Senior Care Records.

Facility Evaluation Report

Apollo Adult Residential Carehome 2, San Jose04/09/2025Licence 435202394

Capacity6
Census6
Date signed04/09/2025 09:45:27 AM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff S1, Rebecca Barcellano. During the visit, LPA observed 2 residents and 2 staff. LPA explained the purpose of the visit. (Apollo Adult Residential Care Home 2 is an Adult Residential level 4i home.)

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 2 restrooms and 3 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. LPA observed two storage sheds in the back yard, adjacent to bedroom 1, being used as a storage space. There was no obstruction to block the walkways.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured at 109 degrees F in both resident bathrooms.

Fire extinguisher was serviced in May 16, 2024. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by S1, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on January 11, 2025.

LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA reviewed 3 P&I records. LPA conducted interviews with 1 staff and 2 residents. Page 1 Out of 2.

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