Senior Care Records.

Facility Evaluation Report

Jade's Home, Fremont11/13/2025Licence 019200466

Capacity4
Census4
Date signed11/13/2025 01:02:09 PM
Name of licensing program analystPatricia Manalo
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 11/13/2025 at 8:35 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Gina Rafael, and explained the purpose of the visit. Administrator certificate is current.

LPA toured the facility including inside and out but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 bedrooms in total of which 4 bedrooms are occupied by the clients, 1 bedroom is occupied by staff, and one office space. There are no bodies of water. A comfortable temperature for clients is maintained at 74 degree Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the clients. All toilets, hand washing and bathing are safe and in operating condition. The supply of extra hygiene's was available for clients.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/13/2025. First aid kit was observed to be complete.

At 9:50 AM, 4 of clients’ records were reviewed. At 10:11 AM, 4 staff records were reviewed and 4 of 4 have current first aid training. LPA reviewed client's P&I money with log. LPA reviewed a sample of client's medications.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/01/2025:

LIC 308 Designation of Administrative Responsibility

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction