<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202786
Report Date: 02/14/2025
Date Signed: 02/14/2025 02:42:10 PM

Document Has Been Signed on 02/14/2025 02:42 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:LEARNING SERVICES CORPORATION - MESA HOUSEFACILITY NUMBER:
435202786
ADMINISTRATOR/
DIRECTOR:
ABRAHAM LONGORIAFACILITY TYPE:
735
ADDRESS:5672 MESA ROADTELEPHONE:
(408) 848-4379
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 4CENSUS: 3DATE:
02/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Abraham LongoriaTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Christine Kabariti arrived to the facility unannounced to conduct the facility's required - 1 year annual inspection. LPA met with Administrator, Abraham Longoria.

During visit, LPA toured the facility with the Administrator to include the living room, kitchen, bedrooms, bathroom, garage, and exterior. There were no residents present during visit. All fire exit routes are free and clear of obstruction. Facility temperature maintained at 69 degrees F. Fire extinguisher last serviced 01/07/2025. Carbon monoxide detector present and operable. Hot water temperature in the bathroom maintained at 117.6 degrees F. Resident bedrooms equipped with proper furniture, linens, and adequate lighting. Refrigerator temperature maintained at 35 degrees F. Freezer temperature maintained at 0 degrees F. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Menu posted in the kitchen. LPA observed the facility has an emergency disaster plan. Emergency drill last completed on 01/31/2025. Facility has extra flashlights and batteries available, when needed. Each resident has their own grab and go backpack in case of an emergency along with their own emergency binders. Sharp objects, chemicals, disinfectants, and medications observed locked. LPA reviewed 3 resident files were complete and no issues noted. 3 resident's centrally stored medications and records reviewed with the staff. All medications were accounted for and no issues noted. 1 out of 3 resident's had P&I money which was reviewed with the Administrator. All money was accounted for and no issues were noted. LPA reviewed 3 staff files were complete and no issues noted. 3 out of 3 staff has an active first aid certificate. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Abraham Longoria and a copy of the report was provided.
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Christine Kabariti
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1