Senior Care Records.

Facility Evaluation Report

Ebadat Residential Care Home #4, San Jose03/13/2023Licence 435202403

Capacity6
Census6
Date signed03/13/2023 04:49:23 PM
The inspector’s account

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to open an initial complaint investigation. A case management – deficiencies visit was conducted due to a violation observed during visit. LPA met with Administrator, Diosdado Arines and Licensee, Hassan Ebadat .

During visit, LPA toured the facility with staff (S1) to include the living room, kitchen, resident rooms, bathroom, garage, and backyard.

LPA observed 2 built-in bedrooms inside the garage that houses 3 live-in staff (S1 – S3). The built-in bedroom walls are touching the ceiling. The Licensees states the built-in bedrooms were completed last week and the facility did not have the built-in bedrooms inspected in the garage nor did they obtain a permit or fire clearance.

Based on record review, the facility sketch did not show the built-in bedrooms in the garage nor did the facility obtained a permit.

The Licensee was informed that a persons cannot be sleeping inside the garage unless approved by the Department and/or fire department. The Licensee states they will be moving the staff outside of the garage and states a plan to re-arrange the living arrangement inside the facility.

A deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D.

This report was reviewed with Administrator, Diosdado Arines and Licensee, Hassan Ebadat and a copy of the report and appeal rights were provided.

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