Senior Care Records.

Facility Evaluation Report

Serenity Residential Care Home, San Jose11/13/2025Licence 435202909

Capacity4
Census4
Date signed11/13/2025 11:48:11 AM
Name of licensing program analystMaria Partoza
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced Required 1 Year visit and met with Administrator Avery Manibusan and Licensee John Manibusan and stated the purpose of the visit.

The facility serves 18 to 59 years old who are ambulatory . LPA observed 1 staff and 2 out of 4 residents was present at the facility . 1 Out of 4 resident is currently with family and 1 out of 4 is currently detained.

LPA inspected the facility inside and outside and observed the exits were clear of obstruction. Inspected 4 resident rooms, office area, 2 bathrooms, 2 living area, kitchen and garage.

LPA Partoza observed food supply of 2 days of perishable foods and 7 days of non-perishable foods. LPA Partoza observed locked cabinets for chemicals, medications and sharp objects.

LPA observed the washer and dryer in the garage area was in good working, chemicals are separated from the food pantry. LPA observed 4 out of 4 bedroom was sanitary, organized and have sufficient storage for residents' personal belongings. 2 Out 2 bathroom used by residents have grab bars and anti-skid floor. The facility has a dining area and the 2 living area that are free from debris or obstruction. LPA observed 1 staff at the time of the LPAs visit.

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