Senior Care Records.

Facility Evaluation Report

Faraviz Residential Care Home LLC, San Jose02/13/2025Licence 435202954

Capacity6
Census0
Date signed02/13/2025 08:44:59 AM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted a Pre-Licensing Visit and met with Faraviz Foshati, Licensee, and Administrator Hasan Ebadat.

During visit, LPA observed that the following changes had been made according to the requested updates from the visit on 01/15/2025:

- Personal belongings in resident rooms had been removed

- Personal belongings of an individual living in the storage area had been removed. The individual was also not present.

- Locks were added to cabinets in the kitchen and laundry room to store cleaning supplies.

- Locks were added to cabinets in the kitchen to store medication.

- Facility records will be stored in the locked storage room.

- The secondary external gate was removed.

- The primary external gate was unlocked.

- The facility floor plan was updated to reflect that the facility garage has been modified and converted into a storage area.

Pre-Licensing is complete and this facility has no deficiencies.

This report was reviewed with Faraviz Foshati, Licensee, and a copy of this report was provided.

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