Senior Care Records.

Facility Evaluation Report

Madera Villa Residential Care, Sunnyvale07/07/2025Licence 435200466

Capacity15
Census12
Date signed07/07/2025 01:06:44 PM
Name of licensing program analystKiran Jain
Name of licensing program managerApril Cowan
The inspector’s account

On July 07, 2025, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrator, Alan Tuan, and disclosed the purpose of the inspection. The Administrator informed the LPA that the facility had (12) residents in care and (3) staff members present at the time.

At 8:55 AM, the LPA initiated a walk-through of the facility, accompanied by the Administrator. The indoor temperature reading of 75°F on a thermostat was observed in the hallway at the time of the visit.

LPA inspected the kitchen and observed breakfast service was in progress at the time. The appliances were checked and observed to be in working order. The LPA observed a locked lock box on the kitchen countertop containing knives and sharp objects. LPA inspected a locked cabinet under the sink containing detergents, disinfectants, and cleaning supplies. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for two (2) days and nonperishable staples for seven (7) days were observed. No expired food or stored medications were noted.

LPA inspected the dining area adjacent to the kitchen. One (1) resident was observed to be sitting in the dining area eating breakfast. LPA inspected the living room and observed a sofa, chairs, tables, a piano, and a television in the living room. Two (2) residents were observed sitting in the living room watching TV. Board games, puzzles, arts, coloring, bingo, and other recreational activity items for residents’ activities were also observed in the living room.

LPA inspected the fire extinguisher mounted on the wall in the hallway and found it fully charged, with the last service tag dated 07/10/2024. The Administrator tested the smoke and carbon monoxide detector located in the office room in the LPA's presence, and it was found to be functional.

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