Senior Care Records.

Facility Evaluation Report

Hansell Villa, San Jose08/04/2025Licence 435202862

Capacity6
Census5
Date signed08/04/2025 03:43:15 PM
Name of licensing program analystMarcela Yanez
Name of licensing program managerRomeo Manzano
The inspector’s account

On 08/04/25 Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Plan of Correction (POC) visit. LPA announced the purpose of the visit and met with Elizabeth Bautista, Administrator. LPA observed 1 resident in the kitchen and 2 staff.

On 07/30/24 the facility was cited for Type A 87632 (a) Hospice Care Waiver, Type A and 87405 Administrator - Qualifications and Duties. The facility was granted a Hospice Waiver for 4 residents.

on 07/17/25 the facility was cited for Type B 87211 Reporting Requirements and Type A 87465 Incidental Medical and Dental Care (h)(6).

On 08/04/25, LPA conducted a POC visit to clear the Type A and Type B POC's. LPA received a copy of the facility's plan of corrections.

A copy of the Letter of Deficiencies Cleared letter was provided.

No deficiencies cited during today's visit. This report was reviewed with Administrator Elizabeth Bautista and a copy of the signed report was provided.

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