Inspection
No deficiencies recorded in this report
GOLDEN SHORE CARE HOME
3800 RHODA DRIVE, San Jose CA 95117
6 bedsLatest official report Jul 10, 2026Licensed
Additional info
- Telephone
- (408) 615-0880
- Licensee
- QING GUO
- Administrator
- QING GUO
- Contact
- QING GUO
- License first date
- Jul 23, 2004
- License effective date
- Jul 23, 2004
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type B deficiencies for this facility.
- Most recent inspection
- Jul 10, 2026
- Most recent deficiency
- Jun 27, 2025
1 later report, on Jul 10, 2026, 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 185 Santa Clara 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 0 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 3
- Type A deficiencies
- 0
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 0
Fewer than the typical 5
1 in the last 12 months
About the same as most this size
0 in the last 12 months
Fewer than the typical 1
0 in the last 12 months
More than the typical 2
0 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.
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.
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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. R1's Needs and services plan is dated July 16, 2021. Resident R2's Needs and Services plan is dated June 3, 2023. LPA asked ADM if she had an updated needs and services plan for R1 and R2. ADM stated no. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/04/2025 Plan of Correction ADM stated she will send a written plan of action on how she will ensure residents apprisal is updated, in writing as frequently as necessary or once every 12 months. ADM stated she will submit the written plan of action to LPA by POC date, July 4, 2025.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. 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. R2's Physician's report is dated May 28, 2023. LPA asked ADM if she requested a new physician's report for R2. ADM stated she did not. LPA asked if resident R2 refused to see his/her doctor, ADM stated no. ADM stated she did not ask the family of R2 to get an updated physician's report. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/04/2025 Plan of Correction ADM stated she will send a written plan of action on how she will ensure residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. ADM stated she will submit the written plan of action to LPA by POC date, July 4, 2025.
Plan of correction recorded
Correction not verified in available records
Inspection
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. LPA requested to review facility fire/earthquake drill log. The facility's last drill was on 05/15/2024. LPA requested to review see documentation the 3 previous drill had been conducted. ADM stated she conducted the drills but could not produce documentation showing the drills had been conducted. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/13/2024 Plan of Correction ADM stated she will ensure the facility conducts a drill at least quarterly and have 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. ADM stated she will send a letter of understanding regarding the regulation. ADM stated she will send the hand written letter of understanding to LPA by POC date, June 13, 2024.
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