Senior Care Records.

Facility Evaluation Report

Villa Glen Home One, San Jose05/12/2022Licence 435202766

Capacity6
Census6
Date signed05/13/2022 09:34:11 AM
The inspector’s account

Licensing Program Analyst (LPA) Marybeth Donovan conducted an unannounced Required - 1 Year Annual Inspection to include Infection Control site visit and met with Peter Cores Lead Caregiver.

LPA toured the facility inside and out. All fire exit routes were free and clear of obstructions. Medications, sharp objects, toxins, cleaning supplies are secured.

Facility observed to have designated entry point for COVID 19 symptom screening. Hand sanitizer available to visitors and residents. Bathrooms observed to be supplied with hygiene products and covered trash containers. Hand Washing sign posted and the kitchen. LPA observed supply of Personal Protective Equipment (PPE). COVID 19 signs posted included Symptoms of COVID 19, Cough Etiquette, COVID 19 Self Monitor, Are You Feeling Ill, How Can I Protect Myself from COVID 19, and Cleaning For COVID 19.

LPA reviewed the facility policies and procedures to include screening, visitation, masking, isolation and disinfecting,

No citations were issued per the California Code of Regulations Title 22.

LPA reviewed report with Peter Cortes Lead Caregiver and a copy provided.

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