The available records show 2 Type A and 3 Type B deficiencies for this facility.
Most recent inspection
Dec 16, 2025
Most recent deficiency
Dec 16, 2025
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.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Official inspections
5
About the same as most this size
1 in the last 12 months
Recorded deficiencies
5
More than the typical 3
2 in the last 12 months
Type A deficiencies
2
More than the typical 1
0 in the last 12 months
Type B deficiencies
3
More than the typical 2
2 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.
(a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation & record review, the licensee did not comply with the section cited above. While touring the garage, LPA observed 2 walls constructed with two doors, with storage located inside. Based on a review of the facility sketch, these walls are not reflected on the facility sketch. ADM stated she believes she has a permit, but will have to check since she made the change in the garage. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/23/2025 Plan of Correction ADM stated she will submit her plan of action on how she will proceed regarding the walls constructed in the garage. ADM stated she will send her plan of action to LPA by POC due date, December 23, 2025.
(2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview & record review, the licensee did not comply with the section cited above. R2 was admitted into hospice in March 2025. LPA searched CDSS records, but R2's hospice notification form was not in CDSS records. LPA requested a copy, but a copy was not provided. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/23/2025 Plan of Correction ADM stated she will send a letter of understanding regarding the regualtion. ADM stated she will submit to LPA by POC due date, December 23, 2025.
(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in 2 out of 3 resident records reviewed. While reviewing resident R1 and R2's records, LPA observed their needs and services plans were not filled out and were empty. ADM stated she forgot to fill out the forms. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/01/2024 Plan of Correction ADM stated she will update both residents needs and services plan. ADM stated she will send LPA documentation that the needs and services plan has been updated. ADM stated she will send letter of understanding regarding the regulation. ADM stated she will send to LPA by POC date, 2/01/2024.
(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. LPA observed detergent and fabric softener acsseible to residents in care in the laundry area. R2 was sitting in the family room, approximately 5 feet away from the sliding door, which is directly next to the laundry area. S1 stated resident R1 also goes to the backyard on some occasions. this poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/22/2023 Plan of Correction ADM stated he will send plan of action on how the facility will ensure cleaning solutions are not accessilbe to residents in care. ADM stated he will send plan to LPA by POC date, 10/22/2023.
(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,interview,record review, the licensee did not comply with the section cited above. LPA observed medication in resident bedroom #4's bathroom sink cabinet. S1 stated R1 will ask family to bring medication and R1 will hide medication in his/her room. R1's physicians report,dated June 13, 2023, states that R1 cannot administer/ store his/her own medications. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/22/2023 Plan of Correction ADM stated he will send plan of action on how the facility will keep medication safe and locked, inaccessible to residents in care. ADM stated he will send plan to LPA by POC date, 10/22/2023.
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.