Pacific Care Home IV

About Pacific Care Home IV

Pacific Care Home IV is a small, home-like residential care facility for the elderly in San Mateo, California, licensed by the California Department of Social Services to care for up to 6 residents. It has held its current license for 9 years. It holds a hospice waiver, so residents can receive hospice care without moving.

License status

Licensed

Facility number

415600993

Licensed capacity

6

Licensed since

May 30, 2017

Last state visit

May 5, 2026

Inspection visits

3

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:

Jison, Rafael

CDSS office:

SF COASTAL AC/SC

Serves:

Elderly

State license notes: Age range 60 and over. All may be non-ambulatory and one may be bedridden in room #1. License is subject to terms and conditions of hospice waiver for 4 residents.

Data from CDSS Community Care Licensing, last checked November 3, 2026.

Location

Other care homes nearby