Senior Care Records.

Facility Evaluation Report

Homeside Retreat, San Jose11/24/2025Licence 435200735

Capacity6
Census5
Date signed11/24/2025 10:33:28 AM
Name of licensing program analystMarcela Yanez
Name of licensing program managerApril Cowan
The inspector’s account

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Giselle Corral, Lead Staff. LPA announced the purpose of the visit. LPA observed 3 staff and 3 residents. 2 of 5 residents at day program.

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 three 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 smoke detector to function properly when tested. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperature in the bathroom sinks measured with thermometer at 111.7 to 112.6 degrees F. LPA observed a locked shed used for storage.

LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was purchased on 08/14/25. LPA reviewed Fire and Earthquake log.The last disaster drill was conducted on 08/07/25. LPA reviewed resident records for 3 residents and P&I money and CSMDR. LPA reviewed 3 staff records.

No deficiency were cited as per California Code of Regulations Title 22. This report was reviewed with Giselle Corral, Lead Staff and a copy of this report was provided.

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