Senior Care Records.

Facility Evaluation Report

Ak Home 3, San Jose08/13/2024Licence 435202908

Capacity6
Census6
Date signed08/15/2024 08:05:43 AM
The inspector’s account

Licensing Program Analysts (LPAs) Maria (Mita) Partoza and Marcela Yanez conducted an unannounced annual inspection visit, and met with Administrator (ADM) Abdullah Kaykha. During the visit, LPA observed 1 residents and 1 staff.

The facility serves adults ages 18 to 59 years old, who are developmentally disabled. 6 ambulatory of which 2 maybe non-ambulatory.

At 9:20 a.m. Licensed Program Analysts (LPAs) Maria (Mita) Partoza and Marcela Yanez observed 7 Cameras on the Facility 2 cameras in the front and 4 Cameras inside in the common area and 1 camera in the backyard.

LPAs toured the facility inside out with ADM which included the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways.

LPAS observed 2 day of non-perishable and 7 day nonperishable food supplies. LPAs observed the medication, knives and cleaning product are locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 134.7 degrees F in both resident bathrooms Kitchen Sink was measured at 136.4.

Fire extinguisher was serviced in 05/18/2023 The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPAs observed has a first aid kit that is complete and accessible to staff. Facility recently accepted resident July 15, 2024.

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