BELMONT VILLAGE LOS GATOS

5121 UNION AVENUE, San Jose CA 95124

Facility 435202856 · RESIDENTIAL CARE ELDERLY (740)

175 bedsLatest official report Jun 24, 2026Licensed

Additional info
Licensee
BELMONT UNION AVENUE TENANT LLC; BELMONT THREE LLC
Administrator
MARTINEZ, RADHIKA
Contact
MARTINEZ, RADHIKA
License first date
Mar 24, 2022
License effective date
Mar 24, 2022
District office
SAN JOSE RO · (408) 324-2112
Regional office
26
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 4 Type A and 1 Type B deficiencies for this facility.

Most recent inspection
Mar 17, 2026
Most recent deficiency
Mar 13, 2026

3 later reports, from Mar 17, 2026 through Jun 24, 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 41 Santa Clara County facilities licensed for 50 or more beds.

In the available public five-year record, CCLD published 18 reports for this facility: 12 inspections, 5 complaint investigations, and 1 licensing or administrative record.

Those records contain 4 Type A and 1 Type B deficiencies.

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

Official inspections
12

More than the typical 10

4 in the last 12 months

Recorded deficiencies
5

More than the typical 4

2 in the last 12 months

Type A deficiencies
4

More than the typical 2

2 in the last 12 months

Type B deficiencies
1

About the same as most this size

0 in the last 12 months

Substantiated complaints
2

Most this size have none

1 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.

Complaint

Allegations0 substantiated · 0 unsubstantiated · 2 unfounded · investigated over 2 visits

No deficiencies recorded in this report
Complaint

Part of the complaint whose outcome is recorded on Jun 24, 2026 · Control 26-AS-20260409143500

No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(a)
Regulation authority
CCR

What the official deficiency says

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Licensee did not ensure that R2 was not given medications M1-M6, which belonged to R3, which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a plan of correction by 03/14/2026 stating how the licensee will ensure that staff do not administer the wrong medication to residents, including in-service training of staff on assisting residents with the administration of medications. Once in-service training is completed, the licensee will submit copies of staff training records, including names of staff trained, training dates, training topics, and names and qualifications of trainers. **In-Service Training Conducted on 01/20/2026; Deficiency cleared during visit. **

Deadline recorded: Mar 14, 2026. A deadline is not proof that correction was completed.

Official record says corrected or clearedRecorded in report dated Mar 13, 2026
Plan of correction recorded
Correction deadline recordedDeadline Mar 14, 2026
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 3 unfounded · 1 cited

Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(a)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be...competent to provide the services necessary to meet resident needs This requirement is not met as evidenced by: Based on record review and interview resident R1's prescription medication M1 was not administered to R1 by Med Tech On 1/13/25, 1/14/25, 1/15/25 and 1/16/25 for 4 days due to without doctor refill order which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Executive Director stated the facility will conduct a medication administration staff training. Executive Director will submit the Plan of Correction by POC due date, and submit completion log of staff training log to the Department.

Deadline recorded: Oct 8, 2025. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Oct 8, 2025
Correction not verified in available records
View official report
Complaint

Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited

Basic services and supervisionType A
Official classification
Type A
Official code
87466
Regulation authority
CCR

What the official deficiency says

87466 Observation of the Resident The see shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs.This requirement is not met as evidenced by: Based on records reviewed and interviews, no progress notes that was made to document R1s wound condition after 11/21/2023. This posed an immediate health and safety risk to persons in care.

Official plan of correction

Administrator stated to submit a plan of correction by the POC due date to develop a protocol on documentation for residents in care and supervision.

Deadline recorded: Feb 24, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 24, 2024
Correction not verified in available records
View official report
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(1)
Regulation authority
CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interviews, and records reviewed, the facility staff did not follow up with R1s PCP after the initial consultation of R1's wound treatment on 11/21/2022. This posed an immediate health and safety risk to residents in care.

Official plan of correction

Administrator stated to submit a plan of correction by POC due date to address wound care.

Deadline recorded: Feb 24, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Feb 24, 2024
Correction not verified in available records
View official report
Incident reportingType B
Official classification
Type B
Official code
87211(1)(D)
Regulation authority
CCR

What the official deficiency says

87211 Reporting Requirements. (a) Each licensee shall furnish to the licensing agency ...(1) A written report shall be submitted to the licensing agency...(D) Any incident which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by: Based on interviews, and records reviewed, of incident submitted to the department, a report was not filed with licensing addressing R1s unusual incident (injury/fall) in November 2023. This posed an potential health and safety risk to residents in care.

Official plan of correction

Administrator stated will submit a plan of correction (POC) on reporting requirements.

Deadline recorded: Mar 1, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Mar 1, 2024
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this 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