Facility Evaluation Report

Embee Manor, San Jose08/21/2025Licence 435200698

Capacity6
Census5
Date signed08/22/2025 08:16:30 AM
Name of licensing program analystMarcella Tarin
Name of licensing program managerJin Jackie
The inspector’s account

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Edna Bautista. LPA stated the purpose of the visit. ADM states the facility has 5 residents. LPA observed 5 residents and 2 staff.

LPA toured the interior and exterior of the facility to include the kitchen, client rooms, dining room, bathrooms, back and front of the facility. LPA observed facility thermostat at 83F. All exit and passageways were free and clear of obstruction.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed the refrigerator temperature at 40 degrees F and Freezer at 0 degrees F.

LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to clients in care.

The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 5/14/2025. LPA reviewed the facility first aid kit, and it was observed to be complete. The facility emergency drill log was reviewed. The facility's last drill was on 07/9/2025.

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