Senior Care Records.

Facility Evaluation Report

Bristolwood Home, San Jose01/30/2026Licence 435202404

Capacity6
Census1
Date signed01/30/2026 10:27:25 AM
Name of licensing program analystChihhsien Chang
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Administrator (ADM) Edward Tan.

On 01/05/2026, the Department received a death report of resident R1 from the facility.

LPA interviewed ADM regarding R1's death. LPA requested R1's physician report, appraisal needs and service, and death certificate.

LPA interviewed ADM about the plan of the facility temporary closure on 4/1/2026. LPA reminded ADM to notify the temporary closure of the facility.

At this time, the case of R1's death is under review and the Department will conduct a follow up visit if warranted.

Exit interview was conducted with ADM. The report was provided to ADM for review. A copy of the report was provided to ADM.

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