Senior Care Records.

Facility Evaluation Report

Mertz Care Home, San Jose04/29/2022Licence 430708102

Capacity6
Census3
Date signed04/29/2022 03:05:07 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management - Other visit and met with Chelsea Plaza.

During visit, LPA Marrufo toured the inside and outside of the facility. LPA Marrufo observed there to be a visitor screening area. LPA Marrufo observed the facility had a PPE supply of at least 30 days. LPA Marrufo observed there to be a perishable food supply of at least 3 days and a non-perishable food supply of at least 7 days.

LPA Marrufo observed the outside exits were clear of obstructions.

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

This report was reviewed with Chelsea Plaza and a copy of the report was provided.

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