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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202473
Report Date: 03/26/2026
Date Signed: 03/26/2026 02:51:10 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
02/27/2026 and conducted by Evaluator Marcela Yanez
COMPLAINT CONTROL NUMBER: 26-AS-20260227084309
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: 15DATE:
03/26/2026
UNANNOUNCEDTIME BEGAN:
08:21 AM
MET WITH:Cyril InnehTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Licensee did not ensure the facility was free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marcela Yanez conducted a unanounced complaint investigation visit to deliver findings. LPA arrived at 8:21 am and called Admininistrator Cyril Inneh to come to the facility. ADM arrived at 8:50 AM. LPA observed 3 residents outside smoking cigarrettes and 1 resident eating breakfast.

On 02/27/26 the department recieved a complaint with the allegation the licens did not ensure the facility was free of pests.

During the investigation the department interviewed 5 residents and 2 staff. 5 out of 5 residents stated they see bed bugs and cockaroaches every day. 1 out of 5 residents stated he/she had cockaroaches in his/her hair. 1 out of 2 staff stated he/she is seeing less bed bugs then previous visit on 03/05/26. 2 out of 2 staff stated they clean, mop, and disinfect the facility everyday.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
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-20260227084309
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: 03/26/2026
NARRATIVE
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Amended Report
LPA toured the facility and bedrooms #1-12 and observed bed bug traps on residents feet of the bed. LPA did not observe any bed bugs during visit. ADM stated that the last treatment for pests was last conducted on 01/12/26. The facility did not have an exterminator treatment in February. ADM stated the exterminator treatment was scheduled to be every month but the exterminator has not processed the change. ADM provided a copy of next scheduled treatment set to occur on 03/30/26. ADM stated he will provide a copy of treatment invoice to LPA.

LPA toured bedroom #11 and observed a cockroach on residents dresser, and cockroach feces. LPA did not obtain picture due to resident smashing cockroach.

LPA toured the kitchen area and inspected the kitchen cabinets. LPA did not observe any cockroaches in the cabinets.
The facility is conducting preventive measures to control the bed bug and cockroach issue but still continues to have a bed bug and cockroaches. ADM stated he will be tenting the facility in the near future.
On 03/26/26 the department concluded its investigation. 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 LIC9099-D for deficiency cited per the California Code of Regulations, Title 22.

An immediate civil penalty of $1000 is being assessed against the facility today for repeat violation within the 12 month period in which the Licensee did not ensure the facility was free of pests See LIC421-IM.

Facility was previously cited on 1/16/26 Type A violation 80087 (a)(1) building and grounds.



On 04/16/26 The facility was issued a civil penalty for $250 see LIC421-FC, previous civil penalty of $1000 LIC421-IM issued on 03/26/26 will not be assessed.
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 26-AS-20260227084309
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: 03/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/27/2026
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 letter of understanding and a plan of correction to ensure the facility is free of pests.
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Based on observation and interview the licensee did not comply with the section cited above by having bed bug and cockroaches. 5 out of 5 residents stating seeing bed bugs and cockroaches on 03/25/26. During visit LPA observed a live cockroach in bedroom #11.
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This Citation was inadvertently amended
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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: 03/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2026
LIC9099 (FAS) - (06/04)
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