Senior Care Records.

Facility Evaluation Report

Willie Care Home, Sunnyvale06/03/2025Licence 435201626

Capacity6
Census6
Date signed06/03/2025 03:16:13 PM
Name of licensing program analystKiran Jain
Name of licensing program managerApril Cowan
The inspector’s account

On June 03, 2025, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrator, Guili Xu, and disclosed the purpose of the inspection. The Administrator informed the LPA that the facility had (6) residents in care and (2) staff members present at the time.

At 1:05 PM, the LPA initiated a walk-through of the facility, accompanied by the Administrator. The indoor temperature reading of 74°F on a thermostat was observed in the hallway at the time of the visit.

LPA inspected the kitchen and observed lunch preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a locked cabinet under the sink containing detergents, disinfectants, cleaning supplies, knives and sharp objects. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for (2) days and nonperishable staples for (7) days were observed. No expired food or stored medications were noted.

LPA inspected the dining area adjacent to the kitchen. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. Two (2) residents were observed to sitting in the dining area waiting for lunch to be served.

LPA inspected the living room and observed a sofa set, chairs, a coffee table, a game table, a covered fireplace, and a television in the living room. One (1) resident was observed sitting in the living room with their family member and playing a game. Board games, puzzles, arts, coloring, audio and video disks, and other recreational activity items for residents’ activities were also observed in the living room. The door screen in the living room sliding door was observed to be broken.

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