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Facility Evaluation Report

Juliet Stephen Rest Home, San Jose06/04/2025Licence 430702959

Capacity6
Census5
Date signed06/04/2025 03:53:45 PM
Name of licensing program analystSantino Fortes
Name of licensing program managerJackie Jin
The inspector’s account

Licensing Program Analyst (LPA) Santino Fortes conducted an unannounced Annual Continuation visit and met with Dominica Oliva, Administrator. The visit was a continuation of the Required 1 Year Annual Inspection that was started on 5/27/2025.

LPA Fortes reviewed the resident medication records for residents R1-R5. LPA observed Facility License and Resident Personal rights were posted. LPA reviewed facility records for 3 staff, 5 clients and observed to be complete. LPA reviewed 5 client’s medications, centrally stored medication records and observed to be complete.

No deficiencies were cited during today's visit as per California Code of Regulations Title 22. Exit interview was conducted with ADM. This report was reviewed and a copy was provided to ADM for signature.

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