Senior Care Records.

Facility Evaluation Report

Rustan Adult Residential Care Home, Daly City10/29/2025Licence 410508554

Capacity6
Census6
Date signed10/29/2025 11:54:36 AM
Name of licensing program analystKomal Curley
Name of licensing program managerApril Cowan
The inspector’s account

On October 29, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case management health and safety visit in relation to a relocation of a resident from another facility due to facility closure. LPA met with Administrator, Leah Ruiz and explained the purpose of the visit.

On October 10, 2025, due to an emergency placement, Resident 1 (R1) was relocated to Rustan Adult Residential Care Home. During the visit, LPA observed R1's room to be clean and equipped with all required furnishings. R1's personal belongings were present and in tact. Medications were all present and locked. LPA reviewed R1's file and it was signed and completed. At the time of the visit, the Administrator indicated that R1 was at his/her day program.

LPA requested an updated copy of the resident roster to be submitted by 10/30/25. No citations are issued during the visit. Report is reviewed with Administrator, Leah Ruiz and a copy is provided.

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