435201796-12-12-2025-26-AS-RMAO-DPURVM-20251230122144

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435201796
Report Date: 12/12/2025
Date Signed: 12/12/2025 12:10:33 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
08/25/2025 and conducted by Evaluator Simranjit Rai

COMPLAINT CONTROL NUMBER: 26-AS-20250825061918

FACILITY NAME:	NUEVA VISTA		FACILITY NUMBER:	435201796
ADMINISTRATOR:	WEINSTEIN, MICHAEL		FACILITY TYPE:	735
ADDRESS:	18225 HALE AVENUE		TELEPHONE:	(408) 465-8280
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	72	CENSUS: 69	DATE:	12/12/2025
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Administrator Assistant, Maridel Mata		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff did not safeguard resident's mail
Facility is serving rancid milk

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Simi Rai conducted an unannounced visit to conclude the complaint investigation. LPA Rai spoke with Assistant Administrator (AA) Armando Guba over the phone and stated the purpose of today’s visit. AA provided LPA Rai with verbal authorization for Administrator Assistant, Maridel Mata to sign today's report.

On 8/25/2025, the Department received a complaint with the above allegations. On 9/2/2025, the Department conducted an initial investigation at the facility.

Continuation on LIC 9099-C, Page 1 of 3.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025

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 26-AS-20250825061918

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: NUEVA VISTA	FACILITY NUMBER: 435201796
	VISIT DATE: 12/12/2025

NARRATIVE

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Page 2 of 3.

Staff did not safeguard resident’s mail.

On 9/2/2025, the Department interviewed 4 residents (R1-R4). 3 Out of 4 residents stated they have not had any issues with receiving mail at the facility. 3 Out of 4 residents stated they have not had mail go missing at the facility. 1 out of 4 residents stated they had mail going missing and did not receive the mail at the facility. 1 out of 4 residents stated they didn’t receive their mail and their mail went back to sender so the resident’s mail was sent out again.

On 9/2/2025, the Department interviewed 4 staff (S1-S4).One staff was not able to provide information about resident’s mail. 3 Out of the 3 staff stated all the resident’s mail goes to the front office and then the mail is distributed to residents. S2 stated the corporate mail and resident’s mail is separated and given to the resident. S3 stated he/she hands the mail directly to the residents and the residents open their own mail if they do not ask for help. S3 stated the resident’s mail is kept in the office until given directly to the resident. 2 Out of 3 staff stated he/she is not aware of mail going missing. S3 stated there was a resident who stated the mail went missing, but the facility staff directly receive the mail, and the facility staff handle the mail directly to the resident.

On 9/2/2025, Licensing Program Analyst (LPA) David Marrufo observed the facility activity room used to store mail. S3 stated the room opens up every 30 minutes each day and only staff has a key to the room and the staff monitors the room.

Facility is serving rancid milk

On 9/2/2025, the Department interviewed 4 residents (R1-R4). 4 Out of 4 residents stated they have been served milk at the facility. 2 Out of 4 residents stated they have not been served rancid milk. 2 Out of 4 residents stated they have been served rancid milk. R2 stated the milk tasted sour. R4 stated the milk tastes old and chalky.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 26-AS-20250825061918

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: NUEVA VISTA	FACILITY NUMBER: 435201796
	VISIT DATE: 12/12/2025

NARRATIVE

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Page 3 of 3.

On 9/2/2025, the Department interviewed 4 staff (S1-S4). 2 out of 4 staff stated they work in the kitchen, and they have not observed rancid milk. S1 and S4 stated the staff look at the date on the milk before serving the residents. S4 stated they have tasted the milk served to the residents and rancid milk has not been served. 4 Out of 4 staff stated they have not observed rancid milk, or they have not heard of rancid milk served to the residents.

On 9/2/2025, Licensing Program Analyst (LPA) David Marrufo observed the facility kitchen to include the refrigerator used to store the milk. LPA Marrufo observed 3 out of 3 milk containers in the refrigerator and they were not expired.

Based on the interviews conducted with clients and staff and based on observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Administrator Assistant, Maridel Mata and a copy of the report was provided.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025

LIC9099 (FAS) - (06/04)

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