Senior Care Records.

Facility Evaluation Report

1ST Pacific Coast Homes II, South San Francisco04/01/2026Licence 415600833

Capacity6
Census1
Date signed04/01/2026 03:35:24 PM
Name of licensing program analystGrace Donato
Name of licensing program managerBrenda Chan
The inspector’s account

On 4/1/2026 LPA Grace Donatoconducted an unannounced annual visit to the facility. LPA met with the administrator Deborah Dahlen and explained the purpose of the visit.

LPA toured the facility inside and outside. While touring the facility it was observed that the temperature was at 68 deg F. Hot water was also tested and temperature was 112 deg F. Only 1 resident currently residing in the facility. All personal belongings are intact. All walkways are free of obstruction. Carbon monoxide monitor is working properly. All fire extinguishers have been checked. Bathrooms were observed to be in good repair equipped with non-skid mats and grab bars. There is also adequate amount of food. 2 days for perishables and & 7 days non-perishable. Sharps and toxic materials are locked. Emergency drills are done quarterly.

One resident record and two staff records were reviewed. Medication review was done and all medications are accounted for and centrally stored medication records are updated. All staff has criminal record clearance and are associated with the facility. Resident records are checked and all are complete and updated.

Licensee to submit Liability Insurance to LPA.

Report is reviewed with Administrator and a copy is provided.

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