Senior Care Records.

Facility Evaluation Report

Gypsy Heights Care Home, San Jose06/09/2026Licence 435200942

Capacity6
Census6
Date signed06/09/2026 12:38:28 PM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

On June 9, 2026, Licensing Program Analyst Manuel Monter conducted an unannounced case management - incident visit regarding an incident where a resident eloped from the facility. LPA met with Administrator Joyceline Bul-lalayao and explained the purpose of the visit.

On June 8, 2026, the Department received an incident report (IR) regarding resident R1. The IR stated the following: on June 8, 2026, at 4:05am, resident R1 came out of his/her bedroom and sat on the couch. Staff member was cooking breakfast in the kitchen and told R1 that breakfast was not ready and to return to his/her bedroom. Staff member observed R1 entering his/her bedroom. At 4:15am, staff member heard two residents making noise in their room and went to check. That was when the staff member noticed the front door was open. Staff member checked every room and noticed R1 was not in his/her room and did not hear the door alarm chime. Staff member then went outside to look for R1 and found R1 in front of next door neighbors house and the police had just gotten there.

On June 9, 2026, LPA interviewed ADM and request the following but not limited to documents regarding R1: Care Plan, Physician's Report, IPP, Progress notes.

At this time, this case in under review and department will conduct a follow visit , if warranted.

No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Joyceline Bul-lalayao and a copy of the report was provided.

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