Inspection Reports for
Princess Lodge
552 WEST HACIENDA AVENUE, CAMPBELL, CA, 95008
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
60% occupied
Based on a February 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 18
Capacity: 30
Deficiencies: 0
Date: Feb 19, 2026
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and ensure the facility's safety, sanitation, and regulatory adherence.
Findings
The facility was found to be clean, safe, sanitary, and in good repair with no deficiencies cited. A heater without a protective cover was removed during the visit. Resident records, medication storage, and staff records were reviewed and found compliant.
Report Facts
Fire extinguisher inspection date: Feb 3, 2026
Smoke detector and sprinkler inspection date: Apr 7, 2025
Emergency drill date: Nov 20, 2025
Refrigerator temperature (F): 40
Freezer temperature (F): 0
Water temperature range (F): 105 to 112.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rica Uy | Administrator | Met during inspection and involved in heater removal |
| Marcella Tarin | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 17
Capacity: 30
Deficiencies: 1
Date: May 19, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including accessible cleaning products, failure to report incidents, insufficient staff, infection control issues, falsified documents, medication administration concerns, unsanitary conditions, lighting issues, fingerprinting of staff, and fire hazards.
Complaint Details
The complaint investigation was substantiated for the allegation that cleaning products were accessible to residents due to an unlocked laundry room. Other allegations including failure to report incidents, insufficient staff, infection control policy noncompliance, falsified documents, medication administration errors, unsanitary conditions, insufficient lighting, un-fingerprinted staff, and fire hazards were unsubstantiated or unfounded.
Findings
One allegation regarding accessible cleaning products was substantiated due to unlocked laundry room with accessible detergents posing a safety risk. Other allegations including failure to report incidents, insufficient staff, infection control issues, falsified documents, medication administration, unsanitary conditions, lighting, fingerprinting, and fire hazards were found to be unsubstantiated or unfounded based on observations, interviews, and records review.
Deficiencies (1)
CCR 87309(a) requires disinfectants and cleaning solutions to be in locked storage and not left unattended outside locked storage. Laundry Room #2 was not locked with accessible laundry detergents, posing an immediate health and safety risk to persons in care.
Report Facts
Facility Capacity: 30
Census: 17
Deficiency Type A: 1
Resident Medication Records Reviewed: 5
Inspection Report
Follow-Up
Census: 18
Capacity: 30
Deficiencies: 0
Date: Apr 24, 2025
Visit Reason
The visit was an unannounced Case Management - Deficiencies inspection to follow up on deficiencies issued during the facility's annual inspection on 2025-02-13.
Findings
The facility was observed to be clean, safe, and sanitary with repairs completed on drywall, kitchen sink wall, refrigerator, and backyard fence. No deficiencies were cited during this visit.
Report Facts
Residents present: 18
Total licensed capacity: 30
Staff present: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marcella Tarin | Licensing Program Analyst | Conducted the inspection visit |
| Rica Uy | Staff | Met with Licensing Program Analyst during the inspection |
| Olivia Velasquez | Administrator | Authorized staff to sign on her behalf during the inspection |
Inspection Report
Annual Inspection
Census: 17
Capacity: 30
Deficiencies: 4
Date: Feb 13, 2025
Visit Reason
The inspection was an unannounced Required 1-Year Visit to evaluate the facility's compliance with licensing regulations.
Findings
The inspection found multiple deficiencies including maintenance issues such as leaks, drywall damage, and unsafe storage of chemicals and tools accessible to residents. Additionally, incomplete resident care plans and unsigned staff health screening forms were noted.
Deficiencies (4)
CCR 87303(a) Maintenance and Operation: The facility had leaks, missing drywall in bathrooms, ice buildup in the fridge, exposed wall above kitchen faucet, unattached screen doors, and a propped backyard fence posing potential health and safety risks.
CCR 87463(a) Reappraisals: The licensee failed to update pre-admission appraisals for residents R1 to R4, with forms not completed, posing potential health and safety risks.
CCR 87309(a) Storage Space and Access: Detergents and tools were accessible to residents in bedroom #10, backyard, storage shed, and staff areas, posing immediate health and safety risks.
CCR 87411(f) Personnel Requirements - General: Three out of four staff health screening forms were not signed by a physician, posing potential health and safety risks.
Report Facts
Immediate civil penalty: 250
Number of residents present: 17
Licensed capacity: 30
Number of staff: 7
Number of resident rooms: 16
Number of resident bathrooms: 8
Water temperature range: 112-116
Number of sprinklers: 98
Employees mentioned
| Name | Title | Context |
|---|---|---|
| James Morales | Administrator | Administrator was out of the country during the inspection. |
| Olivia Velasquez | Administrator Designee | Met with Licensing Program Analysts during the inspection and provided information. |
| Kenneth Madrigal | Licensing Evaluator | Conducted the inspection and authored the report. |
| Jackie Jin | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 20
Capacity: 30
Deficiencies: 5
Date: Feb 22, 2024
Visit Reason
This is a continuation of the required annual inspection conducted on 02/14/2024, with an unannounced continuation visit on 02/22/2024 to assess compliance with licensing regulations.
Findings
The facility was found to have multiple deficiencies including accumulated grease and grime on the kitchen vent hood, obstructions blocking emergency exits, unsecured tools posing danger to residents, and medication management issues involving expired and unlisted medications. Staff training records were reviewed and found updated.
Deficiencies (5)
CCR 87303(a) The facility was not clean and safe as accumulated grease and grime were observed on the kitchen vent hood and used paper towels were improperly placed, posing an immediate health risk.
CCR 80087(d) Large items obstructed designated emergency exit doors and walkways, including a recliner, dumpster bin, and wheel burrow containing asphalt, posing immediate safety risks.
CCR 87705(f)(1) Tools and paint sprays were left unattended and accessible in the gazebo, posing immediate danger to residents with dementia.
CCR 87411(c)(D) Medication management was deficient as expired medications were not discarded and some medications were not listed on the centrally stored medication destruction record.
CCR 87411(c) Staff training requirements were not fully met as policies and procedures regarding medications were not properly followed.
Report Facts
Resident records reviewed: 5
Staff records reviewed: 5
Residents in rehabilitation: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Randi Cabrera | Administrator/House Manager | Met during inspection and exit interview |
| Maria Partoza | Licensing Program Analyst | Conducted the inspection and signed the report |
| Romeo Manzano | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 20
Capacity: 30
Deficiencies: 0
Date: Feb 14, 2024
Visit Reason
An unannounced annual inspection was conducted as a required one-year visit to evaluate the facility's compliance with regulations.
Findings
No deficiencies were cited during the inspection. The facility was toured including resident and staff areas, and food and cleaning supplies storage were found to be properly maintained.
Inspection Report
Annual Inspection
Census: 22
Capacity: 30
Deficiencies: 1
Date: Feb 9, 2023
Visit Reason
The inspection was an unannounced annual inspection conducted as a required yearly visit to evaluate compliance with licensing regulations.
Findings
The facility was generally clean, well maintained, and compliant with infection control measures, but a deficiency was cited due to a resident bathroom sink water temperature reaching 150.2°F, exceeding the allowed maximum and posing a safety risk.
Deficiencies (1)
CCR 87303(e)(2) requires faucets used by residents to deliver hot water between 105°F and 120°F. The sink in a resident bathroom reached 150.2°F, posing an immediate health and safety risk.
Report Facts
Water temperature: 150.2
Capacity: 30
Census: 22
PPE supply: 30
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