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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202898
Report Date: 10/09/2026
Date Signed: 10/09/2026 06:14:44 PM

Document Has Been Signed on 10/09/2026 06:14 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:OAKMONT OF SILVER CREEKFACILITY NUMBER:
435202898
ADMINISTRATOR/
DIRECTOR:		MINNIE WEBERFACILITY TYPE:
740
ADDRESS:3544 SAN FELIPE ROADTELEPHONE:
(669) 200-2442
CITY:SAN JOSESTATE: CAZIP CODE:
95135
CAPACITY: 148CENSUS: 88DATE:
10/09/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:05 AM
MET WITH:Minnie Weber - Executive Director/AdministratorTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required 1 year inspection and met with facility Executive Director/Administrator (ED/ADM) Minnie Weber and stated the purpose of the visit.

The facility serves age 60 and over capacity of 148 for non-ambulatory of which 8 are bedridden on the first floor and hospice waiver for 15. LPA toured the interior and exterior of the facility, including entryway, common room, dining room, kitchen and food storage, laundry room, resident bedrooms, bathrooms, medicine room, activities room, movie room, the Assisted Living (AL) and Memory Care (MC) area of the facility. The facility is a 2 story building, equipped with 2 elevator The emergency exits are clear from obstruction. The emergency stair is equipped with evacuation chairs. The facility is equipped with fire extinguishers strategically place on the 1st and second floor, the kitchen and dining areas of the facility. The facility is equipped with fire pull alarm system that notifies the fire department directly in case of emergency. The facility is equipped with carbon monoxide alarm system. The facility is equipped with water sprinklers and are tested quarterly and maintained by a third party vendor. Fire Marshall also does inspection annually.

During the inspection LPA observed that the facility activities are posted inside the elevator, the hallways and copies were provided to residents on a monthly basis. LPA observed residents at the activity area, medication room and dining area. LPA observed that the public restroom is organized and sanitary, the water is regulated to deliver water temperature that meets regulatory requirement of 105 degree F consistently.

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Romeo Manzano
Maria Partoza
DATE: 10/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: OAKMONT OF SILVER CREEK
FACILITY NUMBER: 435202898
VISIT DATE: 10/09/2026
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LPA inspected the facility's Memory Care (MC) area and randomly inspected 3 MC apartment/unit. Prior to entering the memory care resident room, a sign can be seen that states "video monitoring for safety". The sign is prominently displayed on the door of each MC unit's apartment. LPA observed that exits are equipped with delayed egress and working audible alarms, including the exterior doors that leads to the parking lot. LPA observed that the alarm can be heard by staff from the inside and responds to alarms once triggered and the alarm identifies the area which door was opened. LPA observed residents in the MC dining area having breakfast and some were walking on the hallway with staff assisting the resident and staff providing assistance to ambulatory residents in the MC unit and was serving breakfast. LPA observed 2 staff assisting 3 residents with feeding. LPA observed that resident's room windows has a maximum of 4 inches opening and is equipped with an alarm if the window opening is tampered or goes beyond the 4 inches opening. LPA measured water temperature of the MC care apartment with a digital thermometer. The water measured at 105.6 degree F which meets the regulatory requirement for hot water temperature, however, LPA observed that the water takes about 5 to 6 minutes before it reaches 105 degree F. LPA observed that the MC resident's apartments has sufficient storage for their personal belongings, sanitary, organized and well lit.

LPA inspected the facility kitchen and observed that the facility is equipped with commercial grade refrigerator and freezer, dishwashing sink, commercial stove and walk in dry food pantry. LPA observed that the kitchen floor and food are organized and sanitary. The refrigerator and freezer temperature meets regulation for food safety. The refrigerator temperature is maintained at 38 to 40 degree F and the freezer temperature is at minus 6 degree F. When kitchen is not in used, the kitchen is not accessible to residents or unauthorized personnel. LPA observed emergency drinking water supply, 2 days of perishable food and 7 days for non-perishable food. The facility has snack bars located in the dining areas of AL, the MC area, and the receiving area by the front reception. The facility is equipped with wall pull fire alarm system and carbon monoxide monitoring system. The facility is equipped with fire extinguishers that is maintained and checked by maintenance each month. The facility uses a third party vendor to ensure that fire extinguishers are inspected and replaced accordingly.

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NAME OF LICENSING PROGRAM MANAGER: Romeo Manzano
NAME OF LICENSING PROGRAM ANALYST: Maria Partoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: OAKMONT OF SILVER CREEK
FACILITY NUMBER: 435202898
VISIT DATE: 10/09/2026
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LPA inspected Assisted Living Area resident rooms. LPA tested the water temperature at the AL resident's unit with a digital thermometer and water temperature measured at 105 degree F consistently for 3 of the AL unit resident. LPA interviewed 3 residents at the AL unit who stated that they have no complaint about the facility staff and services provided. One of the three resident stated that when she prefers different food the facility chef obliges and makes it for him/her. Another resident interviewed during the visit stated that hot water takes time to reach his/her desired temperature and had to wait a bit longer, however, he/she does not mind waiting but is concerned about wasting water. LPA observed that the 3 randomly inspected apartment at the AL unit are kept sanitary and organized. LPA observed that some of the residents have pets during the time of inspection.

During inspection the Maintenance Director (MD) showed LPA the main water system and hot water tank and demonstrated how the water flow system works. MD also presented the proof of training conducted for fire, earthquake, elopement and disaster preparedness conducted monthly from January 2026 to September 2026 for each shift. MD stated that the facility will conduct an emergency training with the resident's participation for the month of October 2026. During inspection LPA observed that hallways and walkways both interior and exterior are free from obstruction. The facility has a reception area where visitors can sit and wait at the front area of the facility.

LPA randomly selected 8 staff record and 8 resident record for review. Based on record review, the facility file record for the staff and residents are complete and current including staff trainings. The facility has a wellness care area for any non-emergency first aid care handled by the facility's medication technicians and the facility's wellness director.

No deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22. A copy of the report was provided to ED/ADM Minnie Weber.

end of report
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NAME OF LICENSING PROGRAM MANAGER: Romeo Manzano
NAME OF LICENSING PROGRAM ANALYST: Maria Partoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2026
LIC809 (FAS) - (06/04)
Page: 4 of 4