Inspection
No deficiencies recorded in this report
PENINSULA REFLECTIONS
205 COLLINS AVE, Colma CA 94014
57 bedsLatest official report Aug 13, 2026Licensed
Additional info
- Telephone
- (650) 731-4670
- Licensee
- CLAREMONT RETIREMENT MANAGEMENT SERVICES INC
- Administrator
- ANNA ALLAS
- Contact
- ANNA ALLAS
- License first date
- Oct 6, 2016
- License effective date
- Oct 6, 2016
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 1 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Aug 13, 2026
- Most recent deficiency
- Sep 30, 2024
6 later reports, from Dec 20, 2024 through Aug 13, 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 28 San Mateo County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 17 reports for this facility: 9 inspections, 8 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 9
- Recorded deficiencies
- 3
- Type A deficiencies
- 1
- Type B deficiencies
- 2
- Substantiated complaints
- 1
- Repeated topics
- 0
More than the typical 6
3 in the last 12 months
Fewer than the typical 4
0 in the last 12 months
About the same as most this size
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size 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
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f)- Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). Violation of this regulation is not met as evidenced by: Based on file reviewed, it was noted R1 has a diagnosis of late onset Alzheimer's dementia and is unable to leave the facility unassisted. In addition, based on staff interviewed, the alarm did turn on when R1 opened the exit door in the dining room, however staff were assisting other residents and was not able to respond timely. Nevertheless, facility failed to ensure there was proper supervision resulting in R1 eloping from the facility.
Official plan of correction
Facility will conduct in-service training with staff regarding elopmenet protocols and submit a copy of the training log to LPA by 10/7/24.
Deadline recorded: Oct 7, 2024. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 7, 2024
Deficiency Dismissed Type B 10/07/2024 Section Cited CCR 87464(f)(1)
Plan of correction recorded
Correction deadline recordedDeadline Oct 7, 2024
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually... Violation of this regulation is not met as evidenced by: During file reviews, LPA observed R1 has a diagnosis of late onset Alzheimer's Dementia and the medical assessment/physician's report maintained in R1's file is from 2/28/2023. Facility failed to ensure an updated annual medical assessment/ physician's report is maintained in R1's file.
Official plan of correction
Facility to contact R1's physician to get a new updated physician's report and send a copy to LPA by 10/7/24.
Deadline recorded: Oct 7, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 7, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements – General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on interviews and review of documents, R1 had sustained a fracture due to a fall happening in the facility. Staff were present during the fall.
Official plan of correction
Facility shall submit a written Plan of Correction to ensure compliance with regulation 87411(a). POC to include measures to be implemented to prevent a repeated incident. POC to be recieved in by due date
Deadline recorded: Feb 1, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 1, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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