SAFE HAVEN VILLA CARE HOME

5670 JUDITH STREET, San Jose CA 95123

Facility 435601018 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Dec 17, 2025Licensed

Additional info
Licensee
THELMA Q. LLANES
Administrator
THELMA LLANES
Contact
THELMA LLANES
License first date
Oct 17, 2017
License effective date
Oct 17, 2017
District office
SAN JOSE RO · (408) 324-2112
Regional office
26
Clients served
935 - ELDERLY

Summary

The available records show 5 Type A and 1 Type B deficiencies for this facility.

Most recent inspection
Dec 17, 2025
Most recent deficiency
Oct 24, 2025

1 later report, on Dec 17, 2025, 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 7 reports for this facility: 7 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 5 Type A and 1 Type B deficiencies.

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

Official inspections
7

More than the typical 5

3 in the last 12 months

Recorded deficiencies
6

More than the typical 3

3 in the last 12 months

Type A deficiencies
5

More than the typical 1

3 in the last 12 months

Type B deficiencies
1

Fewer than the typical 2

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

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.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Dementia careType A
Official classification
Type A
Official code
87705(b)(1)
Regulation authority
CCR

What the official deficiency says

87705 Care of Persons with Dementia (b) Licensees shall be responsible for the following: (1) Ensuring staff receive the following training as part of the training requirements specified in Section 87208 Plan of Operation. This requirement is not met as evidenced by: Deficient Practice Statement Based on document review, the licensee did not comply with the section cited above by not ensuring staff are receiving the following training as part of the training requirement specified in Section 87208 Plan of Operation. S1 training was given in 2019 and S2 does not have onboarding training since S2 started at the facility in July of 2024, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2025 Plan of Correction LIC/ADM stated that she will submit a written plan of correction by the due date 10/25/2025, LIC/ADM stated that he/she will be providing training on dementia care based on 87208 plan of operation for facility that serves residents with dementia. Proof of training will be submitted to LPA by 10/31/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType A
Official classification
Type A
Official code
87458(c)(1)(A-D)
Regulation authority
CCR

What the official deficiency says

87458 Medical Assessment (c) The medical assessment shall include… (1)A physical examination of the resident indicating…diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. (B)Infectious diseases. (C) Contagious diseases. (D)Other medical conditions. 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 providing medical assessment for 2 residents (R2 & R4) and 1 staff (S2) with results of examination for the following communicable tuberculosis, Infections diseases, contagious diseases and other medical condition which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2025 Plan of Correction LIC/ADM stated that he/she will submit a written plan of correction by the date of 10/25/25. LIC stated that he/she will complete and provide proof of medical assessmen for R2 and R4 and health screening for S2 by 10/28/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

1569.695 Emergency Plans (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... 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 record review the licensee did not comply with the section cited above by not conducting a drill for each shift, the type of emergency covered under HSC 1569.695. LIC/ADM do not have proof of training and have stated that the training has not been provided for almost a year. Which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/25/2025 Plan of Correction LIC/ADM stated that he/she will submit a written plan of correction by the due date of 10/25/25. LIC/ADM plan to provide actual training by giving staff specific assignment during training in the event of an emergency (disaster, fire and earthquake). LIC/ADM will document quarterly training drills and will submit first proof of training on or before 10/31/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in by not maintaining the hot water temperature at 105 degree F to 120 F. LPA measured the water temperature in the resident's bathroom with a digital thermometer witnessed by S1. Water temperature measured at 128.6 degree Fahrenheit which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/29/2024 Plan of Correction ADM adjusted the water temperature while LPA was in the facility. ADM stated that the water temperature is set between 105 to 120. ADM will submit a written plan of action on how the facility will ensure that the water temperature is regulated at 105 to 120 degree F by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Background checksType A
Official classification
Type A
Official code
87355(e)
Regulation authority
CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on interview the licensee did not comply with the section cited above by not having S2 (spouse) acquire a criminal background clearance prior to residing at the facility. S2 stated the he/she recently retired from the military service and have resided at the facility when he/she retired and did not have a live scan when asked by LPA, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/29/2024 Plan of Correction ADM sent S2 to obtain a livescan while LPA was at the facility. ADM stated that S2 will not be at the facility until live scan has cleared and S2 is associated to the facility. ADM will submit a plan of correction on how the facility will ensure that all individuals prio to residing, volunteering or working at the facility will be have criminal background clearance by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(a)
Regulation authority
HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: 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 having disaster plan training, and emergency plan in place which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction ADM stated that training was provided a year ago and have not done one in a while. ADM will submit a written plan of correction on how the facility will conduct disaster training and have an emergency plan in place by the correction due date.

Plan of correction recorded
Correction not verified in available records
View official 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