Senior Care Records.

Facility Evaluation Report

Success RCF 1, San Jose08/18/2022Licence 435202567

Capacity32
Census30
Date signed08/31/2022 09:51:10 AM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Administrator Prince-Stanley Amas.

During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo observed there to be a visitor screening area. LPA Marrufo observed there to be a 30-day supply of PPEs. LPA Marrufo observed there to be a two day supply of perishable foods and a 7 day supply of non-perishable foods. LPA Marrufo observed the resident restrooms. LPA Marrufo observed the outdoor area and found the exits to be clear of obstructions.

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

This report was reviewed with Administrator Prince-Stanley Amas and a copy of the report was provided.

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