Inspection Reports for MorningStar Assisted Living & Memory Care at West San Jose
CA, 95129
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent report on August 22, 2025, which required further investigation but did not cite any deficiencies. Earlier reports identified issues with supervision and care related to a resident elopement in January 2025, which posed an immediate health and safety risk and led to a citation. The facility addressed these concerns with new alarm systems, updated service plans, and staff training, and no deficiencies were noted in the follow-up visit in March 2025. Several complaint investigations were unsubstantiated or found no citations, with minor issues such as incomplete documentation noted but corrected. Overall, the facility showed improvement over time, with the latest inspections free of deficiencies.
Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 149
Capacity: 149
Deficiencies: 0
Aug 22, 2025
Visit Reason
An unannounced case management visit was conducted following receipt of a death report and an incident report regarding a resident's fall.
Findings
The Licensing Program Analyst conducted interviews, reviewed reports, and toured the resident's room. The case requires further investigation.
Report Facts
Census: 149
Total Capacity: 149
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Hall | Executive Director | Met with Licensing Program Analyst during the visit |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Plan of Correction
Census: 80
Capacity: 149
Deficiencies: 1
Mar 26, 2025
Visit Reason
An unannounced Plan of Correction visit was conducted to follow up on case management related to a previous elopement incident involving resident R1 on 1/18/2025.
Findings
The facility had previously been cited for not providing necessary care and supervision to meet resident R1's needs, resulting in elopement. During this visit, the licensing analyst reviewed the new alarm system, updated service plan, staff response protocols, training logs, and door check protocols. No citations were noted during this visit.
Deficiencies (1)
| Description |
|---|
| Licensee did not provide the necessary care and supervision to meet R1's care needs, resulting in R1's elopement from the facility on 1/18/2025. |
Report Facts
Facility capacity: 149
Resident census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Benito Del Toro | Executive Director | Met with Licensing Program Analyst during the Plan of Correction visit |
| Joyce Welch | Administrator/Director | Named as facility administrator/director |
Inspection Report
Follow-Up
Census: 82
Capacity: 149
Deficiencies: 1
Feb 19, 2025
Visit Reason
Unannounced case management visit to follow up on a previous case management conducted on 2025-01-24 regarding an incident of resident elopement.
Findings
The facility failed to provide necessary care and supervision to meet resident R1's needs, resulting in R1 leaving the facility unassisted on 2025-01-18, posing an immediate health and safety risk. A citation was issued for this deficiency.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not provide the necessary care and supervision to meet R1's care needs, resulting in R1's elopement from the facility on 1/18/2025, posing an immediate Health, Safety, or Personal Rights risk. | Type A |
Report Facts
Capacity: 149
Census: 82
Plan of Correction Due Date: Feb 20, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steve Chang | Licensing Program Analyst | Conducted the unannounced case management visit |
| Blyth Obien | Wellness Director | Met with during inspection and received report |
| Romeo Manzano | Licensing Program Manager | Supervisor overseeing the inspection |
| Chihhsien Chang | Licensing Evaluator | Evaluator who signed the report |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 149
Deficiencies: 0
Feb 19, 2025
Visit Reason
An unannounced complaint investigation visit was conducted due to allegations that a resident left the facility unassisted because of staff neglect or lack of supervision, the facility failed to send a written incident report, and the facility lacked an appraisal needs and service plan for the resident.
Findings
The investigation found that the resident was able to leave the facility unassisted based on physician reports and staff/family interviews. The resident left the facility but returned without injury, and the incident was not considered an elopement. The facility did not send a written incident report as required, and the appraisal needs and service plan for the resident were not fully completed but were in progress. The allegations were determined to be unfounded.
Complaint Details
The complaint alleged staff neglect or lack of supervision resulting in a resident leaving unassisted, failure to send a written incident report, and lack of an appraisal needs and service plan for the resident. The complaint was investigated and found to be unfounded.
Report Facts
Facility capacity: 149
Resident census: 82
Complaint control number: 26-AS-20241227173840
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Welch | Executive Director | Interviewed regarding resident incident and facility policies |
| Blyth Obien | Wellness Director | Interviewed and met during investigation; notified resident's responsible party |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 149
Deficiencies: 0
Jan 24, 2025
Visit Reason
The inspection was an unannounced case management - incident visit triggered by an incident report received on 1/21/2025 regarding a resident who was found outside the facility after elopement on 1/18/2025.
Findings
The resident left the facility around 12:00 PM and was found walking on the street at 1:09 PM without injury. The facility notified the resident's family and police. This was the resident's first elopement incident. The licensing analysts interviewed staff, the resident, and family, toured the facility, and reviewed the delayed egress door system. Further investigation is needed.
Complaint Details
The visit was complaint-related due to an incident of resident elopement. The report states the police did not provide a case number. The incident was the resident's first elopement. Further investigation is needed.
Report Facts
Time resident found outside facility: 13.15
Time resident left facility: 12
Time resident last seen in facility: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Welch | Executive Director | Met with Licensing Program Analysts during the visit and provided information about the incident |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced case management - incident visit |
| Kenneth Madrigal | Licensing Program Analyst | Conducted the unannounced case management - incident visit |
Inspection Report
Annual Inspection
Census: 76
Capacity: 149
Deficiencies: 0
Dec 13, 2024
Visit Reason
An unannounced annual inspection visit was conducted as a required 1-year inspection of the assisted living facility.
Findings
The inspection found no deficiencies. The facility was toured inside and out, with all safety equipment, environmental conditions, and documentation found to be in compliance.
Report Facts
Residents files reviewed: 4
Staff files reviewed: 4
Fire extinguisher service date: Mar 8, 2024
Room temperature: 70
Hot water temperature: 114
Refrigerator temperature: 37
Freezer temperature: 0
Food storage duration - perishable: 2
Food storage duration - non-perishable: 7
Facility capacity: 149
Census: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Welch | Administrator | Met with Licensing Program Analyst during inspection |
| Steve Chang | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 149
Deficiencies: 1
Oct 17, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation received on 2024-04-16 that lack of staff supervision resulted in a resident on resident altercation.
Findings
The investigation found the allegation unsubstantiated due to insufficient evidence to prove the incident occurred as alleged. The facility did not provide necessary care and supervision to resident R1, which led to R1 wandering into another resident's room and an altercation. No injuries were found and the facility took corrective actions including staff training.
Complaint Details
The complaint alleged lack of supervision resulting in a resident on resident altercation on 2024-04-10. The investigation included interviews with the Executive Director, staff, residents, and review of records. The allegation was found unsubstantiated due to lack of preponderance of evidence. No citations were issued.
Deficiencies (1)
| Description |
|---|
| Facility did not provide necessary care and supervision to resident R1 to meet care needs, leading to wandering and altercation with another resident, posing potential health, safety, or personal rights risk. |
Report Facts
Capacity: 149
Census: 58
Plan of Correction Due Date: Oct 10, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Welch | Executive Director | Interviewed regarding the resident altercation and investigation findings |
| Chihhsien Chang | Licensing Program Analyst | Conducted the complaint investigation visit |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation report |
| Steve Chang | Licensing Program Analyst | Conducted unannounced investigation visit to deliver findings |
Inspection Report
Original Licensing
Capacity: 149
Deficiencies: 0
Dec 7, 2023
Visit Reason
An unannounced pre-licensing inspection visit was conducted to evaluate the facility prior to licensing.
Findings
The facility was inspected thoroughly including resident apartments, medication areas, common areas, and safety features. No deficiencies were noted during the inspection, and all safety and compliance measures were found to be in good working order.
Report Facts
Apartments/bedrooms: 103
Fire extinguisher acquisition dates: 3
Room temperature: 68
Hot water temperature: 115
Refrigerator temperature: 32
Freezer temperature: 0
Food storage duration (perishable): 2
Food storage duration (non-perishable): 7
Facility capacity: 149
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Welch | Administrator | Met with LPAs during inspection and provided information |
| Turney Munson | VP of Operation | Met with LPAs during inspection |
Inspection Report
Original Licensing
Capacity: 149
Deficiencies: 0
Nov 16, 2023
Visit Reason
The visit was conducted as an initial licensing evaluation (COMP II) for Morningstar Assisted Living and Memory Care to verify the applicant/administrator's understanding of licensing laws and readiness for facility operation.
Findings
The applicant and administrator demonstrated understanding of community care facility licensing laws, including facility operation, admission policies, staffing, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Identification was verified and required documentation was obtained.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joyce Welch | Administrator | Applicant/administrator participating in licensing evaluation and interview. |
| Phil Altman | VP Ops | Participant in licensing evaluation and interview. |
| Tracy Thompson | Licensing Program Manager | Named as Licensing Program Manager on report. |
| Amy Avery | Licensing Program Analyst | Named as Licensing Program Analyst on report. |
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