KIMBERLY'S ELDER KARE KOTTAGE
2770 MOORPARK AVENUE, San Jose CA 95128
6 bedsLatest official report Aug 19, 2026Licensed
Additional info
- Telephone
- (408) 483-1029
- Licensee
- HALL, DEBRA & PATRICK
- Administrator
- KENDALL HALL
- Contact
- KENDALL HALL
- License first date
- Aug 24, 2006
- License effective date
- Aug 24, 2006
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 2 Type A deficiencies for this facility.
- Most recent inspection
- Aug 19, 2026
- Most recent deficiency
- Aug 22, 2025
1 later report, on Aug 19, 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, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 0 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 2
- Type A deficiencies
- 2
- Type B deficiencies
- 0
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 5
1 in the last 12 months
Fewer than the typical 3
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Fewer than the typical 2
0 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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (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 on observation, the licensee did not comply with the section cited above in one of the facility sliding glass doors, which could not properly be locked or opened, and one out of six resident bedrooms, which had a hole in one of the walls, which poses a safety risk to persons in care.
Official plan of correction
POC Due Date: 08/23/2025 Plan of Correction Licensee agrees to submit a a Plan of Correction by POC Due Date stating how the licensee will repair the sliding glass door and the hole in one of the resident bedrooms. Once repairs are made, the licensee shall submit photographic evidence of the repairs.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportIncident reportingType A
- Official classification
- Type A
- 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 such reports...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident...(D)Any incident which threatens the welfare, safety or health of any resident... This was not met as evidenced by: Based on interviews, Licensee did not report an incident to Licensing which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Licensee to submit a plan to address reporting requirement issues in the facility. Licensee to submit plan by POC deadline.
Deadline recorded: Jul 27, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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