Senior Care Records.

Facility Evaluation Report

M&K Adult Care LLC, San Jose01/19/2023Licence 435202884

Capacity6
Date signed01/19/2023 03:39:43 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted a Pre-Licensing visit and met with Administrator Khosrow Zareghbeiti.

During visit, LPA Marrufo toured the inside and outside of the facility. LPA Marrufo observed the facility had secure storage for medications. The facility had 3 bedrooms with available lighting, bedding, and drawers. The outdoor area exits were clear of obstructions. 1 out of 1 resident bathroom had water temperature at 110 F.

The outdoor fence had a portion of the fence which had been knocked down due to strong winds, according to Administrator. Administrator stated he will submit photographs of the fence once it is fixed to LPA. Administrator stated a repair service will come repair the fence as soon as weather permits.

LPA Marrufo reviewed Component III with Licensee/Administrator Khosrow Zareghbeiti.

No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Khosrow Zareghbeiti and a copy of the report was provided.

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