PENINSULA ELDERLY CARE HOME-LAUREL LLC

1064 LAUREL STREET, San Carlos CA 94070

Facility 415601034 · RESIDENTIAL CARE ELDERLY (740)

12 bedsLatest official report Jul 24, 2026Licensed

Additional info
Licensee
PENINSULA ELDERLY CARE HOME - LAUREL LLC
Administrator
TOBIAS, JENNIFER
Contact
TOBIAS, JENNIFER
License first date
Jul 27, 2018
License effective date
Jul 27, 2018
District office
SAN BRUNO RO · (650) 266-8800
Regional office
14
Clients served
935 - ELDERLY

Summary

The available records show 4 Type B deficiencies for this facility.

Most recent inspection
Jul 24, 2026
Most recent deficiency
Jun 18, 2025

1 later report, on Jul 24, 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 14 San Mateo County facilities licensed for 7 to 15 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 11 reports for this facility: 9 inspections, 2 complaint investigations, and 0 licensing or administrative records.

Those records contain 0 Type A and 4 Type B deficiencies.

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

Official inspections
9

More than the typical 6

1 in the last 12 months

Recorded deficiencies
4

About the same as most this size

0 in the last 12 months

Type A deficiencies
0

Fewer than the typical 1

0 in the last 12 months

Type B deficiencies
4

More than the typical 1

0 in the last 12 months

Substantiated complaints
1

Most this size have none

0 in the last 12 months

Repeated topics
0

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
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(a)(1)
Regulation authority
HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (1) Evacuation procedures, including identification of an assembly point or points that shall be included in the facility sketch. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee failed to provide a copy of the facility's evacuation procedures, including identification of an assembly point or points that shall be included in the facility sketch, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/25/2025 Plan of Correction Licensee to provide a copy of the facility sketch and evacuation plan to the Department by the POC due date. Licensee will also conduct a training regarding the evacuation plan with staff.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

87608(a)(3) Postural supports may be used under the following conditions…. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee failed to maintain a written order from a physician indicating the need for half bed rails for mobility for R1, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/30/2025 Plan of Correction Licensee to provide a copy of written orders indicating the need for the half bed rails for R1 to the Department by the Plan of Correction due date. Deficiency cleared during visit.

Official record says corrected or clearedRecorded in report dated May 22, 2025
Plan of correction recorded
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