RGK HOME CARE

274 CLEARPARK CIRCLE, San Jose CA 95136

Facility 435202891 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report May 1, 2026Licensed

Additional info
Licensee
CRUZ, RAVENAL D. & LAZARO, MARY GRACE V.
Administrator
CRUZ, RAVENAL DE GUZMAN
Contact
CRUZ, RAVENAL DE GUZMAN
License first date
Apr 25, 2023
License effective date
Apr 25, 2023
District office
SAN JOSE RO · (408) 324-2112
Regional office
26
Clients served
935 - ELDERLY

Summary

The available records show 3 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
May 1, 2026
Most recent deficiency
Dec 3, 2024

6 later reports, from Mar 13, 2025 through May 1, 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 12 reports for this facility: 8 inspections, 1 complaint investigation, and 3 licensing or administrative records.

Those records contain 3 Type A and 2 Type B deficiencies.

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

Official inspections
8

More than the typical 5

3 in the last 12 months

Recorded deficiencies
5

More than the typical 3

0 in the last 12 months

Type A deficiencies
3

More than the typical 1

0 in the last 12 months

Type B deficiencies
2

About the same as most this size

0 in the last 12 months

Substantiated complaints
1

Most this size have none

0 in the last 12 months

Repeated topics
0

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.

Licensing recordNot an inspection of the operating facility
Admission, assessment, and evictionType A
Official classification
Type A
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

87463 Reappraisals(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. .... This requirement was not met as evidenced by: Based on the interviews and records reviewed on 5/31/2024, R1's appraisal needs and service plan was not updated after R1's elopement on 5/21/2024, which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care

Official plan of correction

ADM and Licensee stated they will conduct a meeting with responsible party and staff and update re-apprisal for R1 and all residents as frequently as possible to ensure accuracy. Review all residents needs and services plan for all residents at least every 3 months and as needed,

Deadline recorded: Dec 4, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 4, 2024
Correction not verified in available records
View official report
Administrator qualificationsType A
Official classification
Type A
Official code
87405(d)(1)
Regulation authority
CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in ....(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement was not met as evidenced by: Based on R1's elopement on 5/21/2024, Administrator did not fulfill his/her duites & responsibility for providing care and supervision for R1. This poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM / Licensee stated they will conduct additional training for staff and themselves, regarding elopment, dementia, and re-apprisals. ADM and Licensee stated they will enroll in dementia training and other behavioral training.

Deadline recorded: Dec 4, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 4, 2024
Correction not verified in available records
View official report
Basic services and supervisionType A
Official classification
Type A
Official code
87464(f)(1)
Regulation authority
CCR

What the official deficiency says

87464 Basic Services (f)Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as as evidenced by: Based on the interview with 3 staff (S1-S3), did not ensure R1's bedroom door was closed and the door alarm did not activate to alert staff when R1 left from the facility which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated they will make sure to check the residents every 15 mintues and check the doors. ADM stated they will also replace the door alarms as well.

Deadline recorded: Dec 4, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 4, 2024
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited

Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)(D)
Regulation authority
CCR

What the official deficiency says

87211 Reporting Requirements (a)(1)(D) Any incident which threatens the welfare, safety, or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews and records reviewed, Administrator did not send R1's elopement incident report to CCL office which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Administrator stated to submit plan of correction by the POC due date to ensure the facility to send incident reports to CCL office in timely manner.

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

Plan of correction recorded
Correction deadline recordedDeadline Sep 24, 2024
Correction not verified in available records
View official report
Resident rightsType B
Official classification
Type B
Official code
87468.1(a)(2)
Regulation authority
CCR

What the official deficiency says

87468.1 Personal Rights (a)(2) Each resident shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interview and record review, Licensee did not provide the necessary care and supervision to meet R1's care needs, which resulted in R1's elopement from the facility, which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Administrator stated to submit a plan of correction by the POC due date to provide the training to staff to provide care and supervision to meet residents' needs and to provide the staff training log.

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

Plan of correction recorded
Correction deadline recordedDeadline Sep 24, 2024
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
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