Senior Care Records.

Facility Evaluation Report

Princess Care Home #4, San Jose07/24/2025Licence 435200334

Capacity6
Census0
Date signed07/24/2025 02:49:15 PM
Name of licensing program analystSimranjit Rai
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit and met with Assistant Administrator, Rica Uy. LPA Rai did not observe staff or residents at the facility. This facility is currently non-operational.

Assistant Administrator, Rica Uy is aware the Licensee will continue to pay the annual fee and facility cannot be rented out as the location is still a facility. Assistant Administrator, Rica Uy agreed and understood that the facility is in active status, therefore, they are not exempted from not adhering to Title 22, Division 6 Policy, Regulations, and Laws on RCFEs.

LPA advised to inform the Community Care Licensing Regional Office when the first client has been admitted to the facility.

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

This report was reviewed with Assistant Administrator, Rica Uy and a copy of the report was provided.

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