Inspection Reports for Pacific Gardens
2384 Pacific Dr, Santa Clara, CA 95051, CA, 95051
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating the facility generally meets licensing requirements. The most recent report from August 26, 2025, was clean with no deficiencies cited during the annual inspection. Earlier reports noted a medication error in February 2025 where the wrong medication was given but caused no harm, and a minor technical violation in July 2023 involving over-the-counter medication found in a resident’s room without proper authorization. No fines, enforcement actions, or severe deficiencies were reported. The facility appears to have maintained or improved compliance over time, with recent inspections showing no issues.
Deficiencies per Year
4
3
2
1
0
Low
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 71
Capacity: 104
Deficiencies: 0
Aug 26, 2025
Visit Reason
An unannounced Required 1 Year visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility, reviewed resident and staff records, and inspected safety and medication storage. No deficiencies were cited during this inspection.
Report Facts
Hot water temperature: 114
Food supply duration: 2
Food supply duration: 7
Staff training hours: 20
Resident records reviewed: 6
Staff records reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Executive Director | Met with Licensing Program Analyst during inspection |
| Grace Donato | Licensing Program Analyst | Conducted the inspection visit |
| Jackie Jin | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 104
Deficiencies: 0
Jul 18, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that a resident sustained an unexplained injury while in care and that facility staff did not seek timely medical attention for the resident.
Findings
The investigation included interviews with staff, residents, and review of records. Although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the allegations did or did not occur. Therefore, the allegations were unsubstantiated and no deficiencies were cited.
Complaint Details
The complaint alleged that a resident sustained an unexplained injury and that staff failed to seek timely medical attention. The investigation included interviews with six staff members, three residents, and review of incident reports and progress notes. The resident was observed bleeding from the left elbow on 3/3/2025, received first aid, and was hospitalized for unrelated conditions. Staff reported the resident was a fall-risk and exhibited self-inflicted bruising during agitation. The allegations were found unsubstantiated due to lack of sufficient evidence.
Report Facts
Complaint Control Number: 26
Facility Capacity: 104
Census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation visit |
| Vina Estella | Director of Resident Care Services | Met with investigator during the visit and participated in exit interview |
| Matthew Zahodne | Administrator | Facility administrator mentioned in meeting notes related to resident behavior |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 104
Deficiencies: 0
Apr 4, 2025
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an Incident Report received on 2025-02-05 regarding a medication error involving resident R1.
Findings
The investigation found that staff member S1 administered the wrong medication to resident R1 due to similar resident names but no adverse reaction occurred. The resident's physician and family were notified, and staff training records were reviewed. Further investigation was deemed necessary.
Complaint Details
The complaint involved a medication error where resident R1 was given medication intended for resident R2 on 2025-02-02. The incident was reported, and no harm resulted. Staff admitted the error and training records were reviewed. The case management visit was initiated for further investigation.
Report Facts
Incident Report Date: Feb 5, 2025
Medication Error Date: Feb 2, 2025
Staff Training Record Submission Date: Apr 7, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Zahodne | Administrator | Met with Licensing Program Analyst during visit and involved in medication error discussion |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
Inspection Report
Census: 69
Capacity: 104
Deficiencies: 0
Jan 27, 2025
Visit Reason
The visit was an unannounced case management inspection to follow up on an Incident Report and Death Report related to a resident who sustained injury from a witnessed fall and subsequently passed away.
Findings
The Licensing Program Analyst conducted interviews and reviewed relevant documents including the resident's Physician's Report and staff training records. The case management visit determined that further investigation is needed.
Report Facts
Capacity: 104
Census: 69
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Zahodne | Administrator | Met with Licensing Program Analyst during the visit and involved in the case management |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Annual Inspection
Census: 66
Capacity: 104
Deficiencies: 0
Aug 14, 2024
Visit Reason
An unannounced Required 1 Year visit was conducted to evaluate the facility's compliance with regulations.
Findings
The inspection found no deficiencies cited per California Code of Regulations, Title 22. Technical Violations were provided during the visit. Facility conditions including food supply, medication security, resident bedrooms, and safety equipment were observed to be in compliance.
Report Facts
Resident bedrooms toured: 7
Staff records reviewed: 7
Resident records reviewed: 7
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Administrator | Administrator who gave permission for report review and was contacted during the visit |
| Mia Evangalista | Director of Resident Care Services | Met with LPAs during the visit and reviewed the report |
| Simranjit Rai | Licensing Program Analyst | Conducted the inspection and reviewed resident medications and records |
| Romeo Manzano | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 62
Capacity: 104
Deficiencies: 0
Jan 18, 2024
Visit Reason
An unannounced case management visit was conducted regarding an Incident Report received by the Department involving a resident who climbed out of a bedroom window and was found outside the building.
Findings
No deficiencies were cited during the visit. Technical Assistance and Technical Violation were provided. The facility has taken measures such as placing window stoppers in the resident's room and plans to install them on all windows in the Memory Care Department.
Report Facts
Interviews conducted: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Administrator | Met with Licensing Program Analyst during the visit and discussed the incident and corrective actions |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit and reviewed resident records |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 104
Deficiencies: 0
Jul 19, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-08-04 regarding allegations including a resident denied a refund, staff not ensuring a resident ate resulting in weight loss, and resident's needs not being met.
Findings
The investigation found the complaint allegations to be unfounded after reviewing records, interviewing staff, and observing the facility. No deficiencies were cited. The resident's refund denial was due to failure to provide a 30-day notice as per the contract. The facility documented food intake and accommodated dietary preferences, and the resident's needs were met according to care plans and staff notes.
Complaint Details
The complaint involved allegations that a resident was denied a refund, staff did not ensure the resident ate which resulted in weight loss, and the resident's needs were not met. The investigation included interviews with the Executive Director and review of resident records. The allegations were found to be unfounded.
Report Facts
Capacity: 104
Census: 59
Complaint received date: Aug 4, 2021
Resident stay duration: 15
Resident weight on admission: 178.9
Resident weight prior: 185
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Administrator | Met with during inspection and involved in findings |
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation |
| Romeo Manzano | Licensing Program Manager | Conducted the complaint investigation and signed report |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 104
Deficiencies: 0
Jul 19, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2021-10-25 that staff members yelled at residents and did not administer medications as prescribed.
Findings
Based on interviews with staff and residents, medication record reviews, and observations, the Department found the complaint allegations to be unfounded, meaning the allegations were false or without reasonable basis. No deficiencies were cited.
Complaint Details
The complaint alleged that staff members yelled at residents and failed to administer medications as prescribed. Interviews with 7 staff and 6 residents denied these allegations. Medication record reviews of 3 residents showed no evidence of medication errors. Staff interviews confirmed medications were only not given when residents refused. The allegations were determined to be unfounded.
Report Facts
Staff interviewed: 7
Residents interviewed: 6
Residents' medication records reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Administrator | Met with during investigation and review of report |
| Simranjit Rai | Licensing Program Analyst | Conducted investigation and medication record review |
| Romeo Manzano | Licensing Program Manager | Conducted investigation and reviewed report |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 104
Deficiencies: 0
Jul 19, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation received on 12/20/2021 that staff did not distribute residents' medications as prescribed.
Findings
Based on observation, interviews with staff and residents, and medication record reviews, the Department found the complaint allegation to be unfounded. No deficiencies were cited as the allegation was determined to be false or without reasonable basis.
Complaint Details
The complaint alleged that staff did not administer medications as prescribed. Investigators reviewed medication records for 3 residents and interviewed 3 staff members who denied the allegation. The investigation concluded the allegation was unfounded.
Report Facts
Residents' medication records reviewed: 3
Staff interviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Administrator | Met with investigators and reviewed the report |
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 59
Capacity: 104
Deficiencies: 1
Jul 19, 2023
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements for the assisted living and memory care facility.
Findings
The facility was generally found to be clean and well-maintained with proper safety measures such as fire alarms and extinguishers in place. However, a technical violation was cited due to the presence of over-the-counter medication in a resident's room without a physician's order or administrator knowledge.
Severity Breakdown
Technical violation: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Over the counter medication found in resident's room without physician's order or administrator knowledge. | Technical violation |
Report Facts
Food supply duration: 2
Food supply duration: 7
Water temperature range: 107
Water temperature range: 109
Percentage of client and staff files reviewed: 5
Clients' records reviewed: 3
Staff files reviewed: 3
Residents interviewed: 3
Staff interviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Administrator | Met during inspection and involved in medication management finding |
Inspection Report
Routine
Census: 48
Capacity: 104
Deficiencies: 0
Jul 22, 2021
Visit Reason
An unannounced Infection Control site visit was conducted as a required 1-year inspection to evaluate the facility's compliance with COVID-19 related infection control policies and procedures.
Findings
The facility was found to have appropriate infection control measures in place, including symptom screening, PPE use, hygiene supplies, and clear fire exit routes. No deficiencies were issued during this inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Zahodne | Executive Director | Met with Licensing Program Analyst during inspection and reviewed report. |
| Mia Cabana | Director of Resident Care Services | Accompanied Licensing Program Analyst on facility tour and reviewed infection control policies. |
| Joanne Roadilla | Licensing Program Analyst | Conducted the unannounced Infection Control site visit. |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 104
Deficiencies: 0
Jul 2, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that an eviction notice issued to a resident did not meet SB781 Eviction Procedure requirements.
Findings
The investigation found no preponderance of evidence to prove the allegations. The eviction notice and related documentation were reviewed, and the complaint was determined to be unsubstantiated. No citations were issued.
Complaint Details
The complaint alleged that the eviction notice issued to resident R1 did not meet SB781 Eviction Procedure. The investigation included review of the eviction notice, behavior logs, and interviews. The allegations were found to be unsubstantiated.
Report Facts
Facility capacity: 104
Census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Zahodne | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| Joanne Roadilla | Licensing Program Analyst | Conducted the complaint investigation |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Follow-Up
Census: 50
Capacity: 104
Deficiencies: 0
Jul 2, 2021
Visit Reason
The visit was an unannounced Case Management follow-up on a report received regarding a resident who fell off the back of the company van on 06/30/2021.
Findings
The investigation found no deficiencies; the van's safety features were functional, and the driver was properly trained and supervised. The incident was witnessed only by the driver, and no evidence of lack of supervision was found.
Complaint Details
The visit was complaint-related following a report of a resident fall from the company van. The complaint was investigated and found to have no substantiated deficiencies.
Report Facts
Facility capacity: 104
Resident census: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matt Zahodne | Executive Director | Met during the visit and provided statements regarding the incident |
| Mia Cabana | Director of Resident Care Services | Met during the visit and provided statements regarding the incident |
| Joanne Roadilla | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 104
Deficiencies: 0
Mar 19, 2021
Visit Reason
The visit was an unannounced Case Management tele-visit to obtain additional information regarding the death of a resident at the facility premises on 03/12/2021.
Findings
No deficiencies were cited during the tele-visit. The Licensing Program Analyst interviewed the Executive Director and requested copies of the resident's records to complete the investigation.
Complaint Details
The visit was triggered by a resident death reported on 03/12/2021. The resident was found unresponsive and declared deceased by paramedics. The department reviewed the death report and conducted the investigation accordingly.
Report Facts
Facility capacity: 104
Resident census: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Zahodne | Executive Director | Interviewed during the case management visit regarding the resident death |
| Joanne Roadilla | Licensing Program Analyst | Conducted the unannounced Case Management tele-visit |
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