Senior Care Records.

Facility Evaluation Report

Brookdale San Jose, San Jose04/20/2022Licence 435202447

Capacity153
Census80
Date signed04/21/2022 07:59:56 AM
The inspector’s account

Licensing Program Analyst (LPA) Steve Chang, Licensing Program Manager (LPM) Sarah Yip, Regional

manager (RM) Vivien Helbling, and Program Clinical Consultant (PCC) Lori Kopplinger conducted Technical

Assistant - PCC through tele-inspection (Zoom), and met with Administrator (ADM) Marie Harris.

The purpose of this Technical Assistance (TA) Tele visit was to review the facility COVID-19 infection

mitigation plan and conducted inspection of the facility to ensure plan is being carried out and to provide

support and guidance to staff in mitigating the spread of virus.

During tele-visit inspection, a tour of the facility was conducted which started at the main dining room at the

first floor. It was observed that the facility has 4 chairs at one table, and more than one table connected

together with 6-8 chairs. Table cloths were observed on each table.

Isolation rooms were observed in facility. Signage were observed on the doors of isolation rooms. PPE

stations were observed outside the isolation rooms. Nurse consultant discussed with ADM on the infection

Based on today's inspection, below are the recommendations:

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