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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435201970
Report Date: 08/20/2024
Date Signed: 08/20/2024 04:29:14 PM

Document Has Been Signed on 08/20/2024 04:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:VINIART CARE HOMEFACILITY NUMBER:
435201970
ADMINISTRATOR/
DIRECTOR:		CLARIDAD, MARIA CECILIAFACILITY TYPE:
735
ADDRESS:689 KIRK GLEN DRIVETELEPHONE:
(408) 254-4709
CITY:SAN JOSESTATE: CAZIP CODE:
95133
CAPACITY: 6CENSUS: DATE:
08/20/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Administrator- Cecilia ClaridadTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 8/20/2024 Licensing Program Analysts (LPAs) Marcella Tarin and David Marrufo conducted an unannounced required 1 year visit. LPAs met with Administrator Cecilia Claridad. LPAs toured the facility inside and out.

LPAs toured the kitchen area. LPAs observed chemicals and sharp objects in locked cabinets. LPAs observed 2 days of perishable foods and 7 days of nonperishable foods. LPAs observed labeled food items in the refrigerator and freezer. LPAs observed a first aid kit to be complete. LPAs observed 2 out of 2 resident bathrooms. LPAs observed available soap and paper towels. LPAs measured both resident bathroom sinks water temperatures to be 105 degrees Fahrenheit.

LPAs toured 4 out of 4 resident bedrooms. LPAs observed resident bedrooms to have available bedding, storage area, and functioning lights. LPAs tested smoke detectors in 4 out of 4 resident bedrooms and in the hallway and found that they were functioning properly.

LPAs toured the outside area of the facility. LPAs observed a locked shed with tools. LPAs observed a loose wooden panel on the outside side fence of the facility.

An Advisory Note was issued. See LIC 9102 for more information. Due to time constraints, this inspection will need to be continued at a later time. No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Administrator Cecilia Claridad. A copy of this report was provided.
SUPERVISORS NAME: Jin Jackie
LICENSING EVALUATOR NAME: Marcella Tarin
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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