Facility Evaluation Report

Edgeview Manor, San Jose09/16/2023Licence 435202633

Capacity6
Census5
Date signed09/16/2023 02:40:02 PM
The inspector’s account

On 09/16/2023, Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced required Annual inspection visit at the facility. LPA met with Administrator (ADM) Shari Capalla. .

LPA toured the facility inside out with ADM which included; the Living room, kitchen, dinning area, two restrooms and 4 residents bedrooms. Front yard and backyard were inspected. There was no obstruction to block the walkways.

Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication locked cabinet , knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. LPA measured the facility hot water temperature at 108 degrees F in both resident bathrooms.

Fire extinguisher was serviced in June 14, 2023. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors was tested by FM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on May 22, 2023.

LPA reviewed facility records for 2 staff and 2 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 2 staff (S1 to S2) and 2 residents (R1-R2).

No deficiencies cited during today's visit. This report was reviewed with Facility Manager Shari Capalla and a copy of the signed report was provided.

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