Senior Care Records.

Facility Evaluation Report

Five Star Care Home II, Foster City06/17/2025Licence 415600705

Capacity6
Census6
Date signed06/17/2025 05:06:30 PM
Name of licensing program analystMurial Han
Name of licensing program managerApril Cowan
The inspector’s account

On June 17, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Irma Perez and LPA explained the purpose of the visit. The administrator was notified by phone of LPA's visit.

LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. A tour of resident's room was conducted and observed to have sufficient furniture and furnishings. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort.

Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time.

Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care.

Hot water temperature in the kitchen and bathroom were measured at 138-143 degrees Fahrenheit. Fire extinguishers were checked.

During the tour, LPA observed strong urine odor in resident rooms, a layer of black dust on top of the kitchen vent, dirty floor edges in the kitchen and around the facility, resident rooms were cluttered, etc.

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