Senior Care Records.

Facility Evaluation Report

Live Oak Adult Day Services, San Jose09/13/2023Licence 435200743

Capacity30
Census15
Date signed09/13/2023 02:03:13 PM
The inspector’s account

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Ann Peterson.

LPA toured the facility inside and out with ADM, which includes the lobby, the staff offices, the men's & women's restroom, the facility kitchen, outdoor deck, and the program area. Exits and pathways are free and clear of obstructions. Clients were having lunch, then had a round chair activity while LPA was touring the facility.

LPA measured the hot water temperature in the facility and it was measured at 115 F. Fire extinguishers were last inspected on May 12th 2023. The facility has a interconnected fire alarm and smoke detector system which is connected to an alarm monitoring provider which is 27/4 and will alert the local fire department. Disaster drills are conducted bi-annually. LPA asked ADM when the last fire drill was conducted. ADM stated that its been at least 8 months since their last drill. ADM stated she would conduct a drill by next week.

LPA observed Toxins and cleaning supplies are locked in a closet in the kitchen. LPA observed sharp objects and knives are locked in a closet in the kitchen. LPA observed the First Aid Kit complete.

The facility ADM stated she does not currently have any clients who need medication during day program.

LPA randomly reviewed 3 client and 2 staff files.

A deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D. Exit interview was conducted with Administrator Ann Peterson. Appeal rights were provided.

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