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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435201842
Report Date: 04/23/2026
Date Signed: 04/23/2026 05:22:35 PM

Substantiated


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
04/20/2026 and conducted by Evaluator Manuel Monter
COMPLAINT CONTROL NUMBER: 26-AS-20260420164411
FACILITY NAME:EDWARD CARE HOMEFACILITY NUMBER:
435201842
ADMINISTRATOR:QUINTIN H. ZACARIASFACILITY TYPE:
735
ADDRESS:1315 BECKET DRIVETELEPHONE:
(408) 224-9988
CITY:SAN JOSESTATE: CAZIP CODE:
95121
CAPACITY:6CENSUS: 4DATE:
04/23/2026
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Administrator Remedios ZacariasTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Facility did not ad hear to personal requirements such as but not limited to: health screening, Fingerprint clearance, training

Facility has bed bugs and rodents inside the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced complaint inspection regarding the above allegations. LPA met with ADM Remedios Zacarias

Facility has bed bugs and rodents inside the facility

On April 20, 2026, the Department received a complaint alleging the facility has bed bugs and rodents inside the facility.

On April 23, 2026, Licensing Program Analyst Manuel Monter toured resident bedrooms. LPA observed resident bedroom closest to the storage in the backyard. Inside this resident bedroom contained two beds. LPA inspected both beds. LPA observed bed bugs on the side of the mattress of both of these beds.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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 5
Control Number 26-AS-20260420164411
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: EDWARD CARE HOME
FACILITY NUMBER: 435201842
VISIT DATE: 04/23/2026
NARRATIVE
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LPA toured resident bedroom 2nd closest to the shed in the backyard. LPA also noted the side of the mattress contained bed bugs.

As LPA toured the facility LPA noted the staff room did not have any mattresses for the bunk bed. LPA also noted there was 2 mattress in the backyard.

LPA interviewed residents R1-R4. 3 Out of 4 residents (R1-R3) stated they have seen bugs on their bed. 1 Out of 4 residents (R4) declined to be interviewed.

LPA interviewed staff S1 and S2. Staff S1 stated 2 weeks ago he/she saw bed bugs in the staff bed and no longer uses it. S1 stated that is why the 2 staff mattress are currently outside. Staff S2 stated he/she hasn't seen any bed bugs.

LPA interviewed ADM Remedios Zacarias. ADM stated she has a staff member complaining about bed bugs somewhere around March 13, 2026. ADM stated it has been an ongoing issue, where they think they have addressed the bed bugs, but they re-appear. ADM stated they tried to buy chemical sprays. ADM stated after they use the chemical, from home depo, the bed bugs go away, and in 2 weeks they reappear.

ADM stated he current plan of action is to hire a company to eradicate the bed bugs.

Based on interviews and documents review the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED.

Facility did not ad hear to personal requirements such as but not limited to: health screening, Fingerprint clearance, training

On April 20, 2026, the Department received a complaint alleging Facility did not ad hear to personal requirements such as but not limited to: health screening, Fingerprint clearance, training
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 26-AS-20260420164411
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: EDWARD CARE HOME
FACILITY NUMBER: 435201842
VISIT DATE: 04/23/2026
NARRATIVE
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On April 23, 2026, Licensing Program Analyst Manuel Monter interviewed staff S1 and S2. Staff S1 stated he/she has been provided training. S1 stated during his/her first weeks at the home he/she was provided training. Staff S2 stated he/she hasn't received training.

LPA reviewed staff training records. LPA noted that staff S1 had the following documented training regarding Medication assistance. LPA noted staff S2 had the following documented training regarding: medication assistance, client abuse identification and reporting.

LPA interviewed ADM Remedios Zacarias. ADM stated she had an employee that quit suddenly and another employee that went on vacation without notifying her. ADM stated she had to hire S1 and S2. ADM stated she was only able to provide S1 and S2 medication training and training on reporting requirements. ADM stated she was on vacation for about a month and was not able to train staff S1 and S2.

LPA asked ADM if there was other documentation showing S1 and S2 had received on the job training, prior to staff being left alone with residents, on topics such as but not limited to: principles of nutrition, food preparation, housekeeping and sanitation, client care and supervision-including communication, personal rights, behavioral management, or emergency procedures . ADM stated the paperwork she provided, with S1 and S2's training was all the documentation she had.

Based on interviews and documents review the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED.

Deficiencies are being cited, See LIC9099-D. This report was reviewed with Administrator Remedios Zacarias and a copy of the signed report was provided. Appeal rights were provided.

END OF REPORT
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 26-AS-20260420164411
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: EDWARD CARE HOME
FACILITY NUMBER: 435201842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2026
Section Cited
CCR
80065(f)
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80065 Personnel Requirements (f) All personnel shall be given on-the-job training ... to the job assigned and as evidenced by safe and effective job performance.

This requirement was not met as evidenced by:
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ADM stated her plan of action is to finish staff S1 and S2's training and send documentation showing the training has been completed POC due date, April 30, 2026.
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Based on records reviewed and interviews conducted, ADM stated she was only able to provide S1 and S2 training on medication and reporting requirements. ADM stated she was not able to train staff S1 and S2.
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This poses a potential health, safety and personal rights risk to residents 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: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 26-AS-20260420164411
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: EDWARD CARE HOME
FACILITY NUMBER: 435201842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/24/2026
Section Cited
CCR
80087(a)(1)
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80087 Buildings and Grounds (a)(1)The licensee shall take measures to keep the facility free of flies and other insects.

This requirement was not met as evidenced by:
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ADM stated her plan of action is to hire a exterminator company to address the bed bugs. ADM stated she will send documenation of the contract to LPA by POC due date, April 24, 2026.
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Based on observation, LPA noted 2 Out of 3 resident bedrooms closest to the shed in the back yard contained bed bug alongside the mattress. ADM stated the bed bugs have been an ongoing issue since around March 13, 2026.
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This poses an immediate health, safety and personal rights risk to residents 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: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5