MARIAH'S GARDEN HOME CARE

1910 CRESTWOOD DRIVE, San Bruno CA 94066

Facility 415600988 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Aug 19, 2025Licensed

Additional info
Licensee
ZEPEDA, MARIE D
Administrator
ZEPEDA, MARIE D
Contact
ZEPEDA, MARIE D
License first date
Aug 15, 2017
License effective date
Aug 15, 2017
District office
SAN BRUNO RO · (650) 266-8800
Regional office
14
Clients served
935 - ELDERLY

Summary

The available records show 11 Type A and 10 Type B deficiencies for this facility.

Most recent inspection
Aug 19, 2025
Most recent deficiency
Aug 19, 2025

No later report is available, so the records do not show what happened afterward.

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 150 San Mateo County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 7 reports for this facility: 6 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 11 Type A and 10 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
6

More than the typical 4

0 in the last 12 months

Recorded deficiencies
21

Well above the typical 4

0 in the last 12 months

Type A deficiencies
11

Well above the typical 1

0 in the last 12 months

Type B deficiencies
10

Well above the typical 2

0 in the last 12 months

Substantiated complaints
1

Most this size have none

0 in the last 12 months

Repeated topics
1

Last 36 months

No inspection in the last 12 months, so a zero above means no record rather than a clean visit.

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.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Background checksType A
Official classification
Type A
Official code
87355(e)(3)
Regulation authority
CCR

What the official deficiency says

(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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility did not request a transfer of criminal clearance records for S1 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/20/2025 Plan of Correction The administrator will submit the documents to CCL by 8/20/2025 to request a transfer of criminal clearance records for S1.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as 6 out of 6 residents did not have an updated reappraisal which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2025 Plan of Correction The administrator will provide a copy of the updated reappraisal for all the residents to CCL 8/26/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed living room, resident's room, stairwell, kitchen and dining room was not cleaned which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2024 Plan of Correction The administrator/licensee will develop a plan to ensure the facility is cleaned, safe, sanitary and in good repair at all times and will submit a copy of the plan to CCL by 8/8/2024. Civil Penalty is being assessed for repeat violation.

Plan of correction recorded
Correction not verified in available records
View official report
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed chemical, sharps and disinfectants were not locked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2024 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 8/8/2024. Civil Penalty is being assessed for repeat violation.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType A
Official classification
Type A
Official code
87555(b)(25)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed a bottle of window cleaner placed next to a rack of vegetables and fruits which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2024 Plan of Correction The administrator/licensee will develop a plan to ensure food safety is observed at all times and will provide a copy of the plan to CCL by 8/8/2024.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType A
Official classification
Type A
Official code
87555(b)(27)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed fruit flies in the kitchen, the bathroom and the living room, coffee machine, garbage can, kitchen floor, etc to be dirty with sticky particles and brown crumbs which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2024 Plan of Correction The adminstrator will develop a plan to ensure compliance and will provide a copy of the plan to CCL by 8/8/2024. Civil Penalty is being assessed for repeat violation.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType A
Official classification
Type A
Official code
80075(k)(1)
Regulation authority
CCR

What the official deficiency says

This requirement is not met as evidenced by: 80075 Health Related Services Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the medication cabinet has a lock on it with the key attached which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/08/2024 Plan of Correction The administrator/licensee will develop a plan to ensure compliance and the plan shall include staff training. The administrator will provide a copy of the plan to CCL by 8/8/2024.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) (interview) (record review), the licensee did not comply with the section cited above as LPA observed sharps and chemicals stored underneath the kitchen sink was not locked and was accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2023 Plan of Correction The administrator will develop a plan to ensure compliance. The administrator will submit a copy of the plan and a photo to proof in compliance to CCL by 8/30/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as resident #1 (R1) was given a medication that was not prescribed by the physician which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2023 Plan of Correction The administrator will discuss and review R1's medication with R1's physician and will reconcile the medication list accordingly. The administrator will provide a copy of R1's revised medication list after reviewing it with R1's physician to CCL by 8/30/2023. In addition, the administrator will provide a dated and signed statement indicating the change of R1's medication after reviewing it with the attending physician.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType A
Official classification
Type A
Official code
87465(d)(3)
Regulation authority
CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed 6 out of 6 resident's medication record did not indicate that medications were administered from 8/26/2023 to 8/29/2023 AM which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2023 Plan of Correction The administrator will develop a plan to ensure compliance and the plan shall include staff training. The administrator will submit a copy of the signed plan to CCL by 8/30/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the facility did not conduct fire drills at least quarterly for each shift which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2023 Plan of Correction The administrator will submit a signed and dated statement to ensure compliance to CCL by 8/30/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed stairwell going down to the garage was sticky and dirty, the garbage can in the kitchen was dirty, the garbage can and the toilet paper holder in the female bathroom were dirty and rusty which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will provide photos to proof that the above observations were corrected and will develop a plan to ensure the facility will be clean, safe, sanitary and in good repair. The plan of correction is due on 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)(1)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed the kitchen floor was dirty in between the medication cabinet and the food cart which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will submit photo to proof that the above observation was corrected and will submit a copy of a plan to ensure compliance to CCL by 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed water temperature in resident's bathrooms and kitchen were measured at 94-96 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will provide proof that the above observation was corrected to CCL by 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(3)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above LPA observed the water was measured at 94 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will provide proof that the above observation was corrected to CCL by 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(5)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA did not observe any non-skid mats or strips in resident's bathrooms/ shower rooms which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will develop a plan to ensure compliance and will provide proof to CCL of compliance by the plan of correction due date of 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.69(e)(1)
Regulation authority
HSC

What the official deficiency says

(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (1) A minimum of five hours of initial, or certified continuing, education or three semester units, or the equivalent, from an accredited educational institution, on topics relevant to medication management. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the staff training records revealed only the date and hours of completion which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by the plan of correction due date of 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.69(e)(2)(A)
Regulation authority
HSC

What the official deficiency says

(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (2) The person shall meet any of the following practical experience or licensure requirements: (A) Two years of full-time experience, within the last four years, as a consultant with expertise in medication management in areas covered by the training described in subdivision (a). This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as the administrator stated that staff training was completed by reading and reviewing RCFE workbook which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by the plan of correction due date of 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.69(e)(3)(C)
Regulation authority
HSC

What the official deficiency says

(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (3) The licensed residential care facility for the elderly shall maintain the following documentation on each person who provides employee training under this section: (C) The times, dates, and hours of training provided. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above the staff training records revealed only the date and hours of completion which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by the plan of correction due date of 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType B
Official classification
Type B
Official code
87555(b)(27)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as LPA observed kitchen floor was dirty which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/07/2023 Plan of Correction The administrator will develop a plan to ensure compliance and will submit a copy of the plan to CCL by 9/7/2023.

Plan of correction recorded
Correction not verified in available records
View official report

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