Senior Care Records.

Facility Evaluation Report

Ivy Park at San Jose, San Jose07/15/2025Licence 435202847

Capacity140
Date signed07/15/2025 04:52:10 PM
Name of licensing program analystChristine Kabariti
Name of licensing program managerJackie Jin
The inspector’s account

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct a case management – incident visit. LPA met with Business Office Director, Frank Lim.

The purpose of the visit is to follow-up on a SOC-341 the Department received on 07/10/2025 regarding a video that was posted on a social media app of a resident (R1) who was being mistreated by his/her authorized representative in a public setting.

During visit, documents were obtained for this case management to include R1's POA (power of attorney) documents, physician's report, pre-placement appraisal, individual service plan, progress notes, and behavioral expression appraisal.

7 staff members were interviewed. Based on staff interviewed, 7 out of 7 staff members denied any knowledge or observations of R1's authorized representative physically, verbally, mentally, and emotionally abusing R1 while in the community or outside of the community. 7 out of 7 staff members denied the observation or knowledge of R1's authorized representative mistreating R1 in the community and outside of the community. 6 out of 7 staff member stated that R1 has never mentioned any negative comments or experiences with his/her authorized representative. 1 out of 7 staff members stated that R1 has called his/her authorized representative "mean" but R1 did not go into specific examples or details as to how his/her authorized representative is mean.

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