StarlynnCare

California · Los Altos

Hidden Lane Villa

RCFE · Memory Care

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 help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.

890 Berry Avenue · Los Altos, 94024

Quick facts

Licensed beds6
Memory careYes
Last inspectionApr 2026
Last citationApr 2026
Operated byCarr, Theresa
Map showing location of Hidden Lane Villa

Quality snapshot

Updated April 25, 2026

Compared to 182 California RCFE memory care 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
61th

Weighted citations per bed

Repeats
100th

Repeat deficiencies as share of total

Frequency
39th

Deficiencies per inspection

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

Hidden Lane Villa scores B−. Better than 67% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 61th percentile. Repeats: top 0%. Frequency: 39th 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_memory_care / small beds (182 facilities).

Citation severity over time

↑ worsening

Weighted severity score per month · 24 months

May 24peer medianApr 26

Weighted score (24mo)

15

Last citation

Apr 26

Finding distribution

7 total · 36 months

Scope × Severity (CMS A–L)

IsolatedPatternWidespreadJKLGHID7EFABCSev 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.Rules this facility has been cited for are shown first.

What dementia-care training must staff complete?Cited Apr 202322 CCR §87705 / HSC §1569.625

Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:

  • 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
  • 8 hours annual dementia in-service — required every year thereafter.
  • Administrator CE — the administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle.

Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.

Ask on tour: Ask how dementia training records are kept — families may request documentation.

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

Based on 6 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
435201306
License type
RESIDENTIAL CARE ELDERLY
License status
LICENSED
License expires
Not yet indexed
Licensed beds
6
Operator
Carr, Theresa

Inspections & citations

4

reports on file

12

total deficiencies

1

dementia-care citations

InspectionApril 1, 2026Type B
5 deficiencies

Plain-language summary

A routine annual inspection was conducted on April 1, 2026, and the facility was found to meet most requirements—rooms and bathrooms were clean, safety equipment including fire extinguishers and carbon monoxide monitors were working properly, medications were securely stored, and emergency procedures were being followed. One deficiency was cited during the inspection; details are available in the full regulatory report.

View full inspector notes

On April 1, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Assistant Administrator, Ofelia Guanzon and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are six resident bedrooms, all of which are single private rooms. Resident rooms were observed to be clean with all required furniture. Two full bathrooms and one half bathroom was observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 104-108.7 degrees F. Auditory alarms on exit doors were observed to be in good working condition. Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables, however did not observe seven day non-perishables. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of April 2026. Emergency drills are logged and done every three month. LPA reviewed 5 resident records and 5 staff records. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Deficiency was observed during the visit and cited from the California Code of Regulations, Title 22 and Health and Safety Code. See LIC809-D. Failure to correct the deficiencies may result in civil penalties. A copy of civil penalty is provided. Report is reviewed with Assistant Administrator and a copy is provided.

Type BCCR §87303(e)(2)

Regulation

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).

Inspector finding

Based on observations, water temperature throughout the facility measured between 104-108.7 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/08/2026 Plan of Correction 1 2 3 4 Licensee/administrator to send LPA video/photo of hot water temperature for all 4 sinks at the facility within regulatory requirements.

Type BCCR §87411(f)

Regulation

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after e…

Inspector finding

Based on staff record review, LPA observed two staff records without health screening and one staff record with a health screening that was done more than six months prior to employement, ] which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/08/2026 Plan of Correction 1 2 3 4 Licensee/administrator shall conduct a personnel file audit and ensure all staff have health screenings. Licensee/administrator shall ensure if staff don't have health…

Type BCCR §87555(b)(26)

Regulation

(26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises.

Inspector finding

Based on observations, LPA observed two days perishables, however did not observe seven days non-perishables which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/08/2026 Plan of Correction 1 2 3 4 Licensee/administrator shall send LPA a photo of 7-day non-perishables and ensure a supply of 7-day non-perishable is maintained at the facility at all times.

Type BCCR §87506(b)(16)

Regulation

(b) Each resident's record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables.

Inspector finding

Based on resident record reviewed, two/five resident files were observed to not have their safeguard of personal property and valuables documentation in file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/08/2026 Plan of Correction 1 2 3 4 Licensee/administrator to complete the Safeguard of Personal Property and Valuables for the two residents and submit a copy to LPA by 4/8/26.

Type BCCR §87507(c)

Regulation

(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as…

Inspector finding

Based on resident records reviewed, one/five resident files did not have a signed admissions agreement which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/08/2026 Plan of Correction 1 2 3 4 Licensee/administrator to send LPA a copy of the signed admissions agreement to LPA by 4/8/26.

InspectionApril 16, 2025
No deficiencies

Plain-language summary

During an unannounced annual inspection on April 16, 2025, inspectors found the facility clean and well-maintained, with proper food storage, functioning safety equipment, secure medication storage, and all required resident and staff records in order. The kitchen, bedrooms, bathrooms, and outdoor areas were all in good condition with appropriate safety features like grab bars, non-slip flooring, and working smoke and carbon monoxide detectors. No violations were cited.

View full inspector notes

On April 16, 2025, at 08:40 AM, 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 Assistant Administrator (ADM), Ofelia Guanzon, and disclosed the purpose of the inspection. ADM informed the LPA that the facility had (5) residents in care and (2) staff members present at the time. At 9:06 AM, the LPA initiated a walk-through of the facility, accompanied by the ADM. LPA inspected the kitchen and found it clean, with no food preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a locked cabinet containing knives and sharp objects, and a locked cabinet under the sink with detergents and cleaning supplies. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for (2) days and nonperishable staples for (7) days were observed. No expired food or stored medications were noted. LPA inspected the living room and observed it clean, with all furniture in good repair. There were sofa chairs, recliners, tables, a wall mounted television, a covered fireplace, and a piano in the living room. LPA inspected the dining area adjacent to the living room and found it clean. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. Two (2) residents were observed eating breakfast. LPA inspected the fire extinguisher mounted on the wall in the kitchen and found it fully charged, with the last service tag dated 04/30/2024. The ADM tested the smoke and carbon monoxide detector located in the living room in the LPA's presence, and it was found to be functional. Additional smoke and carbon monoxide detectors were observed in all bedrooms and common areas of the facility during the visit. Continued on 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 There were six (6) bedrooms and (2½) bathrooms designated for residents' use. All (6) resident rooms were single occupancy. LPA inspected all (6) resident rooms and found them clean, well-lit, and equipped with the required furniture. Storage closets with incontinence supplies were observed in every room. LPA inspected (2½) bathrooms and found them clean, sanitary, and in good working condition. The bathrooms contained soap, grab bars, paper towels, a trash can, a shower chair, and non-slip flooring. The hot water temperature at the sink faucet measured 115.5°F in bathroom #1 and 116.2°F in bathroom #2. The hallway closets were observed to contain clean linens and towels for residents’ use, and nonperishable food items. A washer and a dryer were observed in the half (½) hallway bathroom. A detached office room and a staff break area were observed near the front of the facility. LPA toured the backyard and front yard areas, found ramps and passageways in good condition, clear of obstructions, with no blocking or tripping hazards. Both front and back yard areas has a set of a patio table, chairs, and shaded areas for resident use. No bodies of water were noted. LPA reviewed six (6) staff personnel records and five (5) resident records. The LPA observed that 5 of 5 residents had an Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, and CSDMR. LPA observed that 6 of 6 staff members had LIC 508 Criminal Record Statements and LIC 503 Health Screening and confirmed that 6 of 6 staff members were associated with the facility. LPA observed a locked centrally stored medication cabinet in the hallway next to the dining area. Medications were organized in separate bins for each resident. Centrally Stored Medication Records were reviewed and found to be complete. LPA inspected the first aid kit and found it fully stocked. Emergency Drill Logs were reviewed, and it was observed that Emergency Disaster Drills were conducted quarterly, with the most recent drill completed on 04/02/2025. The following updated forms are requested to be submitted to CCLD by 04/23/2025: LIC 500: Personnel Report LIC 308: Designation of Facility Responsibility Continued on 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 Certificate of Liability Insurance Administrator Certificate(s) No deficiencies were cited during today's visit. An exit interview was conducted with the Assistant Administrator. A copy of this report was provided to the Assistant Administrator, Ofelia Guanzon, whose signature on this form confirms receipt of the report.

InspectionApril 12, 2024Type B
2 deficiencies

Inspector: David Marrufo

Plain-language summary

A state licensing inspector conducted a routine annual inspection of the facility and found the building to be well-maintained, with adequate food supplies, properly functioning smoke detectors, clear emergency exits, and clean bathrooms with appropriate supplies. The inspector identified three missing documents in resident and staff records: one resident was missing a physician's report and two residents were missing property safeguard forms. The facility was notified of these deficiencies and provided information about their appeal rights.

View full inspector notes

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Mercy Calilung, care giver. During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured the facility kitchen area and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA Marrufo toured two out of two hallway bathrooms and observed the water temperatures in the sinks to be 107 F and 109 F. Each bathroom had available soap and paper towels as well as working lights. LPA Marrufo toured six out of six bedrooms and observed there to be functioning lights in each room as well as available bedding and clothing storage areas. The smoke detectors in each bedroom and in the hallways all functioned properly when tested. LPA Marrufo toured the outside area and found the outside exit was clear of obstructions. LPA Marrufo reviewed resident and staff records for residents R1-R6 and staff S1-S3. During record review, LPA Marrufo observed resident R3 was missing a Physician's Report and residents R1 and R6 were missing Safeguard for Property/Valuables forms. Deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Mercy Calilung and a copy of this report and appeal rights were provided.

Type BCCR §87506(b)(10)

Regulation

87506 (b) Each resident’s record shall contain at least the following information: (10) Reports of the medical assessment specified in Section 87458, Medical Assessment, and of any special problems or precautions.

Inspector finding

Licensee did not ensure that during review of R1-R6’s resident records, resident R3’s resident record contained a Medical Assessment (Physician’s Report), which poses a potential safety risk to residents in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Licensee agrees to submit a copy of R3’s Physician’s Report to CCL by Plan of Correction date.

Type BCCR §87506(b)(16)

Regulation

87506 (b) Each resident’s record shall contain at least the following information: (16) Records of resident's cash resources as specified in Section 87217, Safeguards for Resident Cash, Personal Property, and Valuables.

Inspector finding

During record review of resident R1-R6’s records, residents R1 and R6 has missing Safeguard for Property/Valuables forms, which poses a potential safety risk to residents in care. POC Due Date: 04/19/2024 Plan of Correction 1 2 3 4 Licensee agrees to submit copies of R1’s and R6’s Safeguard for Property/Valuables forms to CCL by POC date.

InspectionApril 20, 2023Type B
5 deficiencies

Inspector: Ravi Patel

Plain-language summary

During a routine annual inspection, inspectors found the facility's physical environment—including bathrooms, bedrooms, kitchen supplies, and safety equipment—to be in good order. However, inspectors identified several record-keeping issues: medications were not properly logged, some residents lacked current physician reports or medication records, one staff member's First Aid certification had expired, and the facility had no documentation of conducting emergency disaster drills in the past three months.

View full inspector notes

Licensing Program Analysts (LPAs) David Marrufo and Ravi Patel conducted an unannounced Required 1 Year visit and met with Assistant Administrator Valerie Santos. During visit, LPAs toured the inside and outside of the facility. LPAs toured the kitchen area and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least 7 days. LPAs toured 2 out of 2 resident bathrooms and observed there to be available soap, paper towels, and non-skid mats. The water temperature was measured at 119 F. LPAs observed 6 out of 6 resident bedrooms and observed there to be available bedding and dresser drawers as well as functioning lights. The smoke detectors and carbon monoxide detectors were tested and found to be functioning during visit. The outside area was toured and the exits were found to be clear of obstructions. During review of records, 6 out of 6 residents had medications that were not entered into the Centrally Stored Medication Log. 2 residents with dementia did not have annually updated Physician's Reports. 3 out of 6 residents did not have logs for their PRN medications. 1 out of 5 staff whose records were reviewed did not have a current First Aid Certification. The facility did not have an Emergency Disaster Drill Log on file. Assistant Administrator Valerie Santos and staff S1 stated to have not recalled conducting an emergency disaster drill within the last three months. Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D for more information. This report was reviewed with Assistant Administrator Valerie Santos and a copy of the report and appeal rights were provided.

Type BCCR §87465(d)(3)

Regulation

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and …

Inspector finding

Based on review of records, the licensee did not comply with the section cited above in 3 out of 6 resident Centrally Stored Medication Logs, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/27/2023 Plan of Correction 1 2 3 4 Licensee agrees to create PRN medication logs for all residents with PRNs and submit copies of the logs to CCL by POC date.

Type B

Regulation

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…

Inspector finding

Based on interview and record review, the licensee did not comply with the section cited above in the facility file, which did not contain an Emergency Disaster Log, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/27/2023 Plan of Correction 1 2 3 4 Licensee agrees to create an Emergency Disaster Log and conduct quarterly emergency disaster drills. The licensee shall submit a copy of the Emergency Disaster Drill Log to CCL by POC date.

Type BCCR §87465(h)(6)(A-F)

Regulation

87465(h) The following requirements shall apply to medications which are centrally stored: 6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (A) The name of the resident for whom prescribed. (B) The name of the prescribing…

Inspector finding

LPAs observed during review of residents R1-R6 that 6 out of 6 residents had medications that were not logged into the Centrally Stored Medication Record, which poses a potential safety risk to residents in care. Deficient Practice Statement 1 2 3 4 Based on records review,, the licensee did not comply with the section cited above in 6 out of 6 Centrally Stored Medication Logs, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/27/2023 Pl…

Type BCCR §87705(c)(5)

Regulation

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care n…

Inspector finding

Based on review of records, the licensee did not comply with the section cited above in 2 residents with dementia out of 6 resident Physician's Reports, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/27/2023 Plan of Correction 1 2 3 4 Licensee agrees to schedule a doctor's appointment to obtain updated Physician's Reports for all residents with dementia and POC date and then submit copies of the updated Physicia's Reports to CCL once…

Type BCCR §87411(c)(1)

Regulation

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross.

Inspector finding

Based on review of records, the licensee did not comply with the section cited above in 1 out of 5 reviewed staff first aid certification records, which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/27/2023 Plan of Correction 1 2 3 4 Licensee agrees to obtain updated First Aid Certifications for all staff who currently have expired First Aid Certifications and submit the updated First Aid Certifications to CCL by POC date.

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.

Family reviews

No reviews yet — be the first to share your experience

No published reviews yet. Use the button above to share your experience.

← Back to Los Altos