Senior Care Records.

Facility Evaluation Report

Kern A.r.f., San Jose08/22/2025Licence 435201710

Capacity6
Census4
Date signed08/22/2025 12:56:50 PM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrative Assistant (AA) Ernie Manoias . During the visit, LPA observed 4 residents and 1 staff. LPA explained the purpose of the visit.

LPA toured the facility inside out with which included the Living room, kitchen, dining room, 2 restrooms and 3 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured at 112 degrees F in resident bathroom.

Fire extinguisher was serviced in July 2025. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by AA, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on July 30, 2025.

LPA reviewed facility records for 3 staff and 3 residents. LPA requested to review R1-R4's Appraisal Needs & service plan at 11:09am. Staff S1 stated he/she has not updated their care plans.

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