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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202868
Report Date: 03/05/2025
Date Signed: 03/05/2025 05:58:32 PM

Document Has Been Signed on 03/05/2025 05:58 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:MMS MANOR IIFACILITY NUMBER:
435202868
ADMINISTRATOR/
DIRECTOR:		VALERA, STEPHANIEFACILITY TYPE:
735
ADDRESS:5824 CAHALAN AVETELEPHONE:
(408) 365-8281
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY: 6CENSUS: 6DATE:
03/05/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:06 PM
MET WITH:Lance Kerwin Alday - Lead StaffTIME VISIT/
INSPECTION COMPLETED:
06:08 PM
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On March 5, 2025, Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced case management-other visit to the facility and was greeted by one of the staff who called the administrator (ADM) Stephanie Valera.

S2 stated that ADM would like to speak with LPA and phone was handed over to LPA. ADM stated that LPA can meet with the lead staff (LS/HM) Lance Alday. ADM stated that he/she is currently on the road and will take about 30 minutes to arrive at the facility.

LPA stated the purpose of the visit is to hand deliver a letter of Order to Licensee/Facility of Immediate Exclusion from Facility of an individual (S1) who is currently associated with the facility. ADM stated the individual is no longer employed by the facility for over 10 years.

LPA requested ADM to disassociate S1 on the list from the Guardian Roster.
No deficiencies were cited during today’s visit per California Code of Regulations, Title 22.
An exit interview was conducted with ADM Stephanie Valera and a copy of the report was provided.

End of Report
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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