Senior Care Records.

Facility Evaluation Report

Peninsula Del Rey, Daly City04/16/2026Licence 415601070

Capacity150
Census113
Date signed04/16/2026 02:54:18 PM
Name of licensing program analystKomal Curley
Name of licensing program managerApril Cowan
The inspector’s account

On April 16, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Administrator, Katherine Tazawa and explained the purpose of the visit.

LPA toured the facility inside and outside including a random sample of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. LPA observed a hot-tub but gates were observed to be all around and locked. There were no fire safety hazards observed. This is a four story facility; assisted living (AL) on 1st, 2nd, and a portion of the 3rd floor and independent living (IL) on the rest of 3rd floor and all of the 4th floor.

Rooms observed were clean, odor-free with all required furniture. Each resident room has it's own bathroom.

Water temperature throughout the facility measured between 110-118 degrees F. Dining room was observed free from tripping hazards. Residents were observed to be having lunch in the dining room. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Extra food supply was observed to be present. LPA observed med-carts on each floor. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care.

Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of

July 2025. Emergency drills are logged and done every month. LPA reviewed 5 resident records and 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction