Senior Care Records.

Facility Evaluation Report

Crossroads Village, San Jose05/17/2024Licence 435201665

Capacity45
Census40
Date signed05/17/2024 10:21:21 AM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Collateral visit and met with Bory Kham, Clinic Manager. The purpose of the Collateral visit was to interview resident R1 as part of a complaint investigation of another licensed facility.

During visit, LPA Marrufo interviewed resident R1.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Bory Kham and a copy of this report was provided.

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