Small board & care homeLicensed

Pacific Care Home

Licensed for 6 residents
Hospice waiver

About Pacific Care Home

Pacific Care Home 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 12 years. It holds a hospice waiver, so residents can receive hospice care without moving.

Licensing & inspections

Official CDSS report

License status: Licensed
Facility number: 415600871
Licensed capacity: 6
Licensed since: February 27, 2014
Last state visit: December 10, 2025
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 A.
CDSS office:: SF COASTAL AC/SC
Serves:: RCFE / Hospice

State license notes: Age range 60 and over. All clients may be non-ambulatory. License is subject to terms and conditions of hospice waiver for 3 residents.

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

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