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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202509
Report Date: 10/22/2024
Date Signed: 10/22/2024 03:43:51 PM

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
10/21/2024 and conducted by Evaluator Christine Dolores
COMPLAINT CONTROL NUMBER: 26-AS-20241021095103
FACILITY NAME:VILA MONTEFACILITY NUMBER:
435202509
ADMINISTRATOR:NICHOLAS INNEHFACILITY TYPE:
740
ADDRESS:17090 PEAK AVENUETELEPHONE:
(408) 500-2693
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:28CENSUS: 23DATE:
10/22/2024
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Nicholas InnehTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee is not ensuring that facility is kept free of rodents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to open the initial complaint investigation. LPA met with Administrator, Nicholas Inneh.

On 10/21/2024, the Department received the complaint. On 10/22/2024, the initial complaint investigation was conducted. Documents were obtained to include the LIC500, resident roster, a resident's progress notes, and the facility's policy. It was alleged that the licensee is not ensuring the facility is kept free of rodents as a resident has seen mice in the facility for the past month.

On 10/22/2024, 3 staff members were interviewed. Based on staff interview, S1 states there were 2 residents who informed S1 of the observation of either a mouse or rat in their bedroom. S1 was first made aware of a rat inside resident (R1)'s bedroom on 10/10/2024. After S1 was made aware, S1 searched R1's room and did not observe any rodents or rodent droppings. Page 1 of 2.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Christine Dolores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
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 2
Control Number 26-AS-20241021095103
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 MONTE
FACILITY NUMBER: 435202509
VISIT DATE: 10/22/2024
NARRATIVE
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Page 2 of 2... S1 placed sticky traps inside R1's bedroom. S1 reminded the residents to not eat or store food in their rooms and to take out the trash to prevent rodents from entering in the facility. S1 states R1 did not complain of any observations of a rat inside R1's bedroom since 10/10/2024.

S1 was made aware a second time of a mouse inside resident (R2)'s bedroom on 10/18/2024. S1 states to have spoken with R2 and cleaned out R2's bedroom to include underneath R2's bed, clothes and trash. S1 did not locate any rodent. S1 states R2 did not mention anything to S1 sooner.

S1 states they did not yet contact a pest control company and had plans to contact a pest control company today (10/22/2024). S1 states on 10/21/2024, the police were called to the facility regarding a rat infestation. S1 stated they police inspected the facility and left. S1 denied a rat infestation.

On 10/22/2024, 2 residents were interviewed. Based on resident interview, R1 stated that the facility staff has placed sticky traps in the facility. R1 states that they also asked him/her to clean out his/her closet and reminded the residents to not eat in their room. R2 stated that the staff have placed sticky traps in the kitchen and have cleaned out their room. R2 states that the staff have also reminded the residents that they cannot eat in their rooms.

On 10/22/2024, LPA Dolores entered into R1 and R2's bedroom and did not observe any rodent or rodent droppings. LPA Dolores entered the kitchen and observed sticky traps inside the pantry. Based on staff interview, 2 out of 2 staff denied the observation of mice or rats in the facility and kitchen area. 2 out of 2 staff stated the sticky traps were placed about 2-3 weeks ago and there were no mice or rats that were found on the traps.

The Department has investigated the above allegation. Based on interview and observation, the above allegation is unfounded meaning the allegation is false, could not have happened and/or is without a reasonable basis. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Administrator, Nicholas Inneh and a copy of the report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Christine Dolores
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2