Senior Care Records.

Facility Evaluation Report

Arbor House, South San Francisco11/14/2025Licence 415601122

Capacity4
Census4
Date signed11/14/2025 10:39:52 AM
Name of licensing program analystYi Sam Jian
Name of licensing program managerBrenda Chan
The inspector’s account

On 11/14/2025, LPA Yi Sam Jian made an unannounced annual visit to the facility. LPA met with staff, Veronica Rozario. The licensee, Victoria Alejandro, was contacted by phone to obtain permission for staff to sign the report. LPA explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, garage/laundry area, and kitchen area. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit. Facility has an updated log for emergency drill are done every month.

A technical violation was noted due to the facility’s ongoing process of securing signatures for the reappraisal. No deficiencies are cited at this time. Report is reviewed with staff and a copy is provided.

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