Inspection Reports for
Enchanted Garden for Seniors

188 Starlite Dr, San Mateo, CA 94402, CA, 94402

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

33% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2024
2025

Occupancy

Latest occupancy rate 83% occupied

Based on a June 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy rate over time

77% 84% 91% 98% 105% Sep 2022 Jul 2024 Jun 2025

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 4 Date: Jun 24, 2025

Visit Reason
The inspection was a required unannounced annual comprehensive inspection of the facility to evaluate compliance with licensing regulations.

Findings
The inspection found several deficiencies including missing criminal record clearances for some staff, outdated client appraisals, lack of physician orders for postural supports, and incomplete hospice care plans. Plans of correction were requested for all deficiencies.

Deficiencies (4)
CCR 87355(c)(1)(2): Criminal record clearances for 3 staff are not transferred to this facility as required.
CCR 87463(a): Appraisals for clients #3 and #4 diagnosed with dementia are outdated by more than 12 months.
CCR 87608(a)(3): No physician orders are maintained for half bed rails used by clients #3 and #5.
CCR 87633(b): Hospice care plan for client #1 is incomplete and does not meet regulatory requirements.
Report Facts
Staff without criminal record clearance: 3 Clients with outdated appraisals: 2 Clients without MD orders for postural supports: 2 Hospice clients with incomplete care plans: 1

Employees mentioned
NameTitleContext
Ferlene GiustoAdministratorCertified RCFE administrator overseeing facility operations.
Audrey JeungLicensing Program AnalystConducted the inspection and signed the report.
April CowanLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 2 Date: Jul 11, 2024

Visit Reason
The inspection was a required unannounced 1-year visit to evaluate the facility's compliance with licensing regulations.

Findings
The facility was toured and records reviewed, with no immediate safety hazards observed. However, deficiencies were cited related to failure to update dementia appraisals annually and improper labeling practices on medication prescription labels.

Deficiencies (2)
CCR 87705(c)(6) Care of Persons with Dementia: Appraisals for clients #1, #4, and #6 diagnosed with dementia were not updated annually, posing a potential health and safety risk.
CCR 87465(h)(4) Incidental Medical Care: Staff wrote start dates and other information on prescription labels for client #2, which is not compliant with state and federal laws.
Report Facts
Plan of Correction Due Date: Jul 25, 2024

Employees mentioned
NameTitleContext
Ferlene GiustoAdministratorCertified RCFE administrator overseeing facility operations
Audrey JeungLicensing EvaluatorConducted facility evaluation and signed report
April CowanSupervisorSupervisor overseeing licensing evaluation

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 2 Date: Sep 1, 2022

Visit Reason
The visit was an unannounced annual infection control inspection conducted as part of the required 1-year licensing evaluation.

Findings
The inspection found the facility generally compliant with infection control practices and safety standards, but noted an unreported room built in the garage being used as a staff room, which was not indicated on the facility floor plan and poses potential health, safety, or personal rights risks.

Deficiencies (2)
87305 Alterations to Existing Building or New Facilities: The facility built a room in the garage not indicated on the submitted floor plan and failed to notify CCLD of this alteration, posing potential health, safety, or personal rights risks.
87307(a)(2) Personal Accommodation and Services: The facility staff are utilizing a room in the garage as a staff room, which is not permitted and poses potential health, safety, or personal rights risks to persons in care.
Report Facts
POC Due Date: Sep 8, 2022

Employees mentioned
NameTitleContext
Komal CharitraLicensing Program AnalystConducted the inspection and authored the report
Lolita FactolerinCaregiver/Assistant AdministratorMet with Licensing Program Analyst during inspection
Jackie JinSupervisorSupervisor overseeing the inspection

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