Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
WILLIE CARE HOME
1194 SOUTH MARY AVE., Sunnyvale CA 94087
6 bedsLatest official report Jun 30, 2026Licensed/Pending Increase
Additional info
- Telephone
- (408) 749-0823
- Licensee
- XU, GUILI
- Administrator
- ZHAO,WUSHENG
- Contact
- ZHAO,WUSHENG
- License first date
- Jun 28, 2004
- License effective date
- Jun 28, 2004
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 935 - ELDERLY
Summary
The available records show 6 Type B deficiencies for this facility.
- Most recent inspection
- Jun 30, 2026
- Most recent deficiency
- Jun 30, 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 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: 4 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 0 Type A and 6 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 6
- Type A deficiencies
- 0
- Type B deficiencies
- 6
- Substantiated complaints
- 0
- Repeated topics
- 1
Fewer than the typical 5
1 in the last 12 months
More than the typical 3
1 in the last 12 months
Fewer than the typical 1
0 in the last 12 months
More than the typical 2
1 in the last 12 months
Most this size also 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.
Inspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.696(a)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component of the training requirements specified in Section 1569.625. The training shall include all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not provide four hours of training to direct care staff on postural supports, restricted conditions of health services, and hospice, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2026 Plan of Correction Licensee will conduct a training and send proof of training and send documentation of the training and who was present for the training, including hours of the training to the Department by the POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(c)
- Regulation authority
- CCR
What the official deficiency says
(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the Administrator did not ensure that the door screens in the living room and 1 of 6 bedrooms were not damaged and broken, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/10/2025 Plan of Correction The Administrator stated they will repair the door screens. The Administrator will submit the POC to CCLD by 06/10/2025.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not ensure that 1 of 4 employee's personnel records contained a LIC503 Health Screening, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/10/2025 Plan of Correction The Administrator will submit the POC to CCLD by 06/10/2025.
Plan of correction recorded
Correction not verified in available records
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. 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 where 6 out of 6 residents did not have a written order for half bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/01/2024 Plan of Correction During visit, Licensee obtained a written order for half bed rails for 5 out of 6 residents. Licensee will submit the written physician's order for the remainder of the 1 resident to LPA Dolores via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- CCR
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is notrequired during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not ensure to conduct emergency drills quarterly which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/01/2024 Plan of Correction Licensee will submit a statement of understanding of the section cited above to LPA Dolores via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 87632(a)
- Regulation authority
- CCR
What the official deficiency says
(a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department. To obtain this waiver the licensee shall submit a written request for a waiver to the Department on behalf of any residents who may request retention, and any future residents who may request acceptance, along with the provision of hospice services in the facility. The request shall include, but not be limited to the following: This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review the licensee did not ensure to request for a hospice waiver increase prior to retaining a resident under hospice care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/01/2024 Plan of Correction Licensee will submit a request to increase the facility's hospice care waiver to LPA Dolores via email by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
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