Senior Care Records.

Facility Evaluation Report

Richards Manor II, San Jose01/03/2025Licence 435200828

Capacity6
Census4
Date signed01/03/2025 05:03:14 PM
The inspector’s account

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management - other visit to amend a case management - incident report issued on 12/27/2024.

LPA met with Administrator (ADM) Shirley Richards and explained the purpose of today's visit.

On 12/26/2024, the Department received an incident report regrading a resident blocked the other resident's bedroom door. Two staff intervened to separate two resident. Resident R1 called 911 and claimed staff S1 touch him/her on hip and waist with clothing.

LPA interviewed ADM. ADM stated police officers came on 12/24/2024 around 5:15PM. ADM stated police officer interviewed staff and residents.

LPA interviewed staff S1 and resident R1. S1 stated he/she did not hit/touch R1. R1 did not want to talk about this.

On 12/30/2024, the Department received a complaint for this case.

Exit interview was conducted with ADM. The report was provided to ADM for review and signature. A copy of the report was provided to ADM.

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