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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202473
Report Date: 01/08/2026
Date Signed: 02/04/2026 10:53:17 AM

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
09/24/2025 and conducted by Evaluator Marcela Yanez
COMPLAINT CONTROL NUMBER: 26-AS-20250924124922
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:
01/08/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Cyril InnehTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Staff does not ensure residents are provided with clean linens.
Staff does not ensure facility flooring is in good repair.
INVESTIGATION FINDINGS:
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Amended Report
On 01/08/26 Licensing Program Analyst (LPA) Marcela Yanez conducted a complaint investigation visit to deliver findings. LPA announced the purpose of visit and met with Administrator (ADM) Cyril Inneh.

On 09/24/25 the department received a complaint with the above allegations
On 10/03/25 LPA Yanez conducted a 10-day initial complaint investigation visit.

During investigation the LPA interviewed 5 residents and 3 staff members. 5 out of 5 residents stated that the facility provides bedding to the residents and it is their responsibility to change them once a week. 5 out of 5 residents stated that they have seen bed bugs and cockroaches in the facility. 5 out of 5 residents stated the facility cleans and mops their rooms.

page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
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
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
09/24/2025 and conducted by Evaluator Marcela Yanez
COMPLAINT CONTROL NUMBER: 26-AS-20250924124922

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:
01/08/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Cyril InnehTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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2
3
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5
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7
8
9
Staff does not ensure facility is clean and sanitary.
Staff does not ensure resident's furniture is in good repair.

INVESTIGATION FINDINGS:
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On 01/08/26 Licensing Program Analyst (LPA) Marcela Yanez conducted a complaint investigation visit to deliver findings. LPA met with Cyril Inneh, Administrator. LPA announced the purpose of the visit.

On 09/24/25 the department received a complaint with the above allegations. On 10/03/25 LPA Yanez conducted an initial 10 day investigation complaint visit.

During visit LPA Yanez observed mattresses, pillows, and walls were stained. ADM stated the mattress covers needed to be replaced. ADM stated the facility will be undergoing a remodeling and they will be replacing all furniture at that time. LPA took photographs with state issued phone. During the tour LPA observed the dresser in room #10, #7, and #6 was in disrepair where 2 drawers were covered with plywood and had a hole in the wall measuring 5 x5 inches wide in room #6. LPA took photographs with state provided cell phone.
page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 26-AS-20250924124922
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: 01/08/2026
NARRATIVE
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During visit LPA observed the beds in each room to have a bed bug trap and observed dirt and dead bed bugs in each of the traps. ADM stated the bed bugs were accumulated during the period of 1 week and are cleaned out when the facility conducts a treatment for bed bugs. ADM stated the bed mattress covers are changed and they are just stained.

On 01/08/26 the department completed its investigation and determined based on records review, interviews and observations there is preponderance of evidence to prove the alleged violation did occur; therefore, the allegation is substantiated. See both allegations on 9099-D for deficiency cited per the California Code of Regulations, Title 22.


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

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 26-AS-20250924124922
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: 01/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/09/2026
Section Cited
CCR
80087(a)
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80087(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.
This requirement is not met as evidenced by:
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ADM stated he will submit a letter of understanding of relugation and a plan of action for the repairs by POC due date 01/09/26.
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Based on observation , LPA observed the facility mattresses had stains, walls with dirt and grime, 5x5inch hole room 6 in wall and dresser in room 10, 7 not in good repair which poses/posed an immediate Health, Safety, or Personal Rights risk to persons 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: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 26-AS-20250924124922
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: 01/08/2026
NARRATIVE
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page 2 of 2

LPA observed the flooring to have normal wear and tear and Functionally intact with significant surface degradation. The facility floor does not impede the care of the resident and is not a tripping hazard. The facility will be going remodeling in the future and flooring will be repaired.

During tour LPA observed the flooring had wear and tear. LPA inspected 12 bedrooms which contained a bed with bedding on the mattress. 3 out of 4 residents bedding had sheets over them an used as blankets instead of on the mattress. ADM stated that the residents are provided once a week with clean bedding to change their bedding from the soiled ones to the clean ones.

ADM stated the residents bedsheets gets changed once a week. S1 stated the residents have the responsibility to change their bed sheets. 3 out of 3 staff stated that the facility provides clean linens to residents once a week or as needed if the bedding becomes soiled. 3 out of the 3 staff stated that they will encourage residents to change their bedding and it is part of the resident’s weekly tasks

On 01/08/26 the department has completed its investigation.

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.

No Deficiencies were cited under California Code of Regulations Title 22

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

DATE: 01/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5