BELMONT VILLAGE SUNNYVALE

1039 E EL CAMINO REAL, Sunnyvale CA 94087

Facility 435202351 · RESIDENTIAL CARE ELDERLY (740)

150 bedsLatest official report Apr 9, 2026Licensed

Additional info
Licensee
BELMONT VILLAGE SUNNYVALE TNNT & LP; BELMONT THREE
Administrator
MANZO, TYLER J
Contact
MANZO, TYLER J
License first date
Apr 1, 2013
License effective date
Apr 1, 2013
District office
SAN JOSE RO · (408) 324-2112
Regional office
26
Clients served
935 - ELDERLY

Summary

The available records show 6 Type A and 8 Type B deficiencies for this facility.

Most recent inspection
Apr 9, 2026
Most recent deficiency
Apr 9, 2026

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 41 Santa Clara County facilities licensed for 50 or more beds.

In the available public five-year record, CCLD published 19 reports for this facility: 12 inspections, 6 complaint investigations, and 1 licensing or administrative record.

Those records contain 6 Type A and 8 Type B deficiencies.

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

Official inspections
12

More than the typical 10

3 in the last 12 months

Recorded deficiencies
14

Well above the typical 4

3 in the last 12 months

Type A deficiencies
6

More than the typical 2

1 in the last 12 months

Type B deficiencies
8

Well above the typical 1

2 in the last 12 months

Substantiated complaints
3

Most this size have none

0 in the last 12 months

Repeated topics
2

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 · 3 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Complaint

Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 2 cited

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 ... means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living ... taking medications, money management, or personal care. This requirement was not met as evidenced by:Based on the interviews and record reviewed, the facility did not provide care and supervision for R1. R1 had a change of condition and was not reported, and the facility did not take action on R1's change of condition, which led to R1's hospitalization.

Official plan of correction

Administrator stated to submit a plan of correction by the POC due date to provide the staff training of responsibility for providing care and supervision to residents and reporting resident's change in condition, and submit the training log to CCL office.

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

Plan of correction recorded
Correction deadline recordedDeadline Jul 4, 2024
Correction not verified in available records
View official report
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(1)
Regulation authority
CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility... shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on the interviews and records reviewed, the facility did not assist or arrange medical care appropriately to the resident condition and needs when R1 had a change of condition, this poses/posed a immediate health and safety risk to persons in care.

Official plan of correction

Administrator stated to submit a plan of correction by the POC due date and provide the staff training of arranging or assisting to arrange medical care for residents if residents have change in condition, and submit the training log to CCL office.

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

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

Allegations1 substantiated · 0 unsubstantiated · 1 unfounded · 1 cited

Medical and dental careType A
Official classification
Type A
Official code
87465(a)(1)
Regulation authority
CCR

What the official deficiency says

Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. ... and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This was not met as evidenced by: Based in interviews & record reviews, no calls were made to 911 to send R1 to emergency room for further assessment when R1 fell during outing which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

Licensee to submit a plan to ensure compliance to provide Incidental and Medical care to residents. Licensee to submit by POC due date

Deadline recorded: Mar 27, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Mar 27, 2024
Correction not verified in available records
View official report
Complaint

Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited

Admission, assessment, and evictionType A
Official classification
Type A
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(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. Significant changes shall include but not be limited to. This requirement was not met as evidence by: Based on document review and investigation, there was no evidence that the facility reassessed R1 after the fall. R1’s Reappraisal was not updated for the facility to develop the care plan to meet resident’s needs. This poses an immediate risk to the health of the resident.

Official plan of correction

Licensee agrees to conduct staff training in ensuring care and supervision are provided to residents whose conditions have changed due to medical assessment or observations with updated care plans and submit the training plan to CCL by POC date.

Deadline recorded: Jul 26, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2023
Correction not verified in available records
View official report
Resident rightsType A
Official classification
Type A
Official code
87468.2(a)(4)
Regulation authority
CCR

What the official deficiency says

(a) (4) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Facility did not discuss plan of care instruction with staff to ensure R1 receive the care and supervision as a result R1 had 3rd fall sustained a right hip fracture. This poses an immediate risk to the health of the resident.This requirement was not met as evidence by: Based on investigation record review and interview, the facility did not update the care plan for R1 to ensure that resident received care, supervision and services that meet resident’s needs.

Official plan of correction

Licensee agrees to submit plan in writing on care and supervision of residents such as but not limited to falls to CCL by POC date.

Deadline recorded: Jul 26, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2023
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