Pacific Care Home V

About Pacific Care Home V

Pacific Care Home V 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 6 years. CDSS lists it as serving residents with dementia. It holds a hospice waiver, so residents can receive hospice care without moving.

License status

Licensed

Facility number

415601081

Licensed capacity

6

Licensed since

May 28, 2020

Last state visit

April 28, 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:

Andaya, Moddie

CDSS office:

SF COASTAL AC/SC

Serves:

RCFE / Dementia

State license notes: Age range 60 and over. Approved for (6) non-ambulatory, of which (1) may be bed-ridden. Approved hospice waiver for (2). Bedroom #5 is designated for bed-ridden.

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

Location

Other care homes nearby