Small home · Licensed for 6 · San Jose

Blossom Valley Care Home

4387 Silverberry Drive, San Jose, CA 95136Licensed since 2007

Overview

Estimated starting rate

$4,050 a month

Covelight estimate · likely $3,300–$4,950 See costs

No openings reported

Approved by the state: Wheelchair · Hospice · BedriddenState licensing record · October 26, 2026
Licensed for 6: a small care homeThe state license record

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Care and support

Wheelchairup to 5 residents
Hospiceup to 2 residents
Bedriddenup to 1 resident

Not on file: dementia approval.

Approved by the state · State licensing record · October 26, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording

AGE RANGE 60 AND OVER. FIVE (5) MAY BE NON-AMBULATORY. ONE MAY BE BEDRIDDEN. BEDROOM #3 OR #4 IS APPROVED FOR ONE (1) BEDRIDDEN CLIENT. LICENSE IS SUBJECT TO THE TERMS AND CONDITIONS OF HOSPICE WAIVER FOR TWO (2).

935 - ELDERLY

CDSS record, verbatim · October 26, 2026

As needs change

Staying through hospice
Hospice waiver on file · covers up to 2 — care may continue at the end of life
State licensing record · October 26, 2026

We’ll ask for you. Not on file for Blossom Valley Care Home: two-person transfers or a lift, who is awake overnight, help with medicines and care if memory loss develops. When we check availability, we ask about these too.

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What it costs here

Covelight estimate

$4,050a month to start

Likely $3,300–$4,950

From 9 nearby homes that publish rates · this home’s rate is not on file

Monthly cost breakdownWith a shared room and basic help · room, care and fees$4,050likely a month

Room

Daily care

Sharing the room

Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.

Starting monthly rate$4,050likely $3,300–$4,950
Covelight’s estimate starts from the rates 9 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (44 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,500one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,500 (133 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,300–$5,150: $4,050
First monthWith a one-time move-in fee · likely $3,900–$8,400: $6,550

How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance

MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.

If the money runs out, what Medi-Cal covers

Rates at nearby homes9 nearby homes publish starting rates of $2,500 to $4,200

9 homes like this within 3 miles publish starting rates mostly between $2,600–$4,200.

Saint Michael Residential HomeSan Jose · 1.4 mi · Small home
$2,700Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Safe Haven Villa Care HomeSan Jose · 1.6 mi · Small home
$3,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Mayflower Care HomeSan Jose · 1.8 mi · Small home
$4,000Listed on Seniorly · seen September 9, 2026
Constantin's Care HomeSan Jose · 2.1 mi · Small home
$2,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Pendar's Residential CareSan Jose · 2.2 mi · Small home
$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Oak Grove Residential Care HomeSan Jose · 2.2 mi · Small home
$3,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Sandy's Residential Care HomeSan Jose · 2.2 mi · Small home
$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Laurel Crest ManorSan Jose · 2.6 mi · Small home
$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Lovely Care HomeSan Jose · 3.0 mi · Small home
$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026

How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 9 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
It cannot see this home’s specials, how it assesses care, or which rooms are open.

Avoid surprises on the billWhat changes the price, and what to ask

The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
Move-in costs
A one-time move-in fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

Ask for the price

An estimate for planning, not a quote. A home sets the price after hearing about the care needed.

Daily life

Daily life here is not on file yet. Most small homes haven’t published it, and that says nothing about the home.

The best way to see it is a visit.

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Where it is

4387 Silverberry Drive, San Jose, CA 95136Address from the public record · October 26, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

Kaiser Foundation Hospital-San JoseHospital · General acute care, on the state’s list2.8 mi

Straight-line distances; check the drive or the walk. Hospital: the nearest general acute care hospital on the state’s list (CDPH, September 16, 2026).

Open directions

The state record

California inspects every licensed home and publishes what it found. A citation does not make a home unsafe, and an empty file does not make a home good.

CDSS public record, read October 26, 2026 · License #435294278 · See the state’s own record

The last 36 months — 6 of 9 documents

Complaint outcomes in these 36 months, in the state’s words: 2 “Unfounded”.

20262 state visits · 2 documents

Apr 3, 2026Complaint investigation reportUnfounded

Allegation investigated: Facility did not meet resident's hygiene needs. Staff allowed resident to be left in soiled clothing for extended periods of time.

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced complaint investigation visit. LPA Rai met with Administrator (ADM) Ronnie Ubungen and stated the purpose of today's visit. It was alleged that resident R1's hygiene needs were not met and resident R1 was left in soiled clothing for extended periods of time. During visit, LPA Rai interviewed 3 staff (S1-S3) and Administrator (ADM) Ronnie Ubungen. ADM stated resident R1 does not live at the facility. ADM stated they are aware of the allegegations and this is regarding another facility. ADM stated resident R1 was never admitted to the facility. 3 Out of 3 staff (S1-S3) stated resident R1 was not a resident at the facility and they do not recognize the name of resident R1. Continuation on LIC 9099-C, Page 1 of 2. Unfounded Page 2 of 2. Based on LIC 9020A Register of Facility Residents - Residential Care Facilities for the Elderly from 01/06/2025, resident R1 was not a resident of the facility. The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Administrator, Ronnie Ubungen and a copy of the report was provided. Administrator, Ronnie Ubungen gave verbal authorization for facility staff to sign today's report on their behalf.the state’s words, verbatim · CDSS document, Apr 3, 2026 · control 26-AS-20260327105535

Jan 6, 2026Facility evaluation reportPOCReport on file

Type of visit: POC

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced Plan of Correction (POC) visit and met with Licensee/ADM Ronnie Ubungen During POC visit, LPA verified the water temperature and secure medications based on the written plan of action that facility has provided to CCLD on 12/23/2025. LPA advised ADM to continue to monitor water temperature and monitor staff that they are securing medications after passing and administering prescription medication to residents. POC reviewed and cleared the Type A deficiency cited on 12/23/2025 under California Code of Regulation (CCR) Title 22 87303(e)(2) and 87465(h)(2) on site and provided a copy of POC Clearance Letter to administrator Ronnie Ubungen. No deficiency cited during today's inspection. Exit interview conducted with administrator Ronnie Ubungen and a copy of the report was provided. end of reportthe state’s words, verbatim · CDSS document, Jan 6, 2026

20251 state visit · 1 document

Dec 23, 2025Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced Required 1 Year visit and met with Administrator (ADM) Ronnie Ubungen and Licensee (LIC) Maybelline Ubungen. LPA stated the purpose of the visit. The facility serves age 60 and over. Five may be non-ambulatory. One may be bedridden. Bedroom #3 and #4 are approved for one bedridden client and hospice waiver for two. LPA observed 6 resident and 3 staff at the time of the inspection. LPA toured the facility including but not limited to the kitchen, dining, activity room, 3 resident room all shared. 1 staff room, garage, bathroom and exterior perimeter. The exterior perimeter and walkway are free from obstruction/debris. The ramp and back deck are maintained, handrails and ramp is sturdy. LPA observed a gazebo in the backyard. Fence was propped up a bougainvillea plant from the neighbor was hanging over the fence, a frayed window screen was observed from the exterior side by the dining area. LPA inspected the kitchen and observed food supply for at least 2 days of perishable food and 7 days of non-perishable food. Sharps and medications were locked in secured areas. Cleaning and laundry supplies are in a separate storage and locked. Resident's bedroom have sufficient storage to store personal items. The bathroom is equipped with grab bars and non-skid floors for adults who are non-ambulatory and ambulatory residents. 1 Out of the 2 bathroom is equipped with a toilet seat riser, and bath bench/chair. page 1 of 2 While inspecting the kitchen drawers LPA observed 4 medications that were not locked and accessible to residents in care. Staff locked the 4 medications expeditiously. The water temperature in 2 bathrooms when measured with a digital thermometer is at 140.9 to 143.7 degree F. The kitchen water sink measured at 145 degree F. The facility room temperature is at 72 degree F. Refrigerator temperature is at 40 degree F and freezer is at 0 degree F. The facility is equipped with a fire alarm system that is in good working condition a fire extinguisher inspected on 05/08/2025. Emergency disaster preparedness was done on 08/5/2025. Fire drill was done on 1/18/25, 4/21/25, 7/17/25 and 10/24/25. A first aid kit complete with the guidebook. LPA gave technical assistance for the earthquake drill resources. LPA Partoza reviewed facility record, 3 staff and 3 residents records such as but not limited to medical assessment (LIC 602A), centrally stored medication and destruction record (CSMDR), appraisal needs and services plan, personal rights, and consent forms. LPA reviewed staff record such as but not limited to training, criminal background clearance, mandated reporting (SOC 341A) and health screening. Deficiencies were cited during today's visit based on California Code of Regulations (CCR) Title 22 87303 (e)(2) and 87465(h)(2) See LIC 809D. An exit interview was conducted with Administrator (ADM) Ronnie Ubungen and Licensee (LIC) Maybelline Ubungen a copy of the report and appeals rights were provided page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Dec 23, 2025

20242 state visits · 2 documents

Dec 23, 2024Complaint investigation reportUnfounded

Allegation investigated: Facility staff neglected to care for the resident's wounds.

Licensing Program Analyst (LPA) conducted an unannounced investigation visit and met with Administrator Ronnie Ubungen (ADM). On 12/18/2024, the Department received a complaint with the allegation that facility staff neglect to care for resident R1's wounds. LPA toured the facility with ADM. LPA requested the resident roster and LIC 500. LPA observed 5 residents and 4 staff in the facility. Continue on LIC9099-C. page 1 of 2. Unfounded The allegation is that the facility staff did not take care of resident R1's wound resulting in R1 being sent to hospital. LPA interviewed Administrator (ADM) Ronnie Ubungen. ADM stated the facility does not have R1 as resident and did not admit R1 before. LAP interviewed house manager Maybelline Ubungen (HM). HM stated the facility never has R1 as resident. HM stated there is a health institute with the similar same Blossom Valley Care Health center around the facility, and there were some similar confusion/mistake occurred before. LPA interviewed 3 staff. 3 Out of 3 staff stated the facility does not have R1 as resident. LPA interviewed 5 residents. 5 Out of 5 residents stated R1 is not a resident in the facility. LPA reviewed resident roster, LPA did not find R1 in the resident roster. The facility's capacity is 6. LPA observed 5 residents and one empty bed, and did not see any other resident in the facility. Based on the observation, interview, and records reviewed, R1 is not a resident of the facility. The Department has investigated the above allegation. Based on the investigation, observation, documents reviewed, and interviews conducted, the Department found that the above allegation is UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s compliant investigation visit. The exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.the state’s words, verbatim · CDSS document, Dec 23, 2024 · control 26-AS-20241218141227

Dec 6, 2024Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with administrator (ADM) Ronnie Ubungen. LPA observed 5 residents and 2 staff at facility. LPA reviewed 3 resident files and 3 staff files. 2 Out of 3 resident files were observed that centrally stored medication forms were not matched with their medications. Facility license, Administrator Certificate, and personal right posters were observed at main entrance. LPA toured the facility with ADM inside and out. LPA inspected living room, family room, dinning area, kitchen. There are 2 restrooms, 1 staff live-in room, 3 resident rooms in facility. Grab bars and non slipping resisted floor were observed at the restrooms. Two days perishable foods and seven days non perishable foods were observed sufficient. Room temperature was observed at 68 degree F, hot water temperature was observed at 119 degree F. Temperature of refrigerator was measured at 45 degree F, and temperature of freezer was observed at 0 degree F. Medication cabinet, Knives closet and cleaning products closet were observed locked. Fire extinguisher was serviced on 5/21/2024. The facility is equipped with fire alarm and carbon monoxide detectors. Smoke detector alarm system was tested, and was working fine. First Aide Box, night lights and emergency flash lights were observed. Front yard and backyard were inspected. There was no obstruction to block the walkways. Facility last fire and emergency drill was conducted on 10/20/2024. Citation was issued today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.the state’s words, verbatim · CDSS document, Dec 6, 2024

20231 state visit · 1 document

Dec 8, 2023Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with administrator (ADM) Ronnie Ubungen. LPA observed 6 residents and 3 staff at facility. LPA reviewed 5 resident files and 3 staff files. Facility license, Administrator Certificate, and personal right posters were observed at main entrance. LPA toured the facility with ADM inside and out. LPA inspected living room, family room, dinning area, kitchen. There are 2 restrooms, 1 staff live-in room, 3 resident rooms in facility. All the trash cans were observed with covers. Grab bars and non skid floor were observed at the restrooms. Two days perishable foods and seven days non perishable foods were observed sufficient. Room temperature was observed at 71 degree F, hot water temperature was observed at 118 degree F. Temperature of refrigerator was measured at 40 degree F, and temperature of freezer was observed at 0 degree F. Medication cabinet, Knives closet and cleaning products closet were observed locked. Fire extinguisher was serviced on 4/17/2023. The facility is equipped with fire alarm and carbon monoxide detectors. Smoke detector alarm system was tested, and was working fine. First Aide Box, night lights and emergency flash lights were observed. Front yard and backyard were inspected. There was no obstruction to block the walkways. Facility last fire and emergency drill was conducted on 10/20/2023. No citation was issued today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.the state’s words, verbatim · CDSS document, Dec 8, 2023

Earlier years2022 to 2023 · 3 documents

20231 state visit · 1 document

Jul 14, 2023Complaint investigation reportUnfounded

Allegation investigated: Facility is neglecting services to resident in care.

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced complaint Investigation visit to deliver the investigation finding and met with administrator (ADM) Ronnie Ubungen. On 04/20/2023, the Department received a complaint allegation that the facility is neglecting services to resident in care. On 04/25/2023, LPA Steve Chang conducted an initial 10-day inspection/investigation, and met with ADM. LPA interviewed ADM, ADM's spouse and 2 staff and conducted inspection of the facility with ADM. Continued on 9099-C. Page 1 of 2. Unfounded LPA interviewed ADM and staff. ADM and his/her spouse, and 2 staff (S1 and S2) denied R1 was a resident of the facility, nor they previously admitted R1 to the facility. ADM stated that the Local Long Term Care Ombudsman (LTCO) came to the facility to inquire if R1 was at the facility on 4/25/2023. LTCO was notified R1 was not a resident of the facility. LPA obtained and reviewed list of residents (LIC9020A) as of 1/20/2023, R1’s name is not on the list and the facility was in full capacity with a census of 6 (R2-R7). Based on the documents reviewed and interviews conducted, R1 is not a resident. The Department has investigated the above allegation. Based on the investigation, documents reviewed, and interviews conducted, the Department found that the above allegation is UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s compliant investigation visit. The exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.the state’s words, verbatim · CDSS document, Jul 14, 2023 · control 26-AS-20230420133725

20222 state visits · 2 documents

Dec 27, 2022Facility evaluation reportRoutine visitReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with administrator (ADM) RONNIE UBUNGEN. Upon Arrival, ADM took LPA's body temperature, and checked LPA in the visitor log book. LPA observed the COVID posters in the facility. Two staff and four residents were observed in facility. LPA toured the facility with ADM inside and out. LPA inspected living room, family room, dinning area, kitchen. There are 2 restrooms, 1 staff live-in room, 3 resident rooms in facility. All the trash cans were observed with covers. Cloth towels were observed in kitchen and in restrooms. There were posters of washing hands for 20 seconds by the sinks in kitchen and restrooms. Two days perishable foods and seven days non perishable foods were observed sufficient. Room temperature was observed at 74 degree F, hot water temperature was observed at 113 degree F. Medication cabinet, Knife closet were observed locked. Cleaning products closet was observed locked. PPE supplies were observed sufficient. Fire extinguisher was serviced on 6/10/2022. The facility was equipped with smoke and carbon monoxide detectors. Smoke detector alarm system was tested, and was working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. ADM stated all the residents and staff are fully vaccinated and done with booster shots. ADM already submitted the Infection Control Plan to LPA. No citation was issued today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.the state’s words, verbatim · CDSS document, Dec 27, 2022

Nov 18, 2022Complaint investigation reportSubstantiated

Allegation investigated: Facility did not refund of former resident’s paid rent for April and May 2022.

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced complaint Investigation visit to deliver the investigation finding and met with administrator (ADM) Ronnie Ubungen. On 06/14/2022, the Department received a complaint allegation that the facility did not refund of former resident’s paid rent for April and May 2022. On 06/23/2022, LPA Steve Chang conducted an initial 10-day inspection/investigation, and met with ADM. LPA interviewed ADM, and ADM's spouse. ADM stated that R1’s April and May 2022 rent was not refunded based on their Admission Agreement Refund Policy. During investigation visit, a copy of the facility Admission Agreement was obtained during visit. Continued on 9099-C. Page 1 of 3. Substantiated Based on review of R1’s Admission Agreement, it states on page 4 of 10, “The resident is required to stay a minimum of two months. Should the resident leave before the two-month minimum period, the resident agrees to pay the entire monthly fee for the first and second months.” R1’s monthly rent was $4,500 plus an additional $500 a month for hospice care services, a total of $5,000. R1 paid rent for April and May 2022 in the amount of $10,000. On 6/23/2022, LPA interviewed Administrator (ADM) Ronnie Ubungen and ADM's spouse (S1). ADM stated R1 moved in the facility on 04/01/2022, and subsequently admitted into Hospice Care on 04/12/2022. R1 died on 4/26/2022. R1 was at the facility for 27 days including one day when R1’s family picked-up R1's belongings on 04/27/2022. During the initial complaint investigation visit, the ADM has decided to refund $5,850.00 a partial refund for April 2022 and a full refund for May 2022. ADM refunded 4 days in April 2022 ($600), and 15 days ($250) in April 2022 of paid for hospice care. A review of the current Admission Agreement approved by the Department in 2007 (LIC604A with Refund Changes addendum in reference to SB141-Soto and Health and Safety Codes 1569.651 & 1569.665 and 9. Refund Policy, on page 4 of 8) is entirely different from R1’s Admission Agreement. A review of R1’s Admission Agreement under number #4. Billing and Payment Policy -Monthly Rate, on page 4 of 10, “it states that the facility requires resident to stay a minimum of two months and the first two months is non-refundable with no exceptions and should the resident leave before the two-month minimum period, the resident agrees to pay the entire monthly fees for the first and second months.” In addition, under number #5. Refund Policy, on page 4 of 10, “it states that on any subsequent month, in the event of death or sudden illness where resident will require Skilled Nursing Care, a refund will apply based on the anniversary of the admission date based on the following: If it occurs during the 1st 15 days, ½ of the monthly rate will be refunded and If it occurs on the last 16th days, no refund will be made.” Continued on 9099-C. Page 2 of 3. Based on interviews, and record reviews, the facility (licensee) has issued or utilized a new Admission Agreement to residents which is subject to Department’s review to ensure it adheres to current policies, regulations and laws on refund policies. A review of R1’s Admission Agreement on page 4 of 10 under #4. Billing and Payment Policy and #5. Refund Policies has conflicting and/or misleading information. The Department has investigated the above allegation. Based on records reviews, and interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegations to be SUBSTANTIATED. Deficiency is being cited. See LIC 9099-D. Exit interview was conducted with ADM. This report and LIC9099-D were provided to ADM for signature.the state’s words, verbatim · CDSS document, Nov 18, 2022 · control 26-AS-20220614134717

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(g)(3)(C)(5)(A) · Plan of correction due date: Nov 18, 2022

Admission Agreements: Any fee that charged prior to or after admission, shall be clearly specified. Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652. This requirement was not met as evidenced by the facility did not refund R1's partial & full refund for April & May 2022 after R1's death. A review of the Admission Agreement on is entirely different from R1's Admission Agreement. Refund Policy has conflicting and/or misleading information.the state’s words, verbatim · CDSS document, Nov 18, 2022

Plan of correction: Licensee ageed and understood to submit a new Admissions Agreement with a clear refund policies that adheres to regulations and/or laws by POC date 11/21/2022.

6 of 6 beds were occupied at the April 3, 2026 state visit, the most recent — a count on that day, not an opening.

License holder

Blossom Valley Care Home, Inc., licensed since 2007.

The state’s totals for this licenseSince 2007, as the state’s facility page counts them

State visits on file: 9
Total complaints: 4
Substantiated allegations: 1
Type A citations: 0
Type B citations: 1

These are the state’s own totals for this license since 2007, per CDSS records. The state counts them apart from the documents above, and they can differ from what those documents show; the documents say what each visit found. One complaint can contain several allegations.

Compare with homes the same size

	This home	Typical
Type A citations	0	0
Type B citations	1	0
Substantiated allegations	1	0
Total complaints	4	0

“Typical” is the statewide median for licensed homes this size. It does not adjust for years licensed, and older licenses have had more visits and reports. The median is across the 6,916 licensed small board-and-care homes (6 or fewer beds) in the state record. The figures compared are the state’s totals, not the documents.

What the state’s words mean

Routine visita visit the state records as “Required” — a scheduled visit, not one made in answer to a complaintSubstantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents stand in their place.

Open CDSS facility search ↗Report a record error Operate this home? Respond or correct, free →

Frequently asked questions

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about Blossom Valley Care Home

Is Blossom Valley Care Home licensed?

The state lists this license as “Licensed,” per CDSS records as of October 26, 2026.

How many residents is Blossom Valley Care Home licensed for?

6 residents — a small home, per CDSS records as of October 26, 2026.

Has Blossom Valley Care Home been cited?

0 Type A and 1 Type B citation since 2007, per CDSS records as of October 26, 2026. Those records count 9 state visits over the same years.

Is Blossom Valley Care Home still open?

This license was on the CDSS roster as of November 11, 2026.

What does Blossom Valley Care Home cost?

$4,050 a month to start is a Covelight estimate, likely $3,300–$4,950. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Among 50 other homes of a similar licensed size in San Jose that publish a starting rate, the middle half runs $3,600 to $5,000 a month, and the middle figure is $4,200 (n = 50 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.

A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.

Does Blossom Valley Care Home take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated October 1, 2026. Ask the program about current options. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by Blossom Valley Care Home, Inc., per CDSS records as of October 26, 2026. See the homes licensed to Blossom Valley Care Home Inc. — at least 2 on the state roster.

Is there a hospital nearby?

Kaiser Foundation Hospital-San Jose is 2.8 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Blossom Valley Care Home keep a resident on hospice?

Hospice care is approved on this license, covering up to 2 residents, per CDSS records as of October 26, 2026.