Inspection Reports for Magdalene Residential Care
1109 E Homestead Rd, Sunnyvale, CA 94087, United States, CA, 94087
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Inspection Report
Plan of Correction
Census: 5
Capacity: 6
Deficiencies: 2
Aug 4, 2025
Visit Reason
The visit was conducted as a Plan of Correction (POC) inspection following deficiencies identified during a Required 1-Year Annual inspection on 2025-07-08.
Findings
During the annual inspection, two deficiencies were cited related to fire clearance for a bedridden resident and lack of a health condition exception for Foley catheter use. By the POC visit on 2025-08-04, these deficiencies were corrected and cleared, with no new deficiencies cited.
Deficiencies (2)
| Description |
|---|
| Fire clearance not approved for bedridden resident in shared room #2 |
| No restricted health condition exception applied or granted for Foley catheter use |
Report Facts
Residents in care: 5
Staff present: 3
Capacity: 6
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kiran Jain | Licensing Program Analyst | Conducted the inspection and POC visit |
| Fe Hilario | Licensee / Administrator | Facility representative involved in inspection and POC |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Jul 8, 2025
Visit Reason
The inspection was an unannounced Required 1-Year Annual inspection conducted to evaluate compliance with licensing requirements at Magdalene Residential Care Facility.
Findings
The facility was generally found clean and well-maintained with proper supplies and functioning safety equipment. However, two deficiencies were cited: lack of approved fire clearance for a bedridden resident in a shared room, and failure to apply for a restrictive health condition exception for a resident using a Foley catheter.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| No approved fire clearance for bedridden resident (R1) in shared room #2; only room #4 had approved clearance. | Type B |
| Failure to apply for an exception for a Foley catheter, a restrictive health condition, for resident R3. | Type B |
Report Facts
Residents present: 5
Total capacity: 6
Staff personnel records reviewed: 6
Resident records reviewed: 5
Emergency Disaster Drills frequency: 4
Hot water temperature: 115.3
Hot water temperature: 115.8
Plan of Correction due date: Jul 15, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kiran Jain | Licensing Program Analyst | Conducted the inspection and signed the report |
| April Cowan | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Elsa Lopez | Caregiver | Met with the Licensing Program Analyst during inspection and involved in plans of correction |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
Jul 30, 2024
Visit Reason
The inspection was an unannounced Required 1 Year visit to evaluate compliance with licensing regulations at Magdalene Residential Care Facility.
Findings
The inspection found deficiencies related to medication record keeping, staff first aid training, and lack of physician orders for postural supports such as half-bed rails. The facility had adequate food supplies, safety equipment, and maintained required posters and clear exits.
Deficiencies (3)
| Description |
|---|
| Centrally Stored Medication Record/Log was not maintained as it did not contain information regarding a medication for resident R1. |
| Staff file did not contain updated first aid training certification for staff S1 who provides assistance with ADLs. |
| Two residents not receiving Hospice services used half-bed rails for mobility without a written physician's order. |
Report Facts
Capacity: 6
Census: 6
Number of staff: 3
Number of residents: 6
Number of bedrooms occupied by residents: 5
Number of bedrooms occupied by staff: 4
Food supply duration: 2
Food supply duration: 7
Water temperature: 112.5
Water temperature: 114.5
Water temperature: 108.1
Deficiencies cited: 3
Plan of Correction Due Date: Aug 6, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fe Literato-Hilario | Administrator | Named in relation to agreeing to plan of correction and understanding regulations |
| Ellenelsa Lopez | Lead Staff | Met with Licensing Program Analyst during inspection |
| Simranjit Rai | Licensing Program Analyst | Conducted the inspection and authored the report |
| Romeo Manzano | Licensing Program Manager | Supervisor of Licensing Program Analyst and named in report |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Jul 26, 2022
Visit Reason
An unannounced Required - 1 Year Annual Inspection including Infection Control site visit was conducted to evaluate compliance with regulations.
Findings
The facility was observed to have proper COVID-19 infection control measures including isolation rooms for COVID positive residents, designated staff for these residents, symptom screening at entry, and staff wearing masks. No citations were issued per California Code of Regulations Title 22.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fe Literato-Hilario | Administrator | Met with during inspection and reviewed report. |
| Mandeep Kaur | Licensing Program Analyst | Conducted the inspection. |
| Sarah Yip | Licensing Program Manager | Conducted the inspection. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jun 22, 2021
Visit Reason
An unannounced infection control site visit was conducted as part of the required 1-year inspection.
Findings
The facility was found to be in sanitary condition with proper COVID-19 mitigation measures in place, including temperature screening, social distancing signage, mask usage by staff, and adequate PPE supplies. No deficiencies were cited, but an advisory note was issued.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yatfai Eric Ng | Licensing Program Analyst | Conducted the unannounced infection control site visit. |
| Fe Literato-Hilario | Licensee/Administrator | Met with Licensing Program Analyst during the visit. |
| Sarah Yip | Licensing Program Manager | Named in the report header. |
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