Senior Care Records.

Facility Evaluation Report

Parkside Villa INC, San Jose11/05/2025Licence 435202647

Capacity15
Census14
Date signed11/05/2025 12:38:09 PM
Name of licensing program analystMaria Partoza
Name of licensing program managerRomeo Manzano
The inspector’s account

On 11/05/2025, Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced case management - incident visit and met with Ninfa Gozon designated administrator (DADM). LPA stated the purpose of the visit. LIC/ADM Janice Cayabyab was unavailable due to prior commitment.

On 10/22/2025, the Department received an incident report regarding a consensual intimacy between two residents and on 10/23/25, the Department conducted an initial investigation.

On 11/5/2025, LPA Partoza conducted additional interview with staff and resident 2 (R2).

Based on the information, it has been determined that the case management needs further investigation.

No deficiencies are cited during today's visit based on the California Code of Regulations (CCR) Title 22. An exit interview was conducted and a copy of the report was provided to Designated Administrator Ninfa Gozon.

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