Facility Evaluation Report

Madison House LLC, the, San Jose04/29/2022Licence 435202796

Capacity6
Census6
Date signed04/29/2022 11:17:42 AM
The inspector’s account

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

During visit, LPA Marrufo toured the inside and outside of the facility. LPA Marrufo observed a visitor screening area at the facility entrance. A PPE supply of at least 30-days was observed. A perishable food supply of at least 3 days and non-perishable food supply of at least 7 days were observed.

LPA Marrufo observed 2 out of 2 resident bathrooms and observed hand washing signs and available soap and paper towels.

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

This report was reviewed with Tina Liu and a copy of the report was provided.

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