VALLE VERDE CARE HOME III

6502 VIA SAN BLAS, Pleasanton CA 94566

Facility 015601199 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 23, 2025Licensed

Additional info
Licensee
JGV GROUP. INC.
Administrator
ADAMS, GISELLE V.
Contact
ADAMS, GISELLE V.
License first date
Nov 16, 2005
License effective date
Nov 16, 2005
District office
OAKLAND ASC · (510) 286-4201
Regional office
15
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 7 Type A and 6 Type B deficiencies for this facility.

Most recent inspection
Oct 23, 2025
Most recent deficiency
Nov 6, 2024

1 later report, on Oct 23, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 152 Alameda County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 7 Type A and 6 Type B deficiencies.

4 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
13

Well above the typical 4

0 in the last 12 months

Type A deficiencies
7

Well above the typical 1

0 in the last 12 months

Type B deficiencies
6

More than the typical 2

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87202(a)(2)
Regulation authority
CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by having a bedridden resident without a bedridden fire clearance which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction LPA received a copy of the updated facility sketch. Facility has agreed to notify the fire department. Facility will submit proof of notification and LIC200 to CCLD by POC date. Civil penalty of $500 is assessed for fire clearance violation.

Plan of correction recorded
Correction not verified in available records
View official report
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies under the kitchen sink which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction Facility has agreed to re-install lock on the cabinet under the kitchen sink and submit picture proof to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked medications in the kitchen drawer which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction Staff locked up the medications during inspection. Deficiency cleared.

Official record says corrected or clearedOn or before Nov 6, 2024
Plan of correction recorded
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not following doctor's order for R1's medication which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction Facility has agreed to obtain correct vitamin D3 for R1 and obtain doctor's order for R1's multi-viatimins and acetaminophen. Facility will submit picture proof and request for doctor's order to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Dementia careType A
Official classification
Type A
Official code
87705(f)(1)
Regulation authority
CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having the knives drawer locked which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2023 Plan of Correction Administrator has repaired the lock during inspection. Deficiency cleared.

Official record says corrected or clearedOn or before Nov 2, 2023
Plan of correction recorded
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(c)(2)
Regulation authority
CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not having a new order for R1's Citalopram which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2023 Plan of Correction Facility obtained a copy of the doctor's order during inspection. Deficiency cleared.

Official record says corrected or clearedOn or before Nov 2, 2023
Plan of correction recorded
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current annual training for S3 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/27/2023 Plan of Correction Administrator has agreed to obtain annual training for S3 and submit completion document to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(b)(1)
Regulation authority
CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having TB test results for R3 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/27/2023 Plan of Correction Administrator has agreed to obtain TB test results for R3 and submit a copy to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having doctor's order for R3 and R5's full bed rails which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/27/2023 Plan of Correction Administrator has agreed to obtain full bed rail orders for R3 and R5. Administrator will submit copies of full bed rail orders to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType B
Official classification
Type B
Official code
87705(c)(5)
Regulation authority
CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current medical assessment for R4 and reappraisal for R1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/30/2023 Plan of Correction Administrator has agreed to obtain current medical assessment for R4 and appraisal needs & service plan for R1. Administrator will submit copies to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current first aid training for S1 which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/27/2023 Plan of Correction Administrator has agreed to obtain current first aid training for S1 and submit certificate to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/19/2022 Plan of Correction Staff locked up the cleaning supplies in the garage during inspection. Deficiecy cleared.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType B
Official classification
Type B
Official code
87555(b)(25)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having food items stored with hygiene & cleaning supplies which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 11/19/2022 Plan of Correction Staff removed the cleaning and hygiene supplies during inspection. Deficiency cleared.

Official record says corrected or clearedOn or before Nov 18, 2022
Plan of correction recorded
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology