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Assisted Living

Peninsula Senior Living Magnolia LLC

176 S Bernardo Ave, Sunnyvale, CA 9408630 bedsLicensed & Active
Source: CA CCLD — view official record

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Peninsula Senior Living Magnolia LLC Assisted Living in Sunnyvale, CA — Street View
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State Inspection History

State Inspections

Source: CA Community Care Licensing Division

8total
11deficiencies
3 Type A— immediate health risk
8 Type B— non-compliance
Jan 5, 2026Other

The inspection identified multiple deficiencies across several regulatory areas, including immediate health risks related to hot water temperature and missing safety equipment. Several Type B deficiencies were noted concerning outdated resident appraisals, incomplete personnel records, and missing required safety equipment like evacuation chairs. Immediate corrective action is required for the Type A violation regarding hot water temperature.

Type BCCR 87608(a)(3)

Postural supports require a written physician's order to be maintained in the resident’s record. The facility must ensure this documentation is available for all required supports.

Type BCCR 87463(a)

Pre-admission appraisals must be updated in writing as frequently as necessary or at least once every 12 months to reflect significant changes in condition.

Type ACCR 87303(e)(2)

Hot water temperature controls must automatically regulate hot water between 105 and 120 degrees F. The facility failed to ensure the temperature was within this safe range.

Type BCCR 87463(a)

Appraisals for clients #2, #7, and #9 were found to be dated over 12 months ago, indicating a failure to update records annually.

Type BCCR 87412(a)(1-8,11)

Personnel records must contain comprehensive details for each employee, including job applications and health screenings. Records for staff #1 were incomplete.

Type BHSC 1569.695(f)(1)

The facility must have evacuation chairs at every stairwell. The inspection found that three stairwells were missing required evacuation chairs.

Type BCCR 87411(c)(1)

Staff providing care must have current first aid training from qualified sources. There was no evidence that staff #1 and #2 possessed current first aid certification.

Dec 2, 2024Routine

The inspection identified two deficiencies: a critical failure in hot water temperature regulation at resident sinks, and a failure to conduct required quarterly emergency drills. Immediate corrective action is required for the hot water temperature to prevent scalding injuries, and the facility must establish a consistent schedule for emergency drills.

Type A87303(e)(2)

Hot water temperature at sink faucets was measured between 136.3°F and 162.5°F, which exceeds the safe range of 105°F to 120°F. This poses an immediate health and safety risk to residents.

Type B1569.695(c)

The facility failed to conduct emergency drills on a quarterly basis as required by regulations. This represents a potential health and safety risk to persons in care.

Apr 4, 2024Follow-up

This was a case management follow-up visit conducted by LPA Simi Rai. The visit reviewed the Plan of Correction submitted for a previous deficiency regarding resident safety. The report notes that the Administrator and staff have corrected the previously cited deficiencies, and a Plan of Correction clearance was issued.

Type BCCR 87468.1(a)(4)

The facility was advised to review CCR 87705 regarding the initial and continuing requirements for utilizing delayed egress devices on exterior doors or perimeter fence gates.

Mar 21, 2024Other

The unannounced case management visit was conducted to follow up on an incident where a resident left the facility unassisted. A deficiency was cited regarding the failure to provide adequate care and supervision to meet the resident's individual needs. This deficiency was classified as Type A due to the immediate health, safety, or personal rights risk posed by the incident.

Type ACCR 87468.1(a)(4)

Residents must have care and supervision that meet their individual needs, delivered by staff with sufficient qualifications and competency. This was violated when a resident left the facility unassisted while staff were unaware, posing an immediate risk.

Sep 14, 2023Complaint
CleanReport

This report details an investigation into a complaint alleging staff abandoned a resident. The investigation found that the allegation was unsubstantiated, meaning there was not enough evidence to prove the alleged violations occurred. No deficiencies were cited per California Code of Regulations, Title 22.

Feb 7, 2022Other
CleanReport

The facility underwent a tele-visit for technical assistance regarding COVID-19 mitigation. The report details several recommendations made by the nurse, including posting symptom lists, improving visitor logs, and ensuring proper handwashing signage. Crucially, the report explicitly states that no deficiencies were cited per California Code of Regulations, Title 22.

Nov 22, 2021Other
CleanReport

The pre-licensing inspection was conducted and the facility was found to be ready to be licensed. The report notes that the facility is not yet licensed and is subject to final approval by the Central Application Bureau (CAB). No specific deficiencies were cited during the inspection.

Nov 16, 2021Other
CleanReport

The facility underwent a Comprehensive II review via telephone, which was successfully completed. The administrator confirmed understanding of Title 22 and Health and Safety Codes across several operational areas. No specific deficiencies were cited in the provided report content.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Peninsula Senior Living Magnolia LLC

Administrator

VERMA, SUNIL

Source: State licensing data

Contact

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References & Resources

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