430707831-8-14-2025-26-AS-CKAI-DPLQEG-20251222110618

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 430707831
Report Date: 08/14/2025
Date Signed: 08/14/2025 05:06:09 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/01/2023 and conducted by Evaluator David Marrufo

COMPLAINT CONTROL NUMBER: 26-AS-20230901153431

FACILITY NAME:	LITTERAL HOUSE		FACILITY NUMBER:	430707831
ADMINISTRATOR:	CHRISTINA ROSSI		FACILITY TYPE:	772
ADDRESS:	96 SOUTH 14TH STREET		TELEPHONE:	(408) 998-3293
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95112
CAPACITY:	15	CENSUS: 13	DATE:	08/14/2025
		UNANNOUNCED	TIME BEGAN:	04:45 PM
MET WITH:	Nancy Maldonado		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Due to lack of supervision, resident got into an altercation with another resident
Staff did not safeguard resident belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint visit and met with Program Manager Nancy Maldonado. On 09/01/2023, the department received a complaint with the above allegations. On 09/11/2023, LPA Marrufo conducted an initial complaint investigation visit. On 03/06/2025, LPA Marrufo conducted an additional complaint investigation visit.

On 09/23/2023, LPA Marrufo obtained a copy of a police report from local law enforcement. The police report states that on 09/01/2023, a police officer responded to a report of battery and interviewed resident R1 outside of the facility. R1 stated that R1 and R2 were roommates and were inside their shared room. R1 stated R2 was talking on the phone and R1 asked R2 to turn down the phone’s volume. R1 stated R2 then became angry and R2 hit R1 four times in the leg.

See LIC9099-C pages for more information. Page 1 of 4.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maria Partoza
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

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 4

Control Number 26-AS-20230901153431

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: LITTERAL HOUSE	FACILITY NUMBER: 430707831
	VISIT DATE: 08/14/2025

NARRATIVE

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The police report stated that R1 had no marks. The police report states staff S1 met the police officer at the door and the police officer asked if R2 was present at the facility. S1 stated to not be able to either confirm or deny if R2 was present and did not allow the police officer in the facility.

LPA Marrufo obtained a copy of a PM Shift Report from August 2023. The report includes entries for R1 and R2.

R1’s entry states, “Client got into an argument with [his/her] roommate. Client stated that [he/she] was talking on the phone when [his/her] roommate physically lashed out at [him/her]. Client stated that [he/she] did not respond and instead tried to call the office for support. Client stated that [he/she] is ok but requested that [he/she] get a different roommate. Room switched (sic) were completed.”

R2’s entry states, “Client came out of [his/her] room screaming that [his/her] roommate was having phone sex in [his/her] room. Client was agitated but was able to be redirected and met with [S2] while [S1] spoke to [his/her] roommate. Client stated that [he/she] would not sleep in that room anymore. [He/She] was placed in a different room.”

On 09/11/2023, LPA Marrufo interviewed R1. R1 stated to have been in the bedroom shared with R2. R1 stated to have wanted to make a telephone call, but R2 was watching a music video on R2’s phone. R1 stated to have politely asked R2 to turn down the phone, but R2 refused and started yelling and cursing at R1. R1 stated that R2 grabbed R1’s feet and pulled R1 out of bed and told R1 to talk on the phone outside of the room. R1 stated to have called the facility downstairs phone and then R2 hit R1 on the back of R1’s leg with a closed fist. R1 stated R2 went downstairs to get staff to get R1 out of the bedroom. R1 stated S1 came to R1’s bedroom and R1 reported to S1 that R2 hit R1 on the leg. S1 then had R2 move to a different room.

Page 2 of 4.

SUPERVISORS NAME: Maria Partoza
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 26-AS-20230901153431

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: LITTERAL HOUSE	FACILITY NUMBER: 430707831
	VISIT DATE: 08/14/2025

NARRATIVE

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On 09/11/2023, LPA Marrufo interviewed R2. R2 stated R1 and R2 were in their bedroom together and R1 was talking very sexually to someone on the phone. R2 stated to have tapped R1 on the legs and told R1 to leave the room because R2 wanted to talk on the phone. R2 stated to have not punched R2, but only tapped R2 on the leg. R2 stated to have gone downstairs to have staff separate R1 and R2. R2 stated that staff S1 and S2 were already in the stairway when R2 went downstairs and R2 spoke to them right away.

During visit on 09/11/2023, S1 was not on shift and was not interviewed. During visit on 03/06/2025, LPA Marrufo requested to interview S1, but S1 was no longer an employee at the facility. On 03/10/2025, LPA Marrufo received an email from the facility Assistant Manager stating that the facility could not provide S1’s telephone number.

LPA Marrufo obtained a copy of R1’s Property Inventory. The document states that upon entering the facility program, R1 brought various clothing items, including tops, shorts, leggings, jackets, and undergarments. The document states, “This list is to help Momentum staff assist me in taking care of my personal belongings…Momentum is not responsible for the safety of my possessions, and that Momentum recommends that I do not keep valuable items at the program.” The document is not signed by R1.

During interview on 09/11/2023, R1 stated to have had a bag of clothes that went missing. R1 stated to have had someone pick up R1’s clothes at the facility when R1 was in the hospital, but all R1’s clothes were missing.

On 03/06/2025, LPA Marrufo interviewed Administrator (ADM) Christina Rossi. ADM stated that the facility does not store resident belongings. ADM stated that if residents bring an abundance of belongings, then the resident is asked to have a family member or support system hold them for them. If the resident does not have anyone who can take their belongings, then the facility may hold the resident’s belongings in the basement, but the resident is told the facility is not responsible for their belongings. ADM stated to not recall if anyone stole R1’s belongings.

Page 3 of 4.

SUPERVISORS NAME: Maria Partoza
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 26-AS-20230901153431

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: LITTERAL HOUSE	FACILITY NUMBER: 430707831
	VISIT DATE: 08/14/2025

NARRATIVE

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Based on information from interviews conducted with staff and residents, and records reviewed, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated.

No Deficiencies were cited under California Code of Regulations Title 22.

This report was reviewed with Program Manager Nancy Maldonado and a copy of this report was provided.

Page 4 of 4.

END REPORT

SUPERVISORS NAME: Maria Partoza
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 4