StarlynnCare

California · Campbell

Sakura Gardens Villa Llc

RCFE

A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.

531 N Central Ave · Campbell, 95008

Quick facts

Licensed beds15
Memory careNot listed
Last inspectionJan 2026
Last citationJan 2025
Operated bySakura Gardens Villa, Llc
Map showing location of Sakura Gardens Villa Llc

Quality snapshot

Updated April 25, 2026

Compared to 214 California RCFE facilities of similar size, over the last 36 months.

Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →

Quality grade· click to show how this was calculated

Severity
59th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
57th

Deficiencies per inspection

Tick mark at 50% = peer median · higher percentile = better facility

Sakura Gardens Villa Llc scores B. Better than 72% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 59th percentile. Repeats: top 0%. Frequency: 57th percentile.

Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general / small beds (214 facilities).

Citation severity over time

stable

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

10

Last citation

Jan 25

Finding distribution

2 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLG1HID1EFABCSev 4 · IJSev 3Sev 2Sev 1

View inspections & citations

The rules that apply to this facility

California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.

What training are all staff required to complete?22 CCR §87411

All direct-care staff must complete:

  • 10 hours initial training within the first four weeks of employment.
  • 4 hours annual in-service every year thereafter.
  • Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.

Ask on tour: Ask when the last staff training was completed and how it's tracked.

How many staff must be on duty overnight?22 CCR §87415

Based on 15 licensed beds:

One qualified staff member must be on call and physically on premises at all times overnight.

Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.

Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.

What health conditions can this facility legally accept or refuse?22 CCR §87612–87615

Restricted — allowed with physician order + care plan

  • Supplemental oxygen
  • Insulin and injectable medications
  • Indwelling or intermittent catheters
  • Colostomy / ileostomy
  • Stage 1 and Stage 2 pressure injuries
  • Wound care (non-complex)
  • Incontinence
  • Contractures

Prohibited — facility must refuse or discharge

  • Stage 3 or Stage 4 pressure injuries
  • Feeding tubes (PEG, NG, or J-tube)
  • Tracheostomies
  • Active MRSA or communicable infections requiring isolation
  • 24-hour skilled nursing needs
  • Total ADL dependence with inability to communicate needs

A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.

Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.

What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
  • ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
  • 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
  • 24 hrsAbuse without serious bodily injuryWithin 24 hours
  • Next dayDeath of a residentPhone by next working day; written within 7 days
  • Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
  • WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure

Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).

How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
  1. 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
  2. 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
  3. 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
  4. 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
  5. 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.

See how these rules have been applied to this specific facility:

View state inspection record and citations

State records

California Dept. of Social Services · Community Care Licensing
License number
435202531
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
15
Operator
Sakura Gardens Villa, Llc

Inspections & citations

5

reports on file

2

total deficiencies

1

Type A (actual harm)

Other visitJanuary 28, 2026
No deficiencies

Plain-language summary

On January 28, 2026, the state conducted an unannounced annual inspection of the facility and found no violations. The inspector reviewed the building, grounds, kitchen, medication storage, safety systems, and staff clearances, and found everything in compliance. A minor work order was issued to repair one of two water heaters, but this did not result in a citation.

View full inspector notes

On 01/28/2026, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced annual inspection. LPA met with Administrator, Beverly Carnate . LPA explained the purpose of the visit. The facility was under partial renovation at the time of visit. LPA toured the facility to include the hallways, resident bedrooms, bathrooms, recreation room, dining room, kitchen, and exterior. All staff present are fingerprint cleared and associated to the facility. LPA observed all residents in the dinning room watching TV and exercise. Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit located in the office. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. No deficiencies were cited. Technical violation was noted for work order to fix one out of two water heaters. The report was reviewed and discussed with administrator. A copy of the report was left at the facility.

InspectionMarch 27, 2025
No deficiencies

Plain-language summary

This was a follow-up visit on April 26, 2026 to check whether the facility had fixed problems found during a required inspection in January 2025: a damaged kitchen counter, spider webs in bathrooms, and dark spots on a shower floor. The facility completed all the repairs—the counter was fixed, spider webs were cleaned, and the dark spots were removed and re-grouted. No new problems were found, and the previous deficiencies were cleared.

View full inspector notes

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced at 3:55PM and met with Staff Beverly Carnate. The purpose of this visit is to follow up on a deficiency issued during a Required 1 year inspection on 1/21/2025. LPA explained the purpose of the visit to Licensee. On 1/21/2025, LPA Tarin conducted the facility's required 1 year inspection. During inspection, LPA observed a damaged and discolored kitchen counter top next to the sink, spider webs in the ceiling of the bathrooms, and dark spots on the shower floor (next to bedroom #8). A deficiency was issued and the Plan of Correction (POC) was developed with the Licensee. The Licensee states the facility would submit a date when the kitchen counter top would be repaired and the dark spots and spider webs would be cleaned. The Licensee submitted POC to LPA by POC due date of 1/22/2025. During today's visit, LPA inspected the kitchen counter top, the bathroom and interior of facility. LPA observed that the kitchen counter top was repaired, no spider webs were observed and dark spots in the bathroom had been removed (re-grouted). LPA Tarin cleared the deficiencies cited on 1/21/2025 during today's visit. A Letter of Deficiency Citations Cleared was printed and provided to Staff during today's visit. No deficiencies were cited during today's visit. A copy of this report was provided to Staff Beverly Carnate.

InspectionJanuary 21, 2025Type A
1 deficiency

Inspector: Marcella Tarin

Plain-language summary

During a routine annual inspection, inspectors found the facility generally well-maintained with adequate food supplies, proper refrigeration, complete staff and resident records, and functioning emergency systems. Inspectors noted a damaged kitchen countertop, spider webs and dark spots in bathroom areas, and one bedroom being used for storage instead of resident use, and advised staff to make repairs and updates. One deficiency was cited during the inspection.

View full inspector notes

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct the facility's Required 1-Year annual inspection. LPA met with Staff Tomoko Yoshida. LPA toured the facility to include the hallways, resident bedrooms, bathrooms, recreation room, dining room, kitchen, and exterior. All staff present are fingerprint cleared and associated to the facility. LPA observed 5 residents in the recreation room watching tv and reading the newspaper. LPA observed the hallway temperature display at 71 degrees Fahrenheit. LPA observed 2 hallway exit routes are lit with sunlight from the windows above the hallway. LPA observed posters for complaint reporting, ombudsman, and Resident's Rights. LPAs toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature maintained at 40 degrees F and freezer maintained at 0 degrees F. At 10:16AM LPA observed a damaged and discolored kitchen countertop area where food is prepared, next to the kitchen sink. LPA advised staff to repair counter top and to ensure the facility is in good repair. LPA toured 15 resident bedrooms. 14 out of 14 resident bedrooms had a bed, functioning lights, a dresser/table, a chair and space for personal belongings. 1 resident bedroom is being used as storage. LPA advised staff to update the facility sketch and submit to the Department by 1/31/2025. LPA measured water temperature for 6 resident bathrooms at 105 degrees F. LPA observed spider webs in the ceiling of the bathrooms, and dark spots on the shower floor (next to bedroom #8). LPA advised staff to ensure the facility is in good repair at all times. See LIC809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA reviewed 3 staff records. 3 out of 3 staff records were complete and included background fingerprint clearance, health screening with TB result, staff training and first aid certification. LPA reviewed 4 resident records. 4 out of 4 resident records were complete and included emergency contact information, medical assessments, and needs and service plans. LPA also reviewed 4 Centrally Stored Medication and Destruction Records (CSDMRs). 4 out of 4 CSMDRs were observed to be complete with all medication documented accurately. LPA reviewed emergency drill logs. LPA observed the facility conducts their emergency drills quarterly. The last drill was completed on 1/16/2025. The facility's last fire inspection was conducted on 3/28/2024. The facility's fire extinguisher was last serviced on 09/05/2024. Facility has smoke alarms and carbon monoxide detectors present throughout the hallways. LPA requested the facility submit an updated facility sketch to the Department by 1/31/2025. A deficiency was cited today per California Code of Regulations, Title 22. See LIC809D. This report was reviewed with Staff Tomoko Yoshida and copy of this signed report and appeal rights were provided.

Type ACCR §87303(a)

Regulation

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

Inspector finding

Based on observation, the licensee did not comply with the section cited above. During inspection, LPA observed a damaged and discolored kitchen countertop next to the sink, spider webs in the ceiling of the bathrooms, and dark spots on the shower floor (next to bedroom #8), which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 01/22/2025 Plan of Correction 1 2 3 4 Licensee will conduct an in-service training with staff on maintenance and operation …

InspectionJanuary 31, 2024Type B
1 deficiency

Inspector: Christine Dolores

Plain-language summary

This was the facility's routine annual inspection. Inspectors found that some exit routes were blocked by furniture and a walker (which staff immediately cleared), hallway lighting was dim at night (the administrator was advised to add more lights), one bathroom had hot water that was too hot at 138 degrees (the administrator was advised), and resident files were missing required care planning documents that the administrator said were being updated elsewhere (the administrator was advised to keep originals on-site). The facility's staff were properly cleared and trained, medications were properly stored, and other areas including kitchens, bathrooms, and bedrooms met standards.

View full inspector notes

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator, Hiro Kitamura. During visit, LPA toured the facility to include the hallways, resident bedrooms, bathrooms, activity room, dining room, kitchen, and exterior. All staff present are fingerprint cleared and associated to the facility. LPA observed some exit routes were obstructed with a dresser, table with wheels, and a walker. Staff immediately moved the items to ensure the exit routes are free and clear of obstruction. Administrator was advised. Posters observed to include the complaint poster, ombudsman, and rights of resident council. Facility temperature maintained at 72 degrees Fahrenheit. The facility's fire extinguisher last serviced on 09/05/2023. Facility has smoke alarms and carbon monoxide detectors present throughout the hallways. The facility's hallways are lit up by natural light from the outside. Due to the overcast today, LPA observed the facility hallways where resident bedrooms are located were slightly dark. LPA obtained a photograph. Administrator states, during the night the hallways are lit up by 1 light at the end of each hall. LPA advised to install additional lighting in the hallways to ensure the residents safety and comfort during the night. Administrator stated understanding. Administrator also states during the night, they do not have any residents who wander and the residents are assisted with toileting. LPA observed the activity room, dining room, bathrooms, and resident bedrooms contained adequate lighting. Kitchen supplied with cups, plates, bowls, and utensils. The refrigerator temperatures maintained between 28 - 35 degrees Fahrenheit. The freezer temperatures maintained below 0 degrees Fahrenheit. Food items were observed covered and labeled. Facility has at least 2 days worth of perishables and 7 days with of non-perishable foods. SEE LIC809-C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Resident bedrooms were well maintained and free of clutter and odor. The bedrooms contained adequate lighting, bed, linens, chair, and dresser. LPA observed 2 resident beds contained half rails. LPA observed 2 out of 2 residents files contained an order for half rails. Bathrooms supplied with hygiene products, paper supplies, and non-slid mats in the shower. The bathroom next to room #8 hot water temperature maintained at 108 degreed Fahrenheit. The bathroom next to room #3 hot water temperature maintained at 138 degrees Fahrenheit. Administrator was advised. Facility has emergency back-up lighting throughout the hallways. Facility's emergency disaster plan was last updated in 2019. Administrator was advised to update their emergency disaster plan. LPA observed the facility conducts their emergency drills quarterly. The last drill was completed on December 2023. Facility has an infection control plan and sufficient amount of PPE supplies. LPA reviewed 5 resident files. The resident files were observed complete, however, did not contain an appraisal/needs and services plan. Administrator states to be in the process of updating each resident's appraisal/needs and services plan and brought the records to another location. Administrator was advised to ensure the original copies are always in the facility during normal business hours. Administrator stated understanding. 5 out of 5 residents centrally stored medications and records observed maintained. LPA reviewed 4 staff files. Staff files were completed to include an updated 1st aid certification, fingerprint clearance, health screening, and TB result. Staff are provided at least 20 hours of annual training to include but not limited to dementia, postural supports, medications, restricted health conditions, and hospice. 5 residents and 3 staff were interviewed. A deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D. Advisory notes provided. This report was reviewed with Administrator, Hiro Kitamura and a copy of the report and appeal rights was provided.

Type BCCR §87506(d)

Regulation

(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:

Inspector finding

Based on observation, interview and record review residents (R1 - R5)'s appraisal/needs and services plan was located in another location for updating, therefore, LPA Dolores was unable to review R1 - R5's appraisal/needs and services plan which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/07/2024 Plan of Correction 1 2 3 4 Licensee will review section 87506(d) and submit a statement of understanding of the section cited. Licensee will sub…

ComplaintJanuary 25, 2023
No deficiencies

Inspector: Ryker Heberle

Plain-language summary

A state licensing analyst conducted a routine unannounced inspection of the facility on January 25, 2023, and found no violations. The inspector toured all areas of the facility, confirmed that staff and residents were vaccinated, verified that emergency exits were clear and working, and confirmed that the facility had adequate food supplies and supplies for cleaning and hygiene. The facility passed the inspection with no deficiencies cited.

View full inspector notes

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 01/25/2023 at 02:27pm. LPA met with facility Administrator Hiro Kitamura (Admin). LPA toured the facility, including living room, kitchen, dining room, laundry room, 5 bedrooms, 2 bathrooms, back patio, front yard, office, and medicine room. All staff members observed to be wearing masks. Admin confirmed that all staff and residents have been vaccinated. Facility infectious control plan has already been submitted. No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizers, soap, and paper supplies were observed to be available. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Fire extinguisher observed to be inspected in September of 2022. Smoke/carbon monoxide detectors tested and observed to be operational. Facility observed to have designated entry point. Staff took LPA's temperature and screened for symptoms. 30 day supply of PPE was not observed. Water temperature observed to be 109.4 *F. Facility temperature observed to be 72*F. Hand washing signs observed in all bathrooms. Social distancing signs observed to be posted in all public areas. No deficiencies cited during today's visit. This report was reviewed with Administrator Hiro Kitamura and a copy of the signed reported was provided via email due to printer error.

Federal summary

CMS Care Compare

Not a CMS-certified facility

California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.

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