Senior Care Records.

Facility Evaluation Report

Elwyn NC - South Henry Avenue, San Jose03/27/2023Licence 435202125

Capacity5
Census5
Date signed03/27/2023 03:39:49 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 - Year visit and met with Carolyn Paradela.

During visit, LPA Marrufo toured the facility inside and out. The kitchen area was observed to have food supplies in the refrigerator and pantry areas. There was a perishable food supply of at least 2 days and a non-perishable food supply of at least 7 days. A first aid kit was observed to be complete. Medications were observed to be in a locked cabinet.

Two out of two bathrooms were observed to have available soap, paper towels, and grab bars. The water temperatures in the bathrooms were 116 F and 119 F.

5 out of 5 resident bedrooms were observed. Each bedroom had available bedding, drawers, and functioning lights. The carbon monoxide detector in the hallway was tested and found to be functioning properly. The outdoor area was toured and the exits were clear of obstructions.

LPA Marrufo reviewed facility records. 3 out of 5 residents had Personal and Incidental Money logs and their logs were found to be complete when reviewed. LPA Marrufo reviewed the Centrally Stored Medication Logs for 5 out of 5 residents. Residents R1 and R2 had medications that had been entered without prescription numbers.

A deficiency was cited as per California Code of Regulations Title 22. This report was reviewed with Carolyn Paradela and a copy of the report and appeal rights were provided.

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