Facility condition and maintenance
Cited in 2 reports, with 3 deficiencies in total.
ST. THERESE ELDERLY CARE FACILITY
5903 CAHALAN AVE, San Jose CA 95123
6 bedsLatest official report Dec 30, 2025Licensed
Additional info
- Telephone
- (408) 578-8068
- Licensee
- BENITEZ, MICHELLE
- Administrator
- BENITEZ, MICHELLE
- Contact
- BENITEZ, MICHELLE
- License first date
- Dec 31, 2020
- License effective date
- Dec 31, 2020
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 5 Type A and 7 Type B deficiencies for this facility.
- Most recent inspection
- Dec 30, 2025
- Most recent deficiency
- Dec 18, 2025
1 later report, on Dec 30, 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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 5 Type A and 7 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 12
- Type A deficiencies
- 5
- Type B deficiencies
- 7
- Substantiated complaints
- 0
- Repeated topics
- 2
Fewer than the typical 5
2 in the last 12 months
Well above the typical 3
6 in the last 12 months
More than the typical 1
3 in the last 12 months
Well above the typical 2
3 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.
Fire safety and emergency preparedness
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
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 obsservation, the licensee did not comply with the section cited above by not maintaining faucets used by residents to deliver hot water not more than 105 degree F to 120 degree F. When measured with a digital thermometer, the water in the kitchen faucet, bathroom 1 and 2 measured at 133 to 139.7 degree F, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/19/2025 Plan of Correction LIC/ADM stated that he/she will submit a written plan of correction to address the water temperature not to exceed 105 to 120 degree F when measured. A written plan of correction will be submitted to LPA by 12/19/2025.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. 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 the laundry area containing cleaning solutions, and drawer containing knives and sharp objects are locked when not in use. LPA observed that the drawer with knives was kept unlock and no staff was present, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/19/2025 Plan of Correction LIC/ADM stated he/she will submit a written plan of correction to address the broken laundry area being kept unlocked when not in use and cleaning solutions were present. The drawer containing the knives and sharps will be address. A written plan of correction will be submitted to LPA by the POC due date of 12/19/2025
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Except as specified in subsection (d), the licensee shall implement reasonable interventions in order to ensure that nutritional supplements, vitamins, alcohol, cigarettes and other potentially toxic substances, such as certain plants, gardening supplies, and auto supplies, are stored so as not to pose a hazard to residents. 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 ensuring that potential toxic substances, gardening supplies placed in the gazebo and the potting soil on the pavement are stored properly so as not to pose a hazard to residents in care which poses an immediate health, safety or personal rights risk to persons in care
Official plan of correction
POC Due Date: 12/19/2025 Plan of Correction LIC/ADM stated he/she will submit a written plan of correction to address potential toxic substances, gardening supplies placed in the gazebo and potting soil on the pavement will be stored properly so as not to pose a hazard to residents in care. Written plan of correction will be submitted to LPA 12/19/2025.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. 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 completing appraisal needs and services plan (LIC 625) for resident 4 and 5 (R4 & R5) prior admission to determine the resident's suitability to the facility and other residents in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/02/2026 Plan of Correction LIC/ADM stated that he/she wiil complete the appraisal needs and services plan of R4 and R5 and proof of correction will be submitted to LPA by the due date of 01/02/2026.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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 in by not ensuring R5 does not have a comunicable tuberculosis prior to admission to the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/02/2026 Plan of Correction LIC/ADM stated that he she will ensure that R5 will have a TB test done to ensure that R5 does not have a communicable tuberculosis and will submit proof of testing to LPA by the POC due date of 01/02/2026.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(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. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. 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 in by not conducting a drill at least quarterly for each shift, for the type of emergency, that vary from quarter to quarter (fire, earthquake, emergency disasters i.e. power outages) which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 01/02/2026 Plan of Correction LIC/ADM stated he/she will be conducting quarterly training to staff and if possible with resident's participation. The training will be documented and will include, the type of emergency covered by the drill and the names of the staff participating in the drill. A proof that training was administered will be submitted to LPA by the POC due date of 01/02/2026.
Plan of correction recorded
Correction not verified in available records
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 Administrator did not ensure hot water temperature at the sink faucet is in the range of 105 - 120 degree F. The hot water temperature was measured at 144.5°F in 1 of 1 bathroom sink faucets, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/17/2024 Plan of Correction The Administrator stated that they would fix the high hot water temperatures. The Administrator will submit the evidence that hot water temperature is within the range of 105°F - 120°F to CCLD by 12/17/2024.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
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 on observation and interview, the Administrator did not ensure garage is clean, organized, and not cluttered which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/23/2024 Plan of Correction The Administrator stated that they would clean and organize the garage. The Administrator will submit the photographic evidence to CCLD by 12/23/2024.
Plan of correction recorded
Correction not verified in available records
Background checksType B
- Official classification
- Type B
- Official code
- 87355(e)(3)
- 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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the Administrator did not ensure S2 is associated with the facility and S2 was observed to be assisting residents in care which poses an potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/23/2024 Plan of Correction The Administrator stated to submit S2's LIC9182 to CCLD by 12/23/2024.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the Administrator did not ensure that S1 and S2 have current renewed first aid certificates which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/23/2024 Plan of Correction The Administrator stated that all staff members will get current renewed first aid certificates. The Administrator will submit evidence of completed Health screening to CCLD by 12/23/2024.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(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. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. 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 Administrator did not ensure that the emergency drills are conducted on quarterly basis which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/23/2024 Plan of Correction The Administrator stated that they will conduct Energency Drill soon and the Administrator will submit evidence of the completed drill log to CCLD by 12/23/2024.
Plan of correction recorded
Correction not verified in available records
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
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 degree C) and not more than 120 degree F (49 degree 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 2 out of 2 bathrooms in which the water temperature was measured to be 141.1 *F, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/04/2021 Plan of Correction Corrected during inspection by turning down the temperature on the water heater
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