Inspection Reports for Belmont Village Senior Living Los Gatos
5121 Union Ave, San Jose, CA 95124, United States, CA, 95124
Back to Facility ProfileInspection Report Summary
Most inspections at this facility were consistently clean, with no deficiencies noted in routine annual visits and several complaint investigations found to be unsubstantiated. However, a complaint investigation in February 2024 substantiated serious deficiencies related to neglect in timely medical care and failure to report an incident, which posed immediate health and safety risks. The facility addressed a Type A deficiency cited during a complaint investigation in October 2025 with a plan of correction that was accepted and cleared. The most recent report from October 7, 2025, had one deficiency related to the prior complaint but showed the issue was resolved. Overall, the facility’s record shows improvement after the serious findings in early 2024, with no new severe issues reported since then.
Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Census: 131
Capacity: 175
Deficiencies: 1
Oct 7, 2025
Visit Reason
The visit was an unannounced Plan of Correction (POC) visit conducted to clear a Type A deficiency cited during a prior complaint investigation visit.
Findings
The facility was cited a Type A deficiency related to complaint 26-AS-20250203111059, with a POC due date of 10/08/2025. During the POC visit, the licensing analyst received the facility's plan of corrections and staff training documentation, and the deficiency was cleared.
Complaint Details
The deficiency was cited during a complaint investigation visit for complaint number 26-AS-20250203111059. The deficiency was substantiated and addressed with a plan of correction.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Type A deficiency cited during a complaint investigation visit related to code section 87411(a). | Type A |
Report Facts
Capacity: 175
Census: 131
Deficiency due date: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Senior Executive Director | Met with Licensing Program Analyst during the inspection and discussed the plan of correction. |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced Plan of Correction visit. |
Inspection Report
Complaint Investigation
Census: 131
Capacity: 175
Deficiencies: 0
Aug 5, 2025
Visit Reason
An unannounced case management visit was conducted to deliver an amended investigation report and to reopen a complaint investigation due to new information received by the Department.
Findings
The complaint allegation is being amended after new information was received. The Licensing Program Analyst interviewed the Executive Director and six staff. Further investigation is needed.
Complaint Details
This complaint control number 26-AS-20250203111059 investigation is being re-opened due to new information received by the Department. The allegations need further investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Executive Director | Met with during the visit and interviewed by Licensing Program Analyst. |
| Chihhsien Chang | Licensing Program Analyst | Conducted the unannounced case management visit and interview. |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 130
Capacity: 175
Deficiencies: 0
Jul 11, 2025
Visit Reason
The visit was conducted in response to an Unusual Incident/Injury Report submitted by the facility regarding an incident where one resident scratched another resident's hand.
Findings
The inspection found no deficiencies. The report includes review of physician reports and wellness checks on the involved residents, and notes planned medication and programming changes.
Report Facts
Facility capacity: 175
Resident census: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the inspection visit and authored the report |
| Radhika Martinez | Administrator | Met with Licensing Program Analyst during the visit and discussed incident and care plans |
Inspection Report
Follow-Up
Census: 127
Capacity: 175
Deficiencies: 0
May 1, 2025
Visit Reason
The visit was an unannounced case management - incident follow-up to a previous case management visit on 2025-03-19 regarding an allegation of inappropriate behavior by a staff member toward a resident.
Findings
The investigation found no evidence to substantiate the allegation of inappropriate behavior by staff member S1. Interviews with staff, residents, and the resident involved indicated no sexual abuse or inappropriate behavior, though some described S1 as over active. The staff member was separated from the facility prior to the visit. The case was determined to be unsubstantiated.
Complaint Details
The complaint involved an allegation that staff member S1 had inappropriate behavior toward resident R1. The allegation was unsubstantiated after investigation and interviews. No witnesses or evidence supported the claim, and the resident did not consider the behavior sexual abuse.
Report Facts
Census: 127
Total Capacity: 175
Date of prior case management visit: Mar 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Senior Executive Director | Met with Licensing Program Analyst during the visit and provided information about the incident and investigation |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced case management - incident visit |
| Chihhsien Chang | Licensing Program Analyst | Named as Licensing Program Analyst on the report |
Inspection Report
Annual Inspection
Census: 122
Capacity: 175
Deficiencies: 0
Mar 26, 2025
Visit Reason
An unannounced annual inspection visit was conducted by Licensing Program Analyst Steve Chang to evaluate compliance with licensing requirements at Belmont Village Los Gatos facility.
Findings
The inspection included review of staff and resident records, facility tour, and safety checks. No citations or deficiencies were noted during the inspection. Facility safety equipment and emergency procedures were verified as functional and up to date.
Report Facts
Fire extinguisher service date: Jan 7, 2025
Last emergency/fire drill date: Feb 4, 2025
Room temperature: 71
Hot water temperature: 119
Refrigerator temperature: 37
Freezer temperature: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steve Chang | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Radhika Martinez | Senior Executive Director | Met with Licensing Program Analyst during inspection and participated in facility tour |
Inspection Report
Complaint Investigation
Capacity: 175
Deficiencies: 0
Mar 19, 2025
Visit Reason
The visit was conducted as an unannounced Case Management - Incident investigation following a report of inappropriate behavior by a staff member towards a resident.
Findings
The investigation found that the staff member (S1) was terminated for sleeping on duty and there was no witness to the alleged inappropriate behavior. Interviews with staff and residents revealed no prior incidents or observations of inappropriate or aggressive behavior by S1. Further investigation is needed.
Complaint Details
The complaint involved a report of inappropriate behavior by staff member S1 towards resident R1. The staff member was terminated for sleeping while on duty. No witnesses or corroborating reports of inappropriate behavior were found. The case requires further investigation.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Senior Executive Director | Met during the investigation and provided information about the staff termination and incident. |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit. |
| Chihhsien Chang | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
Inspection Report
Annual Inspection
Census: 110
Capacity: 175
Deficiencies: 0
Mar 18, 2024
Visit Reason
An unannounced annual inspection visit was conducted as a required one-year inspection to evaluate the facility's compliance with regulations.
Findings
The Licensing Program Analyst toured the facility, reviewed staff and resident records, and inspected various areas including medication rooms, food supplies, and safety equipment. No citations were noted during the inspection.
Report Facts
Fire extinguisher service date: Feb 26, 2024
Room temperature: 74
Hot water temperature: 110
Refrigerator temperature: 39
Freezer temperature: -1
Staff records reviewed: 5
Resident records reviewed: 5
Facility floors: 4
Emergency and fire drill date: Mar 7, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Coons | Senior Executive Director | Met with Licensing Program Analyst during inspection |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 175
Deficiencies: 3
Feb 23, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations received on 2023-11-30 that the facility neglected a resident by not seeking timely medical attention for an untreated open wound and failed to report the incident to the licensing agency.
Findings
The investigation substantiated the allegations that the facility did not provide timely medical care or supervision for a resident with a wound from a fall, failed to report the incident to licensing, and did not document wound progress after initial treatment. These deficiencies posed immediate health and safety risks to residents.
Complaint Details
The complaint investigation was substantiated. The resident had an untreated open wound from a fall injury due to neglect and lack of supervision. The facility did not seek timely medical attention or submit an incident report to the licensing agency. Interviews and record reviews confirmed these findings.
Severity Breakdown
Type A: 2
Type B: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| No progress notes were made to document the resident's wound condition after 11/21/2023, posing an immediate health and safety risk. | Type A |
| Facility staff did not follow up with the resident's primary care physician after the initial wound consultation on 11/21/2023, posing an immediate health and safety risk. | Type A |
| Failure to submit a written incident report to the licensing agency regarding the resident's injury/fall in November 2023, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 175
Census: 110
Deficiencies cited: 3
Plan of Correction Due Dates: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeeteeh Gigliotti | Director of Resident Care Services | Met with during investigation and exit interview |
| Chihhsien Chang | Licensing Program Analyst | Conducted the complaint investigation |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Capacity: 175
Deficiencies: 0
Aug 15, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that facility staff handled a resident in a rough manner and prohibited the resident from entering the facility dining room.
Findings
Based on interviews with staff, the resident, and review of records, there was insufficient evidence to substantiate the allegations. Paramedics assessed the resident and deemed them stable. No deficiencies were cited.
Complaint Details
The complaint alleged that staff prohibited resident R1 from entering the dining room and handled R1 roughly by dragging and tackling him/her on specific dates. After investigation, including interviews with staff, resident, and review of paramedic reports, the allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 175
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Executive Director | Met with Licensing Program Analyst during investigation and participated in exit interview |
| Manuel Monter | Licensing Program Analyst | Conducted the complaint investigation |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Annual Inspection
Census: 99
Capacity: 175
Deficiencies: 0
Apr 3, 2023
Visit Reason
An unannounced annual inspection visit was conducted as a required 1-year inspection.
Findings
The Licensing Program Analyst conducted a thorough inspection including staff and resident record reviews, interviews, and facility tours. No citations or deficiencies were noted during the inspection.
Report Facts
Fire extinguisher service date: Feb 13, 2023
Room temperature: 71
Hot water temperature: 110
Staff records reviewed: 5
Resident records reviewed: 5
Staff interviewed: 5
Residents interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Senior Executive Director | Met with Licensing Program Analyst during inspection. |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
Inspection Report
Monitoring
Census: 21
Capacity: 175
Deficiencies: 0
May 10, 2022
Visit Reason
The visit was a Case Management - COVID-19 tele-visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.
Findings
No deficiencies were cited during the visit. Recommendations included considering putting trash cans with lids in bathrooms. There were currently 0 COVID-19 positive residents and 1 COVID-19 positive staff member.
Report Facts
COVID-19 positive residents: 0
COVID-19 positive staff: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Administrator | Met with during the tele-visit and reported COVID-19 status |
| David Marrufo | Licensing Program Analyst | Conducted the tele-visit |
| Romeo Manzano | Licensing Program Manager | Conducted the tele-visit |
| Kathleen Weiss | Nurse | Conducted the tele-visit and provided recommendations |
Inspection Report
Original Licensing
Capacity: 175
Deficiencies: 0
Mar 22, 2022
Visit Reason
The inspection was an announced pre-licensing visit to evaluate the facility prior to licensing approval.
Findings
The facility was found to be in good repair with no issues noted. All safety equipment and physical plant features were operational and compliant. The physical plant is approved pending completion of the Centralized Application Bureau review.
Report Facts
Fire extinguisher last serviced date: Feb 3, 2022
Nonperishable food supply duration: 2
Perishable food supply duration: 7
PPE supply duration: 30
Hot water temperature range (°F): 115.7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Radhika Martinez | Senior Executive Director | Met with Licensing Program Analyst during the pre-licensing inspection and received copy of report. |
| Douglas Armstrong | Senior Vice President of Regulatory Affairs & Quality | Met with Licensing Program Analyst during the pre-licensing inspection. |
| Ryker Heberle | Licensing Program Analyst | Conducted the announced pre-licensing inspection. |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager on the report. |
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