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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202473
Report Date: 01/16/2026
Date Signed: 01/16/2026 11:24:16 AM

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
07/18/2025 and conducted by Evaluator Marcela Yanez
COMPLAINT CONTROL NUMBER: 26-AS-20250718082803
FACILITY NAME:VILA VICTORIA #1FACILITY NUMBER:
435202473
ADMINISTRATOR:MR. CYRIL INNEHFACILITY TYPE:
735
ADDRESS:393 E. SAN FERNANDO STREETTELEPHONE:
(408) 271-9244
CITY:SAN JOSESTATE: CAZIP CODE:
95112
CAPACITY:23CENSUS: 16DATE:
01/16/2026
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Cyril InnehTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not ensure that facility was free of pests.
INVESTIGATION FINDINGS:
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On 01/16/26 Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced complaint investigation visit to deliver findings. LPA met with Cyril Inneh, Administrator, (ADM).

During visit LPA toured the facility bedrooms #1-12 and observed dead bed bugs in the room #3,,6, 7, 8, 11 that had bed bug foot traps. ADM stated the traps were recently cleaned on 01/06/26.

On 07/18/25 the department received a complaint with the above allegation.

On 07/24/25 LPA Yanez conducted an initial 10 day complaint visit.

During the visit LPA Yanez toured the entire facility and all bedrooms #1-12 with Administrator. LPA obtained pertinent resident records. LPA interviewed 5 residents and 3 staff.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026
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 3
Control Number 26-AS-20250718082803
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: VILA VICTORIA #1
FACILITY NUMBER: 435202473
VISIT DATE: 01/16/2026
NARRATIVE
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During the tour LPA observed the facility bedrooms #1-12 had bed bug treatment powder along the baseboards of the bedrooms. LPA also observed the resident’s beds to have bed bug traps on each bed foot. LPA observed a live bed bug in residents bedroom #6, #7 and bedroom #10 photograph was taken using state provided work phone.

During visit LPA interviewed 5 out of 5 residents and ADM and 1 staff. 5 out of 5 residents stated that they have seen bed bugs in their bedrooms. 5 out of 5 residents stated the residents have seen exterminator spray to eliminate the bed bugs. 5 out of 5 staff stated that the facility puts powder to treat the infestation along the baseboards and instructs the residents not to touch the powder. ADM stated the facility does its own treatment in between exterminator treatments. ADM stated the facility plans to relocate residents and tent the facility to eliminate bed bugs.

LPA Yanez obtained copies of exterminator treatment for the facility that states the facility is currently under a treatment plan for bed bugs.

On 01/16/26 the department concluded its Investigation and determined the staff did not ensure the facility was free of pests. The facility has been conducting treatments but the treatments have not been successful in removing bed bugs.

Based on LPA's interviews and documents reviewed and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D.

This report was reviewed with ADM Cyril Inneh and a copy of the report was provided along with appeals rights.
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 26-AS-20250718082803
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: VILA VICTORIA #1
FACILITY NUMBER: 435202473
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/17/2026
Section Cited
CCR
80087(a)(1)
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80087(a)(1) Buildings and Grounds
a) The facility shall be clean, safe, sanitary… 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. This requirement was not met as evidenced by:
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ADM stated he will submit a plan of action that will ensure the facility is free of pests and a plan to relocate residents to tent the facility for treatment and a letter of understanding of regulation
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Based on observation and interview the licensee did not comply with the section cited above by having bed bug infestation. LPA observed a live bed bug in residents bedroom # 10, #6, #7 on 7/24/25, dead bed bugs observed on 1/16/26 in room #3,6,7,8,11 in bed foot traps.
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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: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3