Records and plan of operation
Cited in 2 reports, with 3 deficiencies in total.
HIDDEN LANE VILLA
890 BERRY AVENUE, Los Altos CA 94024
6 bedsLatest official report Apr 1, 2026Licensed
Additional info
- Telephone
- (650) 254-0721
- Licensee
- CARR, THERESA
- Administrator
- THERESA CARR
- Contact
- THERESA CARR
- License first date
- Apr 2, 2003
- License effective date
- Apr 2, 2003
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 935 - ELDERLY
Summary
The available records show 12 Type B deficiencies for this facility.
- Most recent inspection
- Apr 1, 2026
- Most recent deficiency
- Apr 1, 2026
No later report is available, so the records do not show what happened afterward.
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 185 Santa Clara County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 12 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 12
- Type A deficiencies
- 0
- Type B deficiencies
- 12
- Substantiated complaints
- 0
- Repeated topics
- 1
About the same as most this size
1 in the last 12 months
Well above the typical 3
5 in the last 12 months
Fewer than the typical 1
0 in the last 12 months
Well above the typical 2
5 in the last 12 months
Most this size also have none
0 in the last 12 months
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
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, water temperature throughout the facility measured between 104-108.7 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/08/2026 Plan of Correction Licensee/administrator to send LPA video/photo of hot water temperature for all 4 sinks at the facility within regulatory requirements.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on staff record review, LPA observed two staff records without health screening and one staff record with a health screening that was done more than six months prior to employement, ] which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/08/2026 Plan of Correction Licensee/administrator shall conduct a personnel file audit and ensure all staff have health screenings. Licensee/administrator shall ensure if staff don't have health screenings, that one is done and maintained in staff files. Licensee/administrator shall submit the 3 staff health screenings to LPA by 4/8/26.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(26)
- Regulation authority
- CCR
What the official deficiency says
(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, LPA observed two days perishables, however did not observe seven days non-perishables which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/08/2026 Plan of Correction Licensee/administrator shall send LPA a photo of 7-day non-perishables and ensure a supply of 7-day non-perishable is maintained at the facility at all times.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(16)
- Regulation authority
- CCR
What the official deficiency says
(b) Each resident's record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement is not met as evidenced by: Deficient Practice Statement Based on resident record reviewed, two/five resident files were observed to not have their safeguard of personal property and valuables documentation in file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/08/2026 Plan of Correction Licensee/administrator to complete the Safeguard of Personal Property and Valuables for the two residents and submit a copy to LPA by 4/8/26.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on resident records reviewed, one/five resident files did not have a signed admissions agreement which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/08/2026 Plan of Correction Licensee/administrator to send LPA a copy of the signed admissions agreement to LPA by 4/8/26.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(10)
- Regulation authority
- CCR
What the official deficiency says
87506 (b) Each resident’s record shall contain at least the following information: (10) Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions. This requirement is not met as evidenced by: Deficient Practice Statement Licensee did not ensure that during review of R1-R6’s resident records, resident R3’s resident record contained a Medical Assessment (Physician’s Report), which poses a potential safety risk to residents in care.
Official plan of correction
POC Due Date: 04/19/2024 Plan of Correction Licensee agrees to submit a copy of R3’s Physician’s Report to CCL by Plan of Correction date.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(b)(16)
- Regulation authority
- CCR
What the official deficiency says
87506 (b) Each resident’s record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables. This requirement is not met as evidenced by: Deficient Practice Statement During record review of resident R1-R6’s records, residents R1 and R6 has missing Safeguard for Property/Valuables forms, which poses a potential safety risk to residents in care.
Official plan of correction
POC Due Date: 04/19/2024 Plan of Correction Licensee agrees to submit copies of R1’s and R6’s Safeguard for Property/Valuables forms to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to 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: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of records, the licensee did not comply with the section cited above in 3 out of 6 resident Centrally Stored Medication Logs, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2023 Plan of Correction Licensee agrees to create PRN medication logs for all residents with PRNs and submit copies of the logs to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in the facility file, which did not contain an Emergency Disaster Log, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2023 Plan of Correction Licensee agrees to create an Emergency Disaster Log and conduct quarterly emergency disaster drills. The licensee shall submit a copy of the Emergency Disaster Drill Log to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)(A-F)
- Regulation authority
- CCR
What the official deficiency says
87465(h) The following requirements shall apply to medications which are centrally stored: 6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing physician. (C) The drug name, strength and quantity. (D) The date filled. (E) The prescription number and the name of the issuing pharmacy. (F) Instructions, if any, regarding control and custody of the medication. This requirement is not met as evidenced by: LPAs observed during review of residents R1-R6 that 6 out of 6 residents had medications that were not logged into the Centrally Stored Medication Record, which poses a potential safety risk to residents in care. Deficient Practice Statement Based on records review,, the licensee did not comply with the section cited above in 6 out of 6 Centrally Stored Medication Logs, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2023 Plan of Correction Licensee agrees to audit all resident Centrally Stored Medication Logs and ensure that they are all complete. Licensee shall submit a Proof of Correction Letter by POC date ensuring that all resident Centrally Stored Medication Logs have been updated and completed. Licensee also agrees to train all staff on maintaining the Centrally Stored Medication Log and will submit training records to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
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 review of records, the licensee did not comply with the section cited above in 2 residents with dementia out of 6 resident Physician's Reports, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2023 Plan of Correction Licensee agrees to schedule a doctor's appointment to obtain updated Physician's Reports for all residents with dementia and POC date and then submit copies of the updated Physicia's Reports to CCL once they are obtained.
Plan of correction recorded
Correction not verified in available records
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 review of records, the licensee did not comply with the section cited above in 1 out of 5 reviewed staff first aid certification records, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2023 Plan of Correction Licensee agrees to obtain updated First Aid Certifications for all staff who currently have expired First Aid Certifications and submit the updated First Aid Certifications to CCL by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this 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