Residential care

PACIFIC CARE HOME IV

SAN MATEO, CA · 92 WEST 41ST AVENUE

RESIDENTIAL CARE ELDERLY

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Regulator-reported status: LICENSED

Status comes from the official CDSS Community Care Licensing listing.

SeniorTrustHub currently publishes state-regulator provider evidence for California, New York, and Texas.

SeniorTrustHub currently publishes state licensing evidence for this provider. State inspection and enforcement history is not yet integrated for this care setting. Absence of inspection data is not a clean record.

License and oversight

Regulator
California Department of Social Services, Community Care Licensing Division
License / facility ID
415600993
Licensed capacity
Licensed capacity 6
Official care type
RESIDENTIAL CARE ELDERLY

Licensed organization / operation

Administrator
JISON, RAFAEL
Licensee
J&I LLC

Sources

Regulator
California Department of Social Services, Community Care Licensing Division
Dataset
CDSS Community Care Licensing RCFE listing
Retrieved
Aug 19, 2026

View official regulator source

PACIFIC CARE HOME IV assisted living research | SeniorTrustHub