Medication handling and storage
Cited in 2 reports, with 2 deficiencies in total.
BLOSSOM VALLEY CARE HOME, INC.
4387 SILVERBERRY DRIVE, San Jose CA 95136
6 bedsLatest official report Apr 3, 2026Licensed
Additional info
- Telephone
- (408) 489-9170
- Licensee
- BLOSSOM VALLEY CARE HOME, INC.
- Administrator
- RONNIE UBUNGEN
- Contact
- RONNIE UBUNGEN
- License first date
- Dec 7, 2007
- License effective date
- Dec 7, 2007
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Jan 6, 2026
- Most recent deficiency
- Dec 23, 2025
2 later reports, from Jan 6, 2026 through Apr 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 9 reports for this facility: 5 inspections, 4 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 4
- Type A deficiencies
- 2
- Type B deficiencies
- 2
- Substantiated complaints
- 1
- Repeated topics
- 1
About the same as most this size
2 in the last 12 months
More than the typical 3
2 in the last 12 months
More than the typical 1
2 in the last 12 months
About the same as most this size
0 in the last 12 months
Most this size 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(g)(3)(C)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
Admission Agreements: Any fee that charged prior to or after admission, shall be clearly specified. Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652. This requirement was not met as evidenced by the facility did not refund R1's partial & full refund for April & May 2022 after R1's death. A review of the Admission Agreement on is entirely different from R1's Admission Agreement. Refund Policy has conflicting and/or misleading information.
Official plan of correction
Licensee ageed and understood to submit a new Admissions Agreement with a clear refund policies that adheres to regulations and/or laws by POC date 11/21/2022.
Deadline recorded: Nov 18, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 18, 2022
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