The available records show 3 Type A and 4 Type B deficiencies for this facility.
Most recent inspection
Oct 13, 2025
Most recent deficiency
Oct 13, 2025
No later report is available, so the records do not show what happened afterward.
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 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Official inspections
6
More than the typical 5
1 in the last 12 months
Recorded deficiencies
7
More than the typical 3
3 in the last 12 months
Type A deficiencies
3
More than the typical 1
1 in the last 12 months
Type B deficiencies
4
More than the typical 2
2 in the last 12 months
Substantiated complaints
0
Most this size also 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.
(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. 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 not having a current medical assesment for R2 and R3 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/14/2025 Plan of Correction ADM states he will contact R1's and R2 responsible parties to obtain a medical assessment. ADM will submit proof of communication with R1 and R2s responsible parties to CCLD by POC due date 10/14/25.
(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, interview the licensee did not comply with the section cited above the fence that is an exit in the backyard latch is broken which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/27/2025 Plan of Correction ADM stated he will submit a written plan of action to obtain broken fence/latch and provide a copy of scheduled maintenance and proof of correction by emailing a copy of repaired fence by POC due date 10/27/25
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, the licensee did not comply with the section cited above by not having R3s file at the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/27/2025 Plan of Correction ADM stated he will submit R3s file via email and a letter of understanding of the regulation.
87465(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 in R2's 2 medications were kept in the fridge unlocked and accessible to persons other than employees responsible for the supervision of the medication which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/20/2023 Plan of Correction Lead Staff stated the facility will obtain a locked container to store the medications that need to be placed in the fridge and will submit a written plan of action and understanding of regulation by POC date.
87465 (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year. 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 3 out of 3 resident's file contained a blank LIC 622 Centrally Stored Medication and Destruction Log which did not contain the necessary iinformation which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/26/2023 Plan of Correction Lead Staff stated the facility staff will complete the information on the LIC 622 Centrally Stored Medication and Destruction Log and submit a written plan of action and understanding of the regulation by POC date.
87412 (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review. 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 1 ouf of 1 staff file was not maintained at the facility and was not available for review which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/26/2023 Plan of Correction Lead Staff stated the facilty will maintan the staff file at the facility and submit a written plan of action and understandig of the regulation by POC date.
All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, observation, and record review the licensee did not ensure to service the fire extinguisher annually which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 10/20/2022 Plan of Correction Licensee states to get the fire extinguisher serviced tomorrow and will send a picture of the service tag to LPA via email by POC due date.
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.