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Facility Evaluation Report

Ebadat Residential Care Home #6, San Jose08/19/2025Licence 435202866

Capacity6
Census6
Date signed08/19/2025 09:04:53 AM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on August 4, 2025, during an annual inspection visit. LPA explained the purpose of the visit.

The facility was cited the following Type B deficiencies on August 4, 2025 with the following POC dates:

87202 Fire Clearance (a), POC due date August 11, 2025.

87305 Alterations to Existing Buildings or New Facilities (a), POC due date August 11, 2025

87412 Personnel Records (a)(11), POC due date August 11, 2025.

1569.695(c), POC due date August 11, 2025.

During today's visit, LPA toured the facility inside and out, including the garage/Office area, and the backyard shed. LPA observed the facility shed was only being used as a storage space.

LPA received plan of corrections by POC date. Deficiencies cleared during todays visit.

No deficiencies were cited during todays visit. This report was reviewed with Staff Ema Danga. A copy of this report was provided.

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