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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202831
Report Date: 10/24/2024
Date Signed: 10/24/2024 02:22:25 PM

Document Has Been Signed on 10/24/2024 02:22 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:EUPHORIA CARE, INC.FACILITY NUMBER:
435202831
ADMINISTRATOR/
DIRECTOR:		GHARAKHANIAN, CANDICEFACILITY TYPE:
735
ADDRESS:9061 WREN AVETELEPHONE:
(408) 848-8116
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 6CENSUS: 6DATE:
10/24/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Candice GharakhanianTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
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Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator, Candice Gharakhanian and Lead DSP, Josephine Martinez.

During visit, LPA toured the facility with Lead DSP to include the entrance, dining room, living room, kitchen, resident bedrooms, bathrooms, and backyard. All fire exit routes are free and clear of obstruction. All present staff are fingerprint cleared and associated to the facility. LPA observed a shed in the backyard which was locked. Administrator did not have a key to the shed and states the shed contains storage items.

Facility temperature maintained at 71 degrees Fahrenheit. Facility has a carbon monoxide detector present. Fire extinguisher last serviced on 07/25/2024. Facility's fireplace observed screened. Medication, disinfectants, and cleaning solutions observed locked. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Refrigerator temperature maintained at 40 degrees F. Freezer temperature maintained at 0 degrees F. Kitchen is equipped with clean plates, bowls, cups, and utensils. Trash bin with lid observed in the kitchen. Facility has a weekly menu and monthly activities calendar observed posted. During visit, LPA observed two residents participating in activities during visit.

3 out of 3 resident bedrooms observed with furniture to include a bed, adequate lighting, closet space, and night-stands. Bathrooms supplied with hygiene products, paper supplies, and hand washing signs. First floor bathroom hot water temperature maintained at 108.5 degrees F and second floor bathroom hot water temperature maintained at 112.4 degrees F. See LIC809-C.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Christine Dolores
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: EUPHORIA CARE, INC.
FACILITY NUMBER: 435202831
VISIT DATE: 10/24/2024
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3 residents files were reviewed. Residents files contained an admission agreement, medical assessment, TB result, appraisal/needs and services plan, personal rights form, and safeguard of personal property and valuables form. 3 resident's centrally stored medications and P&I money were inspected and observed maintained.

3 staff files were reviewed. Staff files contained an updated 1st aid certification, fingerprint clearance, LIC501, TB result, and 2024 training.

Facility has an updated infection control plan. Facility staff were provided training on infection control. Facility has Personal Protective Equipment (PPE) supplies in the garage.

Facility has an emergency disaster plan. LPA observed flashlights, batteries, and a resident's to-go bag. Staff has conducted emergency disaster drills monthly. The last drill was conducted on October 2024.

No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator Candice Gharakhanian and a copy of the report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Christine Dolores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
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