Inspection
No deficiencies recorded in this report
BLISSFUL CARE HOME LLC.
1381 VIA LA PALOMA, San Lorenzo CA 94580
6 bedsLatest official report Jul 9, 2026Licensed
Additional info
- Telephone
- (510) 278-0222
- Licensee
- BLISSFUL CARE HOME LLC.
- Administrator
- BUCTUAN-ROTOR, MARLYN & MA
- Contact
- BUCTUAN-ROTOR, MARLYN & MA
- License first date
- Jul 2, 2010
- License effective date
- Jul 2, 2010
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 3 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Jul 9, 2026
- Most recent deficiency
- Jun 27, 2025
1 later report, on Jul 9, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 152 Alameda County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 7
- Type A deficiencies
- 3
- Type B deficiencies
- 4
- Substantiated complaints
- 0
- Repeated topics
- 0
About the same as most this size
1 in the last 12 months
More than the typical 4
0 in the last 12 months
More than the typical 1
0 in the last 12 months
More than the typical 2
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that out of the 4 staff members, none of the staff members on duty had proof of CPR training in which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2025 Plan of Correction The Administrator agrees to schedule at least one staff member to recieve CPR training and submit documentation of scheduled training to CCLD by POC date. Administrator agreed to also send the completion of the training on 07/11/2025.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that 0 out of 4 staff members did not have first aid certification on file which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/07/2025 Plan of Correction The Administrator agrees to schedule all staff members to recieve first aid training and submit documentation of scheduled training to CCLD by POC date. Administrator agreed to also send the completion of the training on 07/11/2025.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that S1, S2, S3, and S4 had missing 20 hr annual training which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/11/2025 Plan of Correction Administrator agreed to submit documentation of completed 20 hr annual training to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that R1 and R2 had missing Appraisal needs and service plans which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/11/2025 Plan of Correction Administrator agreed to submit documentation of completed Appraisal Needs and Services plan for R1 and R2 to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)(3)
- Regulation authority
- HSC
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement Based on file review, the licensee did not comply with the section cited above in that the facility did not have a current fire drill since the last drill was conducted in July 2024 which poses a potential health and safety rights risk to persons in care.
Official plan of correction
POC Due Date: 07/11/2025 Plan of Correction Administrator has agreed to conduct emergency disaster fire drills quarterly and will send a copy of the most recent drill to CCLD by POC date. Administrator has agreed to conduct a fire drill in the facility by 7/11/2025.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in that R1 had a half rail bed but during record review, R1 did not have an approved doctor's order which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 07/11/2025 Plan of Correction Administrator agreed to obtain a written order from a physician indicating the need for the postural support for R1 and proof of documentation will be submitted to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)
- Regulation authority
- CCR
What the official deficiency says
87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by having S1 work at the facility without a criminal record clearance nor association to the facility which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/24/2023 Plan of Correction Administrator will have S1 complete a criminial record clearance and associate them to the facility and provide photographic proof to ccl by POC date
Plan of correction recorded
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology