Senior Care Records.

Facility Evaluation Report

Park Avenue Adult Residential Facilities, San Jose07/17/2026Licence 430707097

Capacity12
Census11
Date signed07/17/2026 04:51:08 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator (ADM) Cecilia Eustaquio. The purpose of the visit was to follow up on citations issued on 06/23/2026.

During visit, LPA Marrufo observed that there was an adult individual living in Room “BD” in the facility house located at 1992 Park Avenue. LPA Marrufo asked the individual for his/her identification. The individual’s identification indicated the other facility house, 1998 Park Avenue, as his/her residential address. The individual stated he/she is paid $600 a month to be a handyman at the facility. He/She stated to work on an on-call basis and sleeps in Room “BD” when he comes to the facility to work on repairs. Room “BD” in the facility floor plan is designated as a staff room. LPA toured Room “BD” and observed there to be a bed, clothes, a guitar, food, books, and other belongings. The individual stated he/she slept in the bed last night and stayed the night in the room last night. He/she stated he stays the night in the room two to three nights per week.

The individual who stated he/she is a handyman is not background checked or associated to the facility employee roster.

LPA observed that the facility floor plan for 1992 Park Avenue shows a room between Room “BD” and Room “CD” that does not exist. LPA observed that the doorway between Rooms “BD” and “CD” had been sealed shut.

See LIC809-C page for more information. Page 1 of 2.

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