Administrator qualifications
Cited in 2 reports, with 2 deficiencies in total.
HANSELL VILLA
5343 HANSELL DRIVE, San Jose CA 95123
6 bedsLatest official report Aug 6, 2026Licensed
Additional info
- Telephone
- (408) 362-9195
- Licensee
- CHERRY VILLA, INC.
- Administrator
- ELIZABETH BAUTISTA
- Contact
- ELIZABETH BAUTISTA
- License first date
- Jul 22, 2022
- License effective date
- Jul 22, 2022
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 935 - ELDERLY
Summary
The available records show 8 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Aug 6, 2026
- Most recent deficiency
- Jul 9, 2026
2 later reports, from Jul 30, 2026 through Aug 6, 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 8 reports for this facility: 6 inspections, 1 complaint investigation, and 1 licensing or administrative record.
Those records contain 8 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 11
- Type A deficiencies
- 8
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 2
More than the typical 5
3 in the last 12 months
Well above the typical 3
7 in the last 12 months
Well above the typical 1
5 in the last 12 months
More than the typical 2
2 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.
Medication handling and storage
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based observation the licensee did not comply with the section cited above by not ensuring that sliding door in the living room is operational and easily accessible in case of emergency and the sliding screen door in room #2 is in good repair and does not pose a hazard to individual using the exit doorway, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction ADM stated that he/she will have a written plan of correction or a memorandum of understanding to address the maintenance of the exit doors, and screen door of the facility by the POC due date of 07/10/2026.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, an unused mattress by the side of room #3 sliding door, a low hanging tree branch and a patch of tomato garden directly obstructs the pathways to walkways which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction ADM stated he/she will submit a written plan of correction or a memorandum of understanding to address the unused mattress, the low haning tree branch and the patch of tomato garden that directly obstructs pathways and walkways by the POC due date of 07/10/2026.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above by not ensuring that medications were stored in their original containers & not accessible to resident. Medications were observed in a clear covered container labeled with the resident's name for AM and PM. ADM stated that the medication are pre-poured for the entire day and transferred from its original container which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction ADM stated he/she will submit a written plan of correction or memorandum of understanding to address the medication and ensure that the medications are not pre-poured or pre-prepared and medications are locked and not accessible to residents in care. Written plan of correction will be submitted to LPA by the POC due date of 7/10/2026.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87623(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87623 Indwelling Urinary Catheter (a)The licensee shall be permitted to accept or retain a resident who requires the use of an indwelling catheter under the following circumstances: (1)If the resident is physically and mentally capable of caring for all aspects of the condition except insertion and irrigation. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not ensure a resident with a restricted health condition met the criteria for retention. R1 and R3 was observed with an indwelling urinary catheter. R1 and R3 are incapabe of self-care. Licensee did not submit a written exception request for a Restricted Health Condition Care Plan to the Department and is retaining 2 out of 6 residents with a prohibited health condition, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction ADM stated he/she will send a written plan of correction or memorandum of understanding to address the Restricted Health Condition Care Plan for the indwelling urinary catheter for R1 and R3 and will submit the necessary request for exception on or before the POC due date of 07/10/2026.
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
87463 Reappraisals (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 by not requesting an annual routine visit with a licensed professional once every twelve months for 2 out 6 residents (R5 and R6). R5 and R6s medical assessment (LIC 602)was dated October 2023, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/23/2026 Plan of Correction ADM stated he/she will submt a written plan of correction or memorandum of understanding to address the medical assessment (LIC 602) of R5 and R6 and schedule a visit with the physician on an annual basis for all residents in care. ADM will submit the plan of correction on or before 07/23/2026.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- HSC
What the official deficiency says
87463Reappraisals (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...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 by not ensuring that R5 and R6's appraisal needs and services plan are updated based as frequently as necessary. Based on record review R5 & R6 were diagnosed with dementia which poses/posed a potential health, safety or personal rights risk to persons in care. - CCR 87463(a) is the correct violation code.
Official plan of correction
POC Due Date: 07/23/2026 Plan of Correction ADM stated he/she will submit a written plan of correction or memorandum of understanding to address and update the appraisal needs and services plan as frequently as necessary or once every 12 month by the POC due date of 07/23/2026.
Plan of correction recorded
Correction not verified in available records
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(d)(1)(2)
- Regulation authority
- CCR
What the official deficiency says
87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1)(2) (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, ADM did not ensure tha his/her mandated duty to manage and administer the facility in compliance with applicable laws and regulations were met. The 4 Type A and 2 Type B violations that was cited today for the indwelling catheters and un-updated dementia care plan are, non-compliant operational oversight demonstrates that the Administrator did not conform to the requirements of Chapter 8 of Title 22, directly impacting residents which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction ADM stated he/she will submit a written plan of correction or a memorandum of understanding that addresses the qualification of the ADM to ensure he/she manages, administer the applicable laws and regulation are met. ADM stated he/she will submit the plan of correction on or before the due date of 07/10/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h)(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... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above by not mainitaining an accurate and current record of R1s medication list which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/18/2025 Plan of Correction ADM stated she will write a letter of understanding of regulation and submit to the department a record of the current medications R1 is currently taking prescribed by physicians.
Plan of correction recorded
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements. (a) Each licensee shall furnish to the licensing agency... including, (1) A written report shall be submitted to the licensing agency ... within seven days ...(D)Any incident which threatens the welfare, safety or health of any resident ... The requirement was not met as evidenced by: Deficient Practice Statement Based on the records reviewed, the facility did not send the incident report of resident R1 refusing to take medication within 7 days of the incident occurrence, this poses a potential health, safety risk to persons in care. R1 has refused to take medication since prescribed on 3/28/25.
Official plan of correction
POC Due Date: 07/24/2025 Plan of Correction ADM stated they will submit a written report for a R1 refusal of medication to the department for every occurance and notify the POA and Doctor of each refusal, and ADM will submit letter of understanding for the regulation emailed to LPA by POC due 07/24/25
Plan of correction recorded
Correction not verified in available records
Inspection
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 87632(a)
- Regulation authority
- CCR
What the official deficiency says
87632 (a)In order to accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not submitting a request for a hospice waiver for R1. ADM assumed that the old waiver for the previous facility (435202377) will automatically be transferred to the new license, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/31/2024 Plan of Correction ADM stated he/she will resubmit the request that was submitted to CDSS on 11/28/2021, prior to being licensed on 7/22/2022 and will be submitted by the POC due date.
Plan of correction recorded
Correction not verified in available records
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(d)(2)
- Regulation authority
- CCR
What the official deficiency says
87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply: (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review and interview. ADM did not conform to the applicable laws, rules and regulation by not submitting a waiver request prior to accepting R1 for hospice care, which pose/poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/31/2024 Plan of Correction ADM stated that he/she will submit a waiver request with appropriate supporting documents by the POC due date to conform to the rules and regulations based on CCR Title 22. *Due to tehcnical difficulty, the original LIC809D signed by ADM did not save. See LIC 809C for PDF file of the signed document.
Plan of correction recorded
Correction not verified in available records
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