), which is a licensed assisted living facility serving older adults with a licensed capacity of 6 residents. It is located in Foster City, San Mateo County, California.
How does Five Star Care Home Ii compare to other assisted living facilities in San Mateo County?
Five Star Care Home Ii has 25 citations. The county average is 6.0 citations per facility. There are 208 assisted living facilities in San Mateo County.
Does Five Star Care Home Ii have any serious violations?
Five Star Care Home Ii has 15 Type A citations on record. Type A citations indicate conditions that pose an immediate health or safety risk to residents. Review the inspection timeline above for details on each citation.
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