SAN CARLOS ELMS

707 ELM STREET, San Carlos CA 94070

Facility 415600135 · RESIDENTIAL CARE ELDERLY (740)

130 bedsLatest official report May 14, 2026Licensed

Additional info
Licensee
SAN CARLOS DEVELOPMENT CORPORATION
Administrator
EVANS, SCOTT
Contact
EVANS, SCOTT
License first date
Jun 4, 1998
License effective date
Jun 4, 1998
District office
SAN BRUNO RO · (650) 266-8800
Regional office
14
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 7 Type A deficiencies for this facility.

View enforcement record
Most recent inspection
May 14, 2026
Most recent deficiency
Dec 21, 2023

7 later reports, from Dec 29, 2023 through May 14, 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 15 reports for this facility: 14 inspections, 0 complaint investigations, and 1 licensing or administrative record.

Those records contain 7 Type A and 0 Type B deficiencies.

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

Official inspections
14

More than the typical 6

1 in the last 12 months

Recorded deficiencies
7

More than the typical 4

0 in the last 12 months

Type A deficiencies
7

Well above the typical 1

0 in the last 12 months

Type B deficiencies
0

Fewer than the typical 1

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
2

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.

Inspection
Background checksType A
Official classification
Type A
Official code
87355(e)(1)
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... Violation of this regulation is not met as evidenced by: Based on documents reviewed, while S1 initially had criminal record clearance, there was a failure to obtain an exemption as required as S1 was still working at the facility

Official plan of correction

Licensee/Administrator to create a routine system to ensure staff are cleared to work at the facility and ensure facility is aware when an exemption is required.

Deadline recorded: Dec 22, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 22, 2023
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(a)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs… Violation of this regulation is not met as evidenced by: Based on documentation reviewed, and interviews conducted, it was acknowledged by the administrator that there are normally 3-4 caregivers that work NOC shift, however the night of 5/27/2023, there were only three staff members, one of which comprised of one administrative/clerical staff.

Official plan of correction

Licensee/Administrator will submit a plan in writing describing how facility will ensure sufficient staff throughout the day and ensuring staff are trained for assigned duties. Licensee/Administrator submitted an updated LIC500 to LPA

Deadline recorded: Oct 19, 2023. A deadline is not proof that correction was completed.

Citation dismissed - not a correctionOn Oct 19, 2023

Deficiency Dismissed Type A 10/19/2023 Section Cited CCR 87411(a)

Plan of correction recorded
Correction deadline recordedDeadline Oct 19, 2023
Correction not verified in available records
View official report
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(d)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General: (d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: Violation of this regulation is evidenced by: Based on interviews conducted and documentation reviewed, S2 and S3 acknowledged that S1 did not have any formal caregiving training and lacked caregiving experience, however S1 was approved by S2 and S3 for overtime as a last-minute caregiver during the NOC shift on 5/27/2023.

Official plan of correction

Licensee/Administrator will submit a plan in writing to ensure current staff training includes; resident rights, assistance with ADLs, etc.

Deadline recorded: Oct 19, 2023. A deadline is not proof that correction was completed.

Citation dismissed - not a correctionOn Oct 19, 2023

Deficiency Dismissed Type A 10/19/2023 Section Cited CCR 87411(d)

Plan of correction recorded
Correction deadline recordedDeadline Oct 19, 2023
Correction not verified in available records
View official report
Administrator qualificationsType A
Official classification
Type A
Official code
87405(h)
Regulation authority
CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties: (h) The administrator shall have the responsibility to: (3) Develop an administrative plan and procedures to ensure clear definition of lines of responsibility, equitable workloads, and adequate supervision. Violation of this regulation is not met as evidenced by: Based on interviews conducted and documentation reviewed, S1 did not have any formal caregiving training to be able to provide care to residents at the facility, however approved to be a last-minute caregiver without adequate supervision. Nevertheless, S1 was able to sexually abuse R1 and R2 during his/her NOC shift on 5/27/2023.

Official plan of correction

Administrator will submit a plan in writing to ensure that staff members assigned specific duties continue to provide their assigned job.

Deadline recorded: Oct 19, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Oct 19, 2023
Correction not verified in available records
View official report
Inspection
Resident rightsType A
Official classification
Type A
Official code
87468.1(a)(2)
Regulation authority
CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Violation of this regulation is not met as evidenced by: Based on the Department's interviews and record conducted, the Department found that S1 abused R1 and R2 which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee/Administrator shall develop a plan of action in writing describing how the facility shall ensure personal rights of residents are observed by facility. Plan of correction to include plan to train staff. An immediate civil penalty in the amount of $500 for a violation resulting in death and serious bodily injuries. The Licensee was informed that additional civil penalties may be assessed.

Deadline recorded: Sep 23, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Sep 23, 2023
Correction not verified in available records
View official report
Background checksType A
Official classification
Type A
Official code
87355(e)(2)
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: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or... Violation of this regulation is not met evidenced by: Based on record review, S1 was not observed to be associated to the facility.

Official plan of correction

Licensee/Administrator to submit a written plan describing how to ensure staff members maintain clearance, this includes routine audits. An immediate civil penalty of $1000.00 ($100/day x 10 days) will be issued today for S1.

Deadline recorded: Sep 23, 2023. A deadline is not proof that correction was completed.

Citation dismissed - not a correctionOn Sep 23, 2023

Deficiency Dismissed Type A 09/23/2023 Section Cited CCR 87355(e)(2)

Plan of correction recorded
Correction deadline recordedDeadline Sep 23, 2023
Correction not verified in available records
View official report
Administrator qualificationsType A
Official classification
Type A
Official code
87405(h)(1)
Regulation authority
CCR

What the official deficiency says

87405 - Administrator - Qualifications and Duties: (h) The administrator shall have the responsibility to: (1) Administer the facility in accordance with these regulations and established policy, program and budget Violation of this regulation is not met as evidenced by: The administrator failed submit to the Department a completed exemption request on S1’s behalf to allow S1 to continue to work, reside or be present in the facility with criminal record clearance. The administrator also failed to immediately remove him/her from the facility as S1 was disassociated from the facility effective 01/12/2021 and continued to be employed at the facility until S1’s resignation (last date worked) 05/30/2023.

Official plan of correction

Licensee shall develop a plan of action in writing describing how the facility shall ensure administrator performs duties and requirements according to regulations.

Deadline recorded: Sep 23, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Sep 23, 2023
Correction not verified in available records
View official report

Enforcement records

Revocation Action Pending

Pleading date: Apr 29, 2026 · Case closed: No

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