Senior Care Records.

Complaint Investigation Report

Florence Residential Care Home #2, San Jose12/02/2022Licence 430707868

Census10
Date signed12/02/2022 04:51:07 PM
The inspector’s account

On 06/17/2022, LPA Marrufo conducted a visit at the facility and observed meal service at the facility. LPA Marrufo observed 5 residents being served meals. LPA Marrufo observed the facility food supply and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days.

During today’s visit on 12/02/2022, LPA Marrufo observed the kitchen cabinets, kitchen refrigerator, and freezer located in the dinning area and found them to have a perishable food supply of 2 days and a non-perishable food supply of at least 10 days.

LPA Marrufo interviewed 5 residents and had attempted interviews with two residents who either refused to be interviewed or were asleep during visit. 5 out of 5 interviewed residents stated the staff serve 3 meals a day. 5 out of 5 residents stated they can ask for seconds during meals. 4 out of 5 residents stated the served meals are nutritious.

Administrator (ADM) Perla Zeijnali stated during interview that residents are served three meals per day.

R1’s Physician’s Report states R1 is on a special diet of low carbohydrates due to diabetes. ADM stated staff encourage all residents with diabetes to not eat rice or carbohydrates of any other sort, but sometimes the residents will request them anyway.

Two family members were interviewed. 1 out of 2 stated R1 was taken to the hospital on 12/9/21 and facility wanted to evict R1.

Administrator (ADM) was interviewed and stated that R1 was not issued an eviction notice and was not evicted from the facility. ADM stated R1 needed to be placed in a higher level of care and ADM and R1’s family agreed to move R1 to another facility. ADM stated R1 was not able to walk without assistance and needed a walker. ADM stated the facility is licensed for ambulatory residents only. LPA Marrufo reviewed the facility fire clearance and confirmed the facility has a fire clearance allowing only ambulatory residents.

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