Facility Evaluation Report
On May 15, 2025, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Case Management visit for a welfare check on four (R1-R4) residents, who were relocated from another facility. Upon arrival, the LPA was greeted by the Licensee, James Wang. The LPA disclosed the purpose of the visit.
LPA toured the facility and observed all four (4) residents who moved/relocated from the facility located at 3835 Mumford Place, Palo Alto, CA 94306. Two (2) residents were watching TV in the living room, one (1) resident was watching TV in their room, and one (1) resident was sitting on a table in the kitchen.
LPA reviewed the resident records for all four residents and were observed to be complete. LPA observed two (2) caregivers present at the facility. The licensee stated that they have updated all the records for the residents after they moved/relocated.
No deficiencies were cited during today's visit.
An exit interview was conducted with the Licensee. A copy of this report was provided to the Licensee, James Wang, whose signature on this form confirms receipt of the report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction