ROSE GUEST HOME

1820 BETHANY AVE, San Jose CA 95132

Facility 435202674 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Feb 3, 2026Licensed

Additional info
Licensee
SACUN, LILIAN
Administrator
SACUN, LILIAN
Contact
SACUN, LILIAN
License first date
Feb 13, 2019
License effective date
Feb 13, 2019
District office
SAN JOSE RO · (408) 324-2112
Regional office
26
Clients served
935 - ELDERLY

Summary

The available records show 2 Type A and 4 Type B deficiencies for this facility.

Most recent inspection
Feb 3, 2026
Most recent deficiency
Feb 14, 2025

1 later report, on Feb 3, 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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 2 Type A and 4 Type B deficiencies.

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

Official inspections
5

About the same as most this size

1 in the last 12 months

Recorded deficiencies
6

More than the typical 3

0 in the last 12 months

Type A deficiencies
2

More than the typical 1

0 in the last 12 months

Type B deficiencies
4

More 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
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 storing Cleaning Spray unlocked under kitchen sink which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/15/2025 Plan of Correction ADM/LIC will submit of plan of correction a letter of understanding of regulation title 22 via email to LPA via email by POC date of 02/15/2025

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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 by storing prescribed medication and OTC in residents bedroom which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/15/2025 Plan of Correction ADM/LIC will submit of plan of correction a letter of understanding of regulation title 22 via email to LPA via email by POC date of 02/15/2025

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Basic services and supervisionType B
Official classification
Type B
Official code
87466
Regulation authority
CCR

What the official deficiency says

The licensee 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. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above. Based on record review 3 Out of 3 resident records reviewed did not have a weight record. ADM stated she did not have a weight record for R1-R3. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2024 Plan of Correction ADM stated she will send a plan of action on how the facility will track the residents change in weight. ADM stated she will send LPA Plan of action, by POC date, 02/16/2024.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record Review and interview, the licensee did not comply with the section cited above. LPA asked ADM to review S3's training documentation. ADM stated she did not have documentation of S3's training for the year 2023. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2024 Plan of Correction ADM stated she will send a plan of action on how the facility will ensure staff are trained 20 hours annually, eight hours of which shall be dementia care training and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care. ADM stated she will send documentation S3 has been trained to LPA. ADM stated she will send the plan by POC date, 02/16/2024.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. 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. Bedroom #3 is a staff bedroom which does not have a lock. Inside Bedroom #3 are S3's medications, which are accessible to residents in care. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2024 Plan of Correction ADM stated she will send plan of action on how she will ensure staff medications are inaccessible to residents in care. ADM stated she will send plan of action by POC date, 02/16/2024.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType B
Official classification
Type B
Official code
87705(c)(5)
Regulation authority
CCR

What the official deficiency says

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record Review and interview, the licensee did not comply with the section cited above. LPA reviewed R1's records; R1's physicians report, dated March 4, 2022, states R1 has dementia. ADM stated that was the latest copy. LPA reviewed R1's Needs and Services Plan, dated March 1, 2023, which was not signed by R1's Responsible party. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2024 Plan of Correction ADM stated she will send plan of action on how the facility will ensure dementia residents have their annual medical assessment and reappraisal. ADM stated she will send plan of action by POC date, 02/16/2024.

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