Hazardous items and storage
Cited in 2 reports, with 2 deficiencies in total.
3065 VAN SANSUL AVENUE, San Jose CA 95128
12 bedsLatest official report Mar 30, 2026Licensed
The available records show 1 Type A and 2 Type B deficiencies for this facility.
1 later report, on Mar 30, 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 11 Santa Clara County facilities licensed for 7 to 15 beds, except where too few exist to state one — those come from facilities with 7 or more 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 1 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Fewer than the typical 8
1 in the last 12 months
About the same as most this size
0 in the last 12 months
Fewer than the typical 2
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size also 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.
(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 and interview, the licensee did not comply with the section cited above wherein the medication cabinet and drawer that contains sharp objects was not locked which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/27/2025 Plan of Correction Licensee immediately fixed the lock on the medication cabinet and sharp objects drawer. Licensee will submit a statement of understanding of the section cited above to LPA Kabariti via email by POC due date.
(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, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 in wherein 2 out of 4 resident's did not have an up-to-date needs and services plan which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/02/2025 Plan of Correction Licensee will ensure that all resident's will have an up-to-date needs and services plan, going forward. Licensee will submit the 2 resident's updated needs and services plan and statement of understanding of the section cited to LPA Kabariti via email by POC due date of 04/02/2025.
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed a container of anti freeze coolant, directly to the left of the storage unit. LPA also observed cans of paint, and a gasoline container, behind the storage unit. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/29/2024 Plan of Correction ADM stated they will store the toxics inside the storage. ADM stated she will send me a written plan of action on how she will ensure disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to residents in care.
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