Senior Care Records.

Facility Evaluation Report

Richards Manor II, San Jose03/27/2025Licence 435200828

Capacity6
Census3
Date signed03/27/2025 04:46:29 PM
Name of licensing program analystChihhsien Chang
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Steve Chang Conducted an unannounced Plan of Correction visit to follow up the case management conducted on 2/19/2025, and met with Administrator (ADM) Shirley Richards.

The facility was cited as Title 22 section 80078(a) Responsibility for Providing Care and Supervision, and 80087(g) Buildings and Grounds. On 1/16/2025, resident R1 attacked resident R2 with scissors. R2 obtained laceration on the right side of the face and bleeding in the middle head skull. R2 was sent to hospital.

On 2/20/2025, the Department received a plan of correction from ADM.

LPA toured and inspected the facility with ADM. Knives were observed locked. A scissor was observed locked in the office. A scissor was observed locked in the medication closet. A scissor in first aid box was observed locked in the medication closet.

LPA discussed with ADM regarding care and supervision to residents. LPA discussed with ADM regarding the updated appraisal needs and service plan. LPA discussed with ADM about the reporting requirement. LPA discussed with ADM regarding the resident behavior assessment and management. LPA discussed with ADM regarding to lock and store the dangerous items in the facility. LPA discussed with ADM regarding the staff training. LPA reviewed the staff training log.

No citation noted today. 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