Inspection
No deficiencies recorded in this report
SERENITY CARE HOME RCFE
684 LAKEWOOD DR, Sunnyvale CA 94089
6 bedsLatest official report Jul 29, 2026Licensed
Additional info
- Telephone
- (408) 747-3439
- Licensee
- MELBURGA SENOT
- Administrator
- MELBURGA SENOT
- Contact
- MELBURGA SENOT
- License first date
- Jul 21, 2006
- License effective date
- Jul 21, 2006
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Jul 29, 2026
- Most recent deficiency
- Jul 9, 2025
1 later report, on Jul 29, 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 5 reports for this facility: 4 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 1 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 3
- Type A deficiencies
- 1
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 0
Fewer than the typical 5
1 in the last 12 months
About the same as most this size
0 in the last 12 months
About the same as most this size
0 in the last 12 months
About the same as most this size
0 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.
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.
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(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 and interview, the Licensee did not ensure garage was clean, organized, and not cluttered, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/16/2025 Plan of Correction The Licensee stated that they would clean and organize the garage. The Administrator will submit the Licensee evidence to CCLD by 07/19/2025.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Licensee did not ensure the hot water in is the range of 105°F-120°F. The hot water temperature at the sink faucet in two bathrooms was measured between that range of 126.1°F to 126.7°F, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/16/2025 Plan of Correction The Licensee will submit the POC to CCLD by 07/16/2025.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(6)(E)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (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 and includes: (E) The prescription number and the name of the issuing pharmacy. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the Licensee did not ensure that for 1 of 4 resident's medication ‘Paroxetine HCL 20 MG’ prescription names, prescription numbers, issuing pharmacy, and date filled were entered correctly in the Centrally Stored Medication Records, which poses/posed an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/10/2025 Plan of Correction The Licensee will write correct prescription name, numbers, issuing pharmacy, and date filled for R1's medications in Centrally Stored Medication Records and submit the proof of correction to CCL by 07/10/2025.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
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