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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 275202549
Report Date: 10/22/2025
Date Signed: 10/22/2025 03:45:32 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/16/2025 and conducted by Evaluator Shawna Doucette
COMPLAINT CONTROL NUMBER: 24-AS-20251016162319
FACILITY NAME:MONTEREY BAY GUEST HOME #2FACILITY NUMBER:
275202549
ADMINISTRATOR:INNEH, EMMANUELFACILITY TYPE:
735
ADDRESS:645 WILLIAMS ROADTELEPHONE:
(831) 975-4970
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:40CENSUS: 30DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
10:37 AM
MET WITH:Administrator Emmanuel InnehTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff does not ensure facility is free of bed bugs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA met with Administrator Emmanuel Inneh.

LPA reviewed records, toured resident rooms and interviewed Administrator. Licensing does not have any reports of the infestation.

During tour LPA observed bed bugs in client's room, on the floor, in the client's bed, and on the client's clothing. LPA took photos. LPA observed pest control statements. Interviews revealed C1, C2, C3 and C4 were found to either have bedbugs on them, in their beds or to have been bit by bedbugs. LPA reviewed records and pest control service is coming monthly however there is still a large ongoing festation. Clients are residing in infested rooms.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 24-AS-20251016162319
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: MONTEREY BAY GUEST HOME #2
FACILITY NUMBER: 275202549
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2025
Section Cited
CCR
80087(a)(1)
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80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.(1) The licensee shall take measures to keep the facility free of flies and other insects.
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Licensee agrees to submit a written plan to ensure facility is free from pests and will begin plan by POC due date 11/3/25.

LPA will clear POC during visit to ensure facility is following plan.
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This requirement was not met as evidenced by: Licensee did not ensure facility was free from pests and did not remove clients and client belongings from infested rooms which poses an immediate health safety and personal rights risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 24-AS-20251016162319
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: MONTEREY BAY GUEST HOME #2
FACILITY NUMBER: 275202549
VISIT DATE: 10/22/2025
NARRATIVE
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Based on interviews, observation, and records review facility has a bed bug infestation submitted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED and is being cited on the attached LIC 9099D.

A copy of this report with appeal rights and plan of correction was provided.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3