Senior Care Records.

Facility Evaluation Report

Elwyn NC - South Henry Avenue, San Jose02/28/2024Licence 435202125

Capacity5
Census5
Date signed02/28/2024 05:10:20 PM
The inspector’s account

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

During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo observed the facility kitchen area had locked drawers for medications, cleaning supplies, and sharp objects. LPA Marrufo observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. The first aid kit was inspected and found to be complete.

LPA Marrufo toured two out of two bathrooms and observed the water temperatures to be 108 F and 109 F. Each bathroom has working lights and available soap and paper towels.

LPA Marrufo toured 5 out of 5 resident bedrooms and observed each bedroom to have functioning lights and available bedding and clothing storage areas.

LPA Marrufo tested the carbon monoxide detector and found it to function properly when tested. LPA Marrufo reviewed the Smoke Detector Inspection Report that stated the smoke detector system was last tested on 11/13/2023. The Emergency Disaster Drill Log stated the last drill was conducted on 01/01/2024.

LPA Marrufo reviewed resident and staff records, including Personal and Incidental Money Logs and Centrally Stored Medication Logs, and found them to be complete.

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

This report was reviewed with Carolyn Paradela and a copy of this report was provided.

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