Senior Care Records.

Facility Evaluation Report

Kingdom Hearts Care Home, San Jose07/30/2024Licence 435294191

Capacity6
Census5
Date signed07/30/2024 01:22:26 PM
The inspector’s account

Licensing Program Analyst Manuel Monter conducted an unannounced case management to amend a Case Management-Incident, LIC809, LIC809-C and LIC809-D issued on July 23, 2024. LPA met with Administrator Anabelle Ablan explained the purpose of the visit.

The report issued on July 23, 2024 is being amended to issue a civil penalty and deficiency that was inadvertently not issued during the case management visit.

A Deficiencies is cited during todays visit, see Case Management dated July 23, 2024 LIC809-D. This Report was reviewed with Administrator Anabelle Ablan. A signed copy was provided.

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