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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202425
Report Date: 05/27/2026
Date Signed: 05/27/2026 11:32:31 AM

Unfounded


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
04/21/2026 and conducted by Evaluator Manuel Monter
COMPLAINT CONTROL NUMBER: 26-AS-20260421160204
FACILITY NAME:LAUREL CREST MANORFACILITY NUMBER:
435202425
ADMINISTRATOR:MERLE LAURELFACILITY TYPE:
740
ADDRESS:2468 NIGHTINGALE DRIVETELEPHONE:
(408) 265-2263
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY:6CENSUS: 4DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Staff Luzviminda ObilloTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Facility unlawfully evicted resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Monter conducted an unannounced complaint inspection to deliver the findings on the above allegations. LPA met with Staff Luzviminda Obillo. (LPA contacted ADM. LPA went over report via phone call. ADM stated Staff Luzviminda Obillo could sign on her behalf.

On April 21, 2026, the Department received a complaint alleging Facility unlawfully evicted resident

April 23, 2026, the Department interviewed Witness W1. W1 clarified that he/she was not the person who was informed about the potential eviction. W1 stated he/she was informed about conversation between R1’s responsible party and the licensee. W1 stated based on those conversations, it seems as if they are trying to evict R1. W1 stated, based on his/her conversation with the responsible party, it seemed like a verbal eviction. Page 1 Out of 2.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
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-20260421160204
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: LAUREL CREST MANOR
FACILITY NUMBER: 435202425
VISIT DATE: 05/27/2026
NARRATIVE
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On April 23, 2026, Licensing Program Analyst Manuel Monter interviewed resident R1. R1 stated he/she isn’t aware of anything regarding an eviction.

On April 23, 2026, Licensing Program Analyst Manuel Monter interviewed Administrator (ADM) Merle Laurel. ADM stated he/she has not evicted any resident, including R1. ADM stated no verbal or written evictions have been given. ADM stated she did tell the payee that R1 will probably need to go to a higher level of care since there has been some decline to R1’s cognition.

On May 14, 2026, Licensing Program Analyst Manuel Monter interviewed R1’s Responsible Party, referred to R1RP. R1RP stated R1 wasn’t and isn’t being evicted. R1RP stated both he/she and the Administrator were in agreement, that due to R1 rate of decline, R1 will need to eventually move to another home with a higher level of care. R1RP stated he/she and the ADM agreed this eventual transfer would occur, but he/she would need sometime to find a new home to transfer. R1RP stated reiterated that R1 wasn’t evicted. R1RP stated ADM never mentioned an eviction. R1RP stated the administrator did not evict R1 or imply she was going to evict R1.

The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis.

Page 2 Out of 2. End of Report.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
04/21/2026 and conducted by Evaluator Manuel Monter
COMPLAINT CONTROL NUMBER: 26-AS-20260421160204

FACILITY NAME:LAUREL CREST MANORFACILITY NUMBER:
435202425
ADMINISTRATOR:MERLE LAURELFACILITY TYPE:
740
ADDRESS:2468 NIGHTINGALE DRIVETELEPHONE:
(408) 265-2263
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY:6CENSUS: DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Staff Luzviminda ObilloTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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9
Resident sustained injury due to neglect / lack of supervision
INVESTIGATION FINDINGS:
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On April 21, 2026, the Department received a complaint alleging Resident sustained injury due to neglect / lack of supervision

On April 23, 2026, the Department interviewed Witness W1. W1 stated on February 26, 2026, he/she observed a bruise and some swelling under R1’s left eye. Staff reported that R1 was found lying on the living room floor yesterday and may have grazed the left side of his/her face when falling. W1 stated the second incident occurred on April 2, 2026. Where he/she noticed R1 had bruising and swelling under right eye. W1 stated the staff were not able to definitively say how the injury occurred, but W1 suspects due to staff not supervise R1, he/she sustained a fall and injured him/herself.

Page 1 Out of 3.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 26-AS-20260421160204
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: LAUREL CREST MANOR
FACILITY NUMBER: 435202425
VISIT DATE: 05/27/2026
NARRATIVE
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On April 23, 2026, Licensing Program Analyst Manuel Monter interviewed residents R1-R5. R1 stated he/she hasn’t had any falls in the home. 2 Out of 5 residents (R2 - R3) stated, there are not aware of other residents in the home sustaining a fall. R4 stated he/she has seen his/her roommate fall. R4 stated he/she thinks R1 did fall down a week ago. R4 stated he/she doesn’t remember exactly or when this fall occurred. R4 stated he/she thinks R1 has fallen in the home a total of 4-5 times. (R4 stated he/she isn’t aware or remember where and what time these falls occurred. )

4 Out of 5 residents (R1-R4) they haven’t seen any time when a resident who needed help, was not provided assistance by staff. Resident R5 declined to be interviewed and did not provide any relevant information regarding the allegations.

On April 23, 2026, Licensing Program Analyst Manuel Monter interviewed staff S1 and S2. S1 stated there was an incident that occurred weeks ago. S1 stated around 1-2pm, he/she was cooking in the kitchen and R1 was in the living room watching kitchen. S1 stated he/she had seen R1 in the living room, 15-30 minutes prior. S1 stated as he/she was cooking in the kitchen, he/she heard a sound, like something falling. S1 stated he/she doesn’t think R1 fell. S1 stated R1 was found sitting next to the chair on his/her bottom. S1 stated he/she thinks R1 just lost his/her balance and sat on the ground. S1 stated he/she didn’t actually observe the “fall”. S1 stated he/she checked R1 and did not note any injuries. S1 stated the next day he/she did see a little redness, which went away the following day after. S1 stated besides the incident noted above, there hasn’t been other falls in the home. S2 stated, from his/her memory, there hasn’t been any falls in the home in the past 3 months.

On April 23, 2026, Licensing Program Analyst Manuel Monter interviewed ADM/Licensee Merle Laurel. ADM stated there hasn’t been any recent falls at the facility. ADM stated based on what was reported to her, R1 may have hit his/her head when he/she got up. ADM stated R1 may have been reaching for his/her shoes and may have accidentally hit him/herself. ADM stated this event was not witnessed. ADM stated R1 didn’t experience a fall. ADM stated R1 did not sustain any bruising or injury.

Page 2 Out of 3.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 26-AS-20260421160204
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: LAUREL CREST MANOR
FACILITY NUMBER: 435202425
VISIT DATE: 05/27/2026
NARRATIVE
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On May 14, 2026, Licensing Program Analyst Manuel Monter interviewed Witness W2. W2 stated he/she was visiting the home, the following day when the alleged incidents occurred. W2 stated that based on the observations of the bruise and marks, W2 characterized them as small and barely noticeable. W2 stated he/she is aware of R1’s alleged fall on February 2026. W2 stated he/she is also aware of R1 sustaining an injury on his/her face in March 2026. W2 stated he/she and the ADM discussed both of the incidents and concluded that it wasn’t an issue since R1 didn’t sustain any injuries.

W2 stated he/she has not observed any instance where staff neglected / did not help a resident requesting for help. W2 stated during the times he/she visited the home, he/she did not observe any instance where a resident was neglected. W2 stated he/she didn’t observe any sign of neglect.

On May 26, 2026, Licensing Program Analyst Manuel Monter interviewed staff S3. S3 stated he/she does recall an incident where R1 sustained a fall. S3 stated he/she was doing laundry at the time. S3 stated sometime, over a month ago, R1 had fallen in the living room, sometime around lunch. S3 stated she and S1 left R1 in the living room watching television. S3 stated R1 was found on the ground, next to the chair in the living room. S3 stated R1 was found by S1, who was in the kitchen at the time. S3 stated R1 sustained a mark on his/her face but not a bruise. S3 stated the mark on R1’s face was smaller than a penny.

The Department reviewed Resident R1’s Progress Notes. Note dated March 20, 2026, states, R1 was out of balance and he/she “hit in the chair” but not bruised.

Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegations are UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur.

Page 3 Out of 3. End of Report.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5