Administrator qualifications
Cited in 2 reports, with 2 deficiencies in total.
5836 ETTERSBERG DRIVE, San Jose CA 95123
6 bedsLatest official report Mar 10, 2026Licensed
The available records show 7 Type A deficiencies for this facility.
5 later reports, from Sep 30, 2024 through Mar 10, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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.
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 11 reports for this facility: 7 inspections, 4 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 Type A and 0 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 5
1 in the last 12 months
More than the typical 3
0 in the last 12 months
Well above the typical 1
0 in the last 12 months
Fewer than the typical 2
0 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
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.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 8 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportPart of the complaint whose outcome is recorded on Sep 30, 2024 · Control 26-AS-20240430100728
87211 Reporting Requirement (a) Each licensee shall furnish to the licensing agency ... reports (1)A written report shall be submitted to the licensing agency... within seven days of the occurrence of any of the events specified in (A) Death of any resident. This requirement was not met as evidenced by: Based on document review and as stated by LIC/ADM he/she did not submit a death report because the resident passed away in the hospital and not in the facility.
LIC/ADM gave a written statement to LPA during today's visit that he/she will comply with Title 22 reporting requirement. con't LIC/ADM stated he/she is not aware that any death should be reported regardless of where it occurred.
Deadline recorded: May 30, 2024. A deadline is not proof that correction was completed.
Administrator Qualification (d) administrator shall have the qualifications (2) knowledge of and ability to conform to the applicable laws and regulations. This requirement was not met as evidenced by: Based on record review and interview. LIC/ADM did not conform to the applicable laws and regulations. LIC/ADM stated he/she was not aware of the reporting requirements for unusual incidents and death of a resident.
LIC/ADM stated that he/whe will submit a statement of understanding for reporting requirements and will conform to the applicable laws and regulations for Title 22
Deadline recorded: May 30, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportCalifornia 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