State assisted-living licensing record · California CDSS · record as pulled September 18, 2026· Not the federal nursing home survey
Petani Haven
1840 Evergreen Street, San Mateo, CA 94401 · SAN MATEO County · 6 licensed beds
CDSS facility number 410508482 · licensed
The licence
Licensed by CDSS · Residential Care Facility for the Elderly
Licence details, as listed by CDSS
- CDSS regional office
- 14
Position within California
11 citations — more than 94% of the 8,587 licensed assisted living facilities in California. Compared only within California: a citation from CDSS means what it means in California, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety. A Residential Care Facility for the Elderly needs a fire clearance from the local fire authority, and that inspection is not part of the CDSS record. What CDSS does cite about the building is here: maintenance and operation of the premises, the emergency and disaster plan, and the physical environment sections of Title 22.
Get an email about Petani Haven
One email when it happens, from the CDSS record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- CCR-87305 Alterations to Existing Building or New FacilitiesJanuary 20, 2026 · Type B · POC due February 3, 2026
- HSC-1569.695 Emergency PlansFebruary 18, 2025 · Type B · POC due February 25, 2025
How that compares
Compared with the median licensed assisted living facility in California. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in California | 0 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| February 13, 2024 | licensing inspection | 0 |
| February 18, 2025 | licensing inspection | 5 |
| January 20, 2026 | licensing inspection | 6 |
What the citations cover
- Resident care 5
- Staffing and training 3
- Medication 1
- Physical plant 1
- Other 1
| Category | Citations |
|---|---|
| Resident care | 5 |
| Staffing and training | 3 |
| Medication | 1 |
| Physical plant | 1 |
| Emergency management | 1 |
Every visit on file since September 2021
As published by CDSS, newest first, including visits that cited nothing. The wording and the classes are CDSS’s own.
January 20, 2026 — licensing inspection, 6 citations
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87305 | Alterations to Existing Building or New Facilities | Type B | February 3, 2026 |
| CCR-87412 | Personnel Records | Type A | January 21, 2026 |
| CCR-87457 | Pre-Admission-General | Type B | January 27, 2026 |
| CCR-87458 | Medical Assessment | Type B | January 27, 2026 |
| CCR-87465 | Incidental Medical and Dental Care | Type A | January 20, 2026 |
| CCR-87608 | Postural Supports | Type A | January 20, 2026 |
February 18, 2025 — licensing inspection, 5 citations
| Tag | What CDSS checks | Type | POC due |
|---|---|---|---|
| CCR-87355 | Criminal Record Clearance | Type A | February 19, 2025 |
| CCR-87411 | Personnel Requirements – General | Type B | February 25, 2025 |
| CCR-87457 | Pre-Admission-General | Type B | February 25, 2025 |
| CCR-87470 | Infection Control Requirements | Type B | February 25, 2025 |
| HSC-1569.695 | Emergency Plans | Type B | February 25, 2025 |
February 13, 2024 — licensing inspection, nothing cited
Reflects the CDSS record as pulled September 18, 2026. A recent visit may not appear yet. This is the California state licensing record; it is not the federal nursing home survey and the two are never combined.