Inspection Reports for Bellerose Senior Living
100 Bellerose Dr, San Jose, CA 95128, CA, 95128
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Inspection Report
Annual Inspection
Census: 20
Capacity: 26
Deficiencies: 0
Sep 23, 2025
Visit Reason
An unannounced annual required 1-year inspection was conducted by Licensing Program Analyst Steve Chang to evaluate compliance with licensing requirements.
Findings
The facility was toured and inspected including resident bedrooms, common areas, kitchen, and safety equipment. No citations or deficiencies were noted during the inspection. Fire safety systems and emergency preparedness were found to be in compliance.
Report Facts
Resident files reviewed: 5
Staff files reviewed: 5
Fire extinguisher last serviced: Sep 18, 2024
Fire alarm system inspection date: Apr 11, 2025
Emergency drill date: Aug 20, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Corral | Administrator | Met with Licensing Program Analyst during inspection |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced annual inspection |
Inspection Report
Annual Inspection
Census: 17
Capacity: 26
Deficiencies: 0
Sep 11, 2024
Visit Reason
The inspection was an unannounced required 1-year annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff files, medication storage, emergency preparedness, and infection control measures.
Report Facts
Resident beds equipped with half rails: 4
Expired PRN medications observed: 2
Staff files reviewed: 4
Emergency drills frequency: 4
Fire extinguisher last serviced dates: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Corral | Administrator | Met with Licensing Program Analyst during inspection and involved in review of findings. |
| Christine Dolores | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Odalys Rodriguez | MedTech | Participated in review of the report with Administrator. |
Inspection Report
Census: 23
Capacity: 26
Deficiencies: 0
May 22, 2024
Visit Reason
The visit was an unannounced case management - incident inspection to follow up on an incident report regarding a power outage at the facility on 2024-05-14.
Findings
The facility had a power outage from approximately 9:00 AM to 8:00 PM but maintained resident care with a backup generator powering essential kitchen appliances. No residents were injured or hospitalized, and no deficiencies were cited during the inspection.
Report Facts
Power outage duration (hours): 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Corral | Administrator | Named as facility administrator contacted during the visit |
| Odalys Rodriguez | Lead staff met during the visit and involved in the inspection | |
| Christine Dolores | Licensing Program Analyst | Conducted the case management - incident visit |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 17
Capacity: 26
Deficiencies: 2
Sep 22, 2023
Visit Reason
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations at Bellerose Senior Living Facility.
Findings
The facility was found to have some deficiencies including failure to ensure health screening reports for 3 out of 5 staff members and failure to provide quarterly emergency drills for all staff shifts. The facility maintained adequate environmental conditions, infection control supplies, and resident accommodations.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not ensure 3 out of 5 staff obtained a health screening report prior and after employment, posing an immediate health, safety or personal rights risk. | Type A |
| Licensee did not ensure staff for each shift were provided quarterly emergency drills, posing a potential health, safety or personal rights risk. | Type B |
Report Facts
Residents files reviewed: 5
Staff files reviewed: 5
Residents interviewed: 3
Staff interviewed: 3
Plan of Correction Due Date for health screening deficiency: Sep 23, 2023
Plan of Correction Due Date for emergency drill deficiency: Sep 29, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Corral | Administrator | Met with Licensing Program Analyst during inspection and reviewed report |
| Christine Dolores | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sarah Yip | Licensing Program Manager | Supervisor of the inspection |
| Odalys Rodriguez | Medication Technician | Named in report review with Administrator |
Inspection Report
Census: 17
Capacity: 26
Deficiencies: 1
Sep 22, 2023
Visit Reason
The visit was an unannounced case management - deficiencies inspection triggered by an incident report received on 08/21/2023 regarding a resident hospitalized after testing positive for an infectious disease and death reports of two other residents who were positive for the infectious disease at the time of passing. The Department was following up on an infectious disease outbreak at the facility that started on 08/06/2023 but was not reported to the Department until 08/21/2023.
Findings
The facility failed to report the infectious disease outbreak to the Department within 24 hours as required by California Code of Regulations, Title 22, posing an immediate health, safety, and personal rights risk to persons in care. A deficiency was cited for this failure.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to report infectious disease outbreak to the Department within 24 hours as required by regulations. | Type A |
Report Facts
Capacity: 26
Census: 17
Plan of Correction Due Date: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Corral | Administrator | Met with Licensing Program Analyst during inspection and involved in findings discussion |
| Odalys Rodriguez | Medication Technician | Present during report review and appeal rights discussion |
| Christine Dolores | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sarah Yip | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 22
Capacity: 26
Deficiencies: 0
Aug 3, 2022
Visit Reason
The visit was an unannounced annual inspection focusing on infection control conducted by the Licensing Program Analyst.
Findings
The facility was found to be in compliance with no deficiencies cited. Advisory notes were provided regarding infection control practices, symptom screening consistency, and food labeling.
Report Facts
Non-perishable food supply: 7
Perishable food supply: 2
Facility temperature: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Corral | Administrator | Met with Licensing Program Analyst during inspection |
| Christine Dolores | Licensing Program Analyst | Conducted the annual inspection |
| Sarah Yip | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 22
Capacity: 26
Deficiencies: 0
Sep 30, 2021
Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with regulations at the facility.
Findings
The inspection found no deficiencies. The facility was observed to have proper supplies, COVID-19 mitigation plans, and posted informational materials. The environment was toured inside and outside with no issues noted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Corral | Administrator | Met with Licensing Program Analysts during the inspection and reviewed the report. |
| Odalys Rodriguez | MedTech/Caregiver | Met with Licensing Program Analysts during the inspection. |
| Christine Dolores | Licensing Program Analyst | Conducted the inspection. |
| Marybeth Donovan | Licensing Program Analyst | Conducted the inspection. |
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