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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435294147
Report Date: 07/27/2022
Date Signed: 07/27/2022 02:54:22 PM


Document Has Been Signed on 07/27/2022 02:54 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:ALL ABOUT SENIORS ELDERLY CAREFACILITY NUMBER:
435294147
ADMINISTRATOR:KENDALL HALLFACILITY TYPE:
740
ADDRESS:1319 MARIA WAYTELEPHONE:
(408) 483-2433
CITY:SAN JOSESTATE: CAZIP CODE:
95117
CAPACITY:6CENSUS: DATE:
07/27/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kendall HallTIME COMPLETED:
03:00 PM
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On 07/27/2022, Licensing Program Analyst (LPA) Mandeep Kaur conducted an unannounced Required - 1 Year Annual Inspection to include Infection Control site visit . LPA met with Administrator Kendall Hall.

One central entry point was designated for all staff, residents, and visitors. A temperature screening station, sign in sheet, gloves, surgical masks and hand sanitizer were present at the entrance.

LPA toured the facility inside and outside. Sharp objects, toxins, cleaning supplies are secured. Medications are stored in a locked cabinet in the kitchen.
The kitchen was inspected. There was sufficient perishable food for at least 2 days and nonperishable food for at least one week.

LPA inspected the residents' restrooms. The restrooms were observed to be adequately stocked with paper towels and hand soap.
Foot operated trash containers observed in the bathrooms and in the kitchen.

Facility was observed to have a sufficient supply of PPE.

No citations were issued per the California Code of Regulations Title 22.

This report was reviewed with the Administrator Kendall Hall . A copy of this report was provided.
SUPERVISOR'S NAME: Sarah YipTELEPHONE: (408) 324-2131
LICENSING EVALUATOR NAME: Mandeep KaurTELEPHONE: (408) 324-2112
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2022
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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