Senior Care Records.

Facility Evaluation Report

Five Star Senior Living, San Jose03/24/2026Licence 435202887

Capacity6
Census6
Date signed03/24/2026 09:21:35 AM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on February 27, 2026 and discuss pending age exceptions. LPA met with Administrator Amritpal Kaur Powar and explained the purpose of the visit.

The facility cited the following Type A deficiencies on February 27, 2026:

87309 Storage Space and Access (a), POC due date February 28, 2026.

87465 Incidental Medical and Dental Care Services (h)(5), POC due date February 28, 2026.

87465 Incidental Medical and Dental Care Services (e), POC due date February 28, 2026

The Facility cited the following Type B deficiencies on February 27, 2026

87303 Maintenance and Operation (a), POC due date March 6, 2026

87411 Personnel Requirements - General (f), POC due date March 6, 2026

87412 Personnel Records (c), POC due date March 6, 2026

87506 Resident Records (b)(16), POC due date March 6, 2026

HSC 1569.695(c), POC due date March 6, 2026

87465 Incidental Medical and Dental Care (h) (6), POC due date March 6, 2026

87455 Acceptance and Retention Limitations (b)(8), POC due date March 6, 2026

LPA received plan of corrections for type A and Type B deficiencies by POC due dates. Deficiencies cleared during todays visit. POC cleared letter provided to ADM.

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