Senior Care Records.

Facility Evaluation Report

Luxury Vila, San Jose04/26/2022Licence 435202472

Capacity39
Census7
Date signed04/26/2022 04:03:52 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Administrator Cyril Inneh.

During visit, LPA Marrufo toured the inside and outside of the facility. LPA Marrufo toured the kitchen area and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least 7 days. LPA Marrufo observed there to be a PPE supply of at least 30 days. LPA Marrufo observed there to be a visitor screening area. The facility hallways had COVID-19 related signs. 3 out of 3 resident bathrooms had available soap and paper towels as well as hand washing signs.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Administrator Cyril Inneh and a copy of the report was provided.

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