PACIFIC CARE HOME III

2880 ST. CLOUD DRIVE, San Bruno CA 94066

Facility 415600933 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Mar 3, 2026Licensed

Additional info
Licensee
J & I LLC
Administrator
ICK, WILHELM O.
Contact
ICK, WILHELM O.
License first date
Apr 28, 2015
License effective date
Apr 28, 2015
District office
SAN BRUNO RO · (650) 266-8800
Regional office
14
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 9 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Mar 3, 2026
Most recent deficiency
Mar 3, 2026

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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 9 Type A and 5 Type B deficiencies.

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

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
14

Well above the typical 4

5 in the last 12 months

Type A deficiencies
9

Well above the typical 1

3 in the last 12 months

Type B deficiencies
5

More than the typical 2

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
4

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.

Official report history

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

No reports match this view

The current filter returned no official reports. This does not establish that the facility has no history outside the public evidence window.

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