Senior Care Records.

Facility Evaluation Report

Madison House LLC, the, San Jose05/10/2023Licence 435202796

Capacity6
Census3
Date signed05/10/2023 05:11:53 PM
The inspector’s account

Licensing Program Analysts (LPAs) Trang Pham and Christine Dolores arrived unannounced to conduct a case management visit to deliver an amended report for facility visit on 4/27/2023. LPAs met with Tina Hsiu Luan Liu (Caregiver).

LPA T. Pham called and spoke to Administrator Ying Wang who stated she was unavailable to come to the facility and designated Tina Hsiu Luan Liu to sign off on the reports.

No deficiencies cited during today's visit.

This report was reviewed with Tina Hsiu Luan Liu and a copy of this report and the amended report was provided.

A copy of the appeal rights was also provided to Tina Hsiu Luan Liu.

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