Pacific Care Home III
2880 St. Cloud Drive, San Bruno, CA 94066
- Licensed for 6 residents
- Hospice waiver
About Pacific Care Home III
Pacific Care Home III is a small, home-like residential care facility for the elderly in San Bruno, California, licensed by the California Department of Social Services to care for up to 6 residents. It has held its current license for 11 years. It holds a hospice waiver, so residents can receive hospice care without moving.
Licensing & inspections
Official CDSS report- License status
- Licensed
- Facility number
- 415600933
- Licensed capacity
- 6
- Licensed since
- April 28, 2015
- Last state visit
- March 3, 2026
- Inspection visits
- 4
- Recent routine and required inspections
- Complaint visits
- 0
- Visits to investigate complaints
- Type A citations
- 0
- Immediate risk to health, safety, or rights
- Type B citations
- 0
- Could become a risk if not corrected
- Licensee:
- J & I LLC
- Administrator:
- Ick, Wilhelm O.
- CDSS office:
- SF COASTAL AC/SC
- Serves:
- RCFE / Hospice
State license notes: Age range 60 and over. All may be non-ambulatory. One bedridden resident can be housed in bedroom #5. License is subject to terms and conditions of hospice waiver for three residents. For two residents.
Data from CDSS Community Care Licensing, last checked November 3, 2026.
Location
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