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ICF/DD-CN (Continuous Nursing)License activeLicensed only

TUPAZ HOME #14

ICF/DD-CN (Continuous Nursing) · 6 licensed beds · San Jose, CA

Homes of 4–8 beds for medically fragile people with developmental disabilities who need continuous skilled nursing.

Address

TUPAZ HOME #1414716 UNION AVESan Jose, CA 95124 · Santa Clara County

Phone: (408) 628-4296

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-CN (Continuous Nursing)
Licensed beds
6
Licensee
TUPAZ HOMES LLC · Limited Liability Company
Administrator
VILLAMOR, MERCEDES
CDPH facility ID
630011863
License number
550000884
First licensed
February 23, 2009
Current license
Feb 23, 2026 to Feb 22, 2027
CDPH district office
San Jose

Federal certification (CMS)

This ICF is licensed by CDPH but isn't listed as certified for Medi-Cal, so it has no CMS Certification Number and no federal surveys. State licensing visits still apply; their results are on CalHealthFind.

State citations and penalties (CDPH)

1 penalty, newest first

CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained

  • Class BPatient Care

    Citation - B · Violations: W&I 4502(b)(4), W&I 4502(b)(8), 483.460(c), HSC 1275.3(d) · Violation May 31, 2026 · Penalty #070023724 · Survey 235ED5-H1

    Status: Closed

Federal inspections (CMS-2567)

No federal surveys: this ICF isn't certified for Medi-Cal.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.

Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

2 events, newest first

Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.

  1. ReportState Class B citation ($1,000)(state record)

    See this citation →
  2. LicensedLicensed(state record)

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.