Senior Care Records.

Facility Evaluation Report

Norwood Creek Residential Facility LLC, San Jose04/02/2025Licence 435202302

Capacity6
Date signed04/02/2025 01:59:09 PM
Name of licensing program analystMarcela Yanez
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Violeta S. Dumo, Administrator. LPA announced the purpose of the visit. LPA observed 0 out of 5 residents all at day program and 2 staff. Room temperature at 70 degrees F.

During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies.

LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature measured at 40 degrees F and freezer at 0 degrees F.

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. ADM tested smoke detectors and found the smoke detector to function properly when tested. LPA toured 2 resident bathrooms. Bathrooms had available soap and paper towels and functioning lights. The water temperature in the bathroom sink measured with thermometer at 118 degrees F.

During tour LPA observed a common area used for residents to watch television and read books and play board games, and patio area with karaoke and exercise bicycle.

LPA observed first aid kit complete with gauze, scissors and first aid kit guide, and flashlights were also observed

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