LILLY'S CARE HOME

329 EL PORTAL WAY, San Jose CA 95119

Facility 435202976 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report May 27, 2026Licensed

Additional info

Telephone: (408) 687-5448
Licensee: LILLY'S CARE HOME INC.
Administrator: LI, LILLY
Contact: LI, LILLY
License first date: Jul 22, 2025
License effective date: Jul 22, 2025
District office: SAN JOSE RO · (408) 324-2112
Regional office: 26
Clients served: 983 - RCFE / DEMENTIA

Summary

The available records show 2 Type B deficiencies for this facility.

Most recent inspection: May 7, 2026
Most recent deficiency: May 27, 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 4 reports for this facility: 1 inspection, 1 complaint investigation, and 2 licensing or administrative records.

Those records contain 0 Type A and 2 Type B deficiencies.

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

Official inspections: 1
Recorded deficiencies: 2
Type A deficiencies: 0
Type B deficiencies: 2
Substantiated complaints: 1
Repeated topics: 0

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.

May 27, 2026Complaint

Allegations1 substantiated · 0 unsubstantiated · 1 unfounded · 1 cited

Staffing, personnel, and trainingType B

Official classification: Type B
Official code: 87411(a)
Regulation authority: CCR

What the official deficiency says

87411 Personnel Requirements -General (a) Facility personnel shall at all times be … competent to provide the services necessary to meet resident needs. … additional staff for the provision of adequate services. This requirement was not met as evidence by: Based on interviews conducted, staff S1 was unable to demonstrate how he/she would be able contact and communicate with emergency services during an emergency. ADM acknowledged S1, being the only staff member in the home, during NOC shift, and not being able to communicate

Official plan of correction

Licensee stated to she will submit a written plan of action on how she will ensure there is at least 1 staff member in the facility, who is able to communicate with emergency services during an emergency. Licensee stated she will submit the plan of action by POC due date June 3, 2026. (Continued) without the assistance of ADM, who doesn’t live in the home. This poses a potential health, safety and personal rights risk to residents in care.

Deadline recorded: Jun 3, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded

Correction deadline recordedDeadline Jun 3, 2026

Correction not verified in available records

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May 7, 2026Inspection

Records and plan of operationType B

Official classification: Type B
Official code: 87506(d)
Regulation authority: CCR

What the official deficiency says

87506 Resident Records (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and records reviewed, the licensee did not comply with the section cited above. LPA requested to review R2 and R3's Appraisal needs and services plan. LPA was not provided forms to review. LPA requested to review R2 and R3's half side rail doctors order. LPA was not provided copy for review. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/14/2026 Plan of Correction ADM stated she will send letter of understanding regarding the regulation. ADM stated she will send a copy of R2 and R3's Appraisal needs and Services plan and half side rail doctors order. ADM stated she will send to LPA by POC due date, May 14, 2026.

Plan of correction recorded

Correction not verified in available records

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Jul 14, 2025Licensing recordNot an inspection of the operating facility

No deficiencies recorded in this report

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Jun 19, 2025Licensing recordNot an inspection of the operating facility

No deficiencies recorded in this report

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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