Facility Evaluation Report

Corktree House, San Jose02/26/2025Licence 435201549

Capacity6
Census6
Date signed02/26/2025 02:54:02 PM
The inspector’s account

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with, Perla Cayabyab Administrator. LPA announced the purpose of the visit. LPA observed 2 staff and 1 resident 5 of 6 went to day program.

During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies.

LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature measured with thermometer at 37 degrees F, and freezer at 0 degrees F. During tour LPA observed activity area for residents and an outside sitting area.

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. ADM tested the smoke detectors the smoke detector to function properly when tested. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 110-112 degrees F.

LPA toured the outside area and found the exits to be clear of obstructions. During tour LPA observed activity area for residents and an outside sitting area. LPA observed all windows had screens. LPA observed fire extinguisher was last serviced on 02/20/25. LPA reviewed Fire and Earthquake log was last disaster drill was conducted on 01/07/25.

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