Senior Care Records.

Facility Evaluation Report

West Valley Care Home, Campbell10/16/2025Licence 435202536

Capacity6
Census6
Date signed10/16/2025 11:27:49 AM
Name of licensing program analystMarcella Tarin
Name of licensing program managerJin Jackie
The inspector’s account

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies issued during the facility's annual inspection on 10/9/2025. LPA met with Licensee Biao Zhang, LPA stated the purpose of the visit.

The facility was cited the following deficiencies on 10/9/2025 with the following POC dates:

87202(a) Fire Clearance-Type A-POC due date 10/10/2025

87307(d)(6)-Personal Accommodations and Services-Type A-POC due date 10/10/2025

87309(a)-Storage Space and Access-Type A-POC due date 10/10/2025

1569.625(b)(2) Other Provisions-Type A-POC due date 10/10/2025

87468.1(a)(2) Personal Rights of Residents in All Facilities- Type A- POC due date 10/10/2025

87405(d)(2) Administrator Qualifications and Duties-Type A-POC due date 10/10/2025

87303(a)-Maintenance and Operation-Type A-due date 10/10/2025

87465(a)(4)- incidental Medical and Dental Care-Type A-due date 10/10/2025

During review of POCs with Licensee, LPA observed Licensee inadvertently did not not submit the POC for 87405(d)(2) Administrator Qualifications and Duties. Licensee stated he did not realize the POC was not in the POCs when submitted on 10/10/2025. Licensee provided LPA with the POC for 87405(d)(2) during visit. A Letter of Deficiency Citations Cleared was provided to Licensee during visit.

During todays visit, LPA toured the facility, and observed the side gate no longer had a lock. LPA observed the facility had cleaned away cobwebs and dirt from resident windows, cleaned brown spots off walls, and the living room couch to have a couch cover.

No deficiencies cited during today's visit per California Code of Regulations, Title 22. An exit interview was conducted with Licensee Biao Zhang, and a signed copy of this report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction