PACIFIC CARE HOME IV

92 WEST 41ST AVENUE, SAN MATEO, CA 94403 · License #415600993 · (650) 477-2474

Licensed

Capacity

6

Licensee

J&I LLC

Administrator / Contact

JISON, RAFAEL

Licensed Since

5/30/2017

Last Visit

5/5/2026

AGE RANGE 60 AND OVER. ALL MAY BE NON-AMBULATORY AND ONE MAY BE BEDRIDDEN IN ROOM #1. LICENSE IS SUBJECT TO TERMS AND CONDITIONS OF HOSPICE WAIVER FOR 4 RESIDENTS.

Citations

0

Type A: 0 · Type B: 0

Complaints

0

Substantiated: 0 · Inconclusive: 0 · Unfounded: 0

Compliance Summary — since 5/30/2017

Total State Visits

3

Inspections

3

Complaints on Record

0

Substantiated Allegations

0

Cumulative totals across this facility's entire California licensing history, per CCLD public records — not just the reports summarized below.

AI Summary

A plain-English recap of what you've selected below

Reports in this summary (3)

All Official Reports (3)