Senior Care Records.

Facility Evaluation Report

Golden Hills Care Home, San Jose08/18/2025Licence 435294287

Capacity6
Census2
Date signed08/18/2025 04:53:57 PM
Name of licensing program analystMarcela Yanez
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Carlo Basilio, Administrator (ADM). LPA announced the purpose of the visit. LPA observed 2 residents and 3 staff including Administrator.

During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days

LPA toured 4 resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. ADM tested the smoke detectors in the hallway and found the smoke detector to function properly when tested. LPA toured two out two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 117.3 F.

LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was purchased on 09/04/24. LPA reviewed Fire and Earthquake log. The last disaster drill was conducted on 05/13/25

LPA reviewed resident records for 2 residents. LPA reviewed 2 staff records, 1 out of 2 resident was missing initial and continued training. Centrally stored medication record was reviewed.

Deficiency was cited as per California Code of Regulations Title 22 See LIC 809-D. This report was reviewed with Carlo Basilio and a copy of this report and appeal rights were provided.

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