Senior Care Records.

Complaint Investigation Report

Belmont Village San Jose, San Jose02/05/2025Licence 435202350

Census117
Date signed02/05/2025 01:39:03 PM
The inspector’s account

435202350-2-5-2025-26-AS-KHOS-DENNDV-20250311102259

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CENTRAL COAST CR/RES , 2580 N. FIRST STREET, STE. 350

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/13/2023 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 26-AS-20230313164543

- Dishes to serve residents food are dirty

On 02/05/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver the findings regarding the received allegations. LPA met with executive director Rachel Brown and explained the purpose of today's visit.

During the course of the investigation interviews were conducted, observations were made, and documents were received. Based on the information provided there are dishwashers present at the facility and substantial food supply observed. Per interviews any dishes that do not meet standards are usually replaced with new or cleaner dishes. Some cutlery and mugs were observed to have staining but this was not apparent on all mugs, cups, dishes, and cutlery. These allegations are unsubstantiated based on the totality of observations made and investigation conducted.

Based on these observations, the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed with Rachel Brown and a copy is provided on this day.

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