Senior Care Records.

Facility Evaluation Report

Meridian Manor V, San Jose03/27/2026Licence 435202650

Capacity3
Census3
Date signed03/27/2026 03:54:16 PM
Name of licensing program analystGrace Donato
Name of licensing program managerJackie Jin
The inspector’s account

On 03/27/26, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Emmanuel Fernando. LPA explained the purpose of the visit.

LPA toured the facility inside and out with ADM. 3 residents were arriving from Day Program. LPA toured the facility inside and outside including all of resident rooms, garage and kitchen area. Facility is a single story house with three resident bedrooms. While touring the facility it was observed that the room temperature was at 72 deg F. The facility is observed to be clean, odorless, and well maintained. All passageways are unobstructed. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed to be locked. Food supply was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide/smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill which is done every month.

LPA reviewed two resident files two staff files. All reappraisals are updated. All staff are associated and training are updated.

LPA received the following documents: LIC610, LIC500 & LIC308.

No deficiencies cited today, Report is reviewed and copy is provided.

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