The available records show 2 Type A and 3 Type B deficiencies for this facility.
Most recent inspection
Mar 30, 2026
Most recent deficiency
Mar 30, 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 2 Type A and 3 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
Official inspections
5
About the same as most this size
2 in the last 12 months
Recorded deficiencies
5
More than the typical 3
1 in the last 12 months
Type A deficiencies
2
More than the typical 1
1 in the last 12 months
Type B deficiencies
3
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
0
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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
87705 Care of Persons with Dementia: (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement... This requirement is not met as evidenced by: Based on R1's physician's report dated 4/2025, R1 has a diagnosis of dementia, has wandering behaviors and is unable to leave the facility unassisted. According to staff interviewed, they were not aware that R1's physician's report notes that R1 has wandering behaviors. Based on observations and interviews, the staff had the receiver for the auditory device turned off.
Official plan of correction
Licensee/administrator plugged the receiver back in for the auditory device to monitor exits. LPA observed the auditory devices on both exit doors to be in good working condition. Deficiency cleared and corrected.
Deadline recorded: Mar 31, 2026. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Mar 30, 2026
(e) Water supplies and plumbing fixtures shall be maintained as follows: (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 observation, the Administrator did not ensure hot water temperature at the sink faucet for 2 of 4 bathrooms is in the range of 105 - 120 degree F. The hot water temperature at the sink faucet measured 140.5°F in bathroom #1 and 142.2°F in bathroom #2, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/16/2025 Plan of Correction The Administrator will submit the evidence that hot water temperature is within the range of 105°F - 120°F to CCLD by 04/16/2025.
(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the Administrator did not ensure that for 3 of 5 resident’s prescription medication labels were not altered with the handwritten notes using a pen, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/16/2025 Plan of Correction The Administrator will ensure not to write anything on the medication prescription labels and submit the proof of correction to CCLD by 04/16/2025.
(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 record review, the Administrator did not ensure that the emergency drills are conducted quarterly and the last emergency drill was conducted on 04/06/2019 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/16/2025 Plan of Correction The Administrator will submit evidence of the completed emergency drill log to CCLD by 04/16/2025.
87465 Incidental Medical and Dental Care (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: (E) The prescription number and the name of the issuing pharmacy. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the Administrator did not ensure that for 3 of 5 resident's medication prescription names, prescription numbers, and date filled were entered correctly in the Centrally Stored Medication Records, which poses/posed an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/10/2025 Plan of Correction The Administrator will write correct prescription name, numbers, and date filled for each of resident's medications in Centrally Stored Medication Records and submit the proof of correcetion to CCLD by 04/10/2025.
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.