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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202578
Report Date: 11/25/2025
Date Signed: 11/25/2025 02:41:14 PM

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
05/12/2025 and conducted by Evaluator Manuel Monter
COMPLAINT CONTROL NUMBER: 26-AS-20250512152138
FACILITY NAME:CEDAR MANOR LLCFACILITY NUMBER:
435202578
ADMINISTRATOR:CASIM, ELVIRAFACILITY TYPE:
735
ADDRESS:415 HEATH STREETTELEPHONE:
(408) 945-9197
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:6CENSUS: 2DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Staff Golda MedianteTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility staff sexually abused resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Monter conducted an unannounced complaint inspection to deliver the findings on the above allegation. LPA met with staff Golda Mediante. ADM Mary Grace Lazaro contacted via telephone.

On May 12, 2025 the Department received a complaint alleging facility staff sexually abused resident. It has been alleged that on May 8, 2025, it was observed that staff S1 was pulling his/her pants while resident R1 was in the room.

On May 12, 2025, the Department received an incident report regarding R1. The report stated that Witness W1 observed as he/she entered R1’s bedroom, that staff S1 was pulling his/her pants up while R1 was sitting down in the room. Licensee Elvira Casim immediately called S1 to explain what he/she was doing in the room. According to S1 he/she was fixing his/her pants with his/her undergarment and belt while walking out of the bathroom. Page 1 Out of 3.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
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-20250512152138
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: CEDAR MANOR LLC
FACILITY NUMBER: 435202578
VISIT DATE: 11/25/2025
NARRATIVE
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On May 9, 2025, Local Law Enforcement interviewed Witness W1. W1 stated on May 8, 2025, he/she conducted a visit at the facility to see R1. W1 attempted to open R2 and R3’s room, but noticed it was locked. R1 opened the door and W1 saw R1 sitting on a chair and S1 standing approximately 5 feet from R1 and S1 was attempting to pull his/her pants up and buckle his/her belt. W1 did not see whether or not S1’s privates were erect. W1 stated he/she asked S1 why his/her pants were down in a locked room with R1. S1 ignored W1’s question and tried to escort R1 out of the bedroom. W1 asked again why S1’s pants were down and S1 stated he/she was using the bathroom and heard a knock on the door, so S1 rushed out to try to open the door. W1 noted that he/she did not knock on the door and R1 opened the door on his/her own accord.

W1 called Licensee (LN) Elvira Casim on the phone an informed her of the incident. LN told W1 that S1 was attempting to get R1 dressed. W1 told LN that S1’s pants were down. LN told W1 that S1 was rushing out of the bathroom after hearing a knock at the door, which was why S1’s pants were down.

On September 24, 2025, Local Law enforcement interviewed R1. During the interview, Resident R1 was not able to verbalize any words clearly. Resident R1 was unable to provide any details of the incident.

On October 17, 2025, the Department interviewed residents R2 and R3. Residents R2 and R3 were unable to speak in coherent statement and unable to provide responses to questions posed.

On October 21, 2025, the Department interviewed Licensee (LN) Elvira Casim. LN stated on May 8, 2025, Witness W1 arrived unannounced to the facility. W1 reported upon entering the room where R1 was, W1 saw staff S1 pulling his/her pants up while R1 was sitting down. When W1 reported what he/she saw, LN spoke with S1. LN stated, according to S1, he/she used the bathroom that was inside the resident’s room and he/she was pulling up his/her pants while coming out the bathroom that was inside the residents room and he/she was pulling up his pants while coming out of the bathroom, while at the same time W1 came in. LN stated S1 is not fluent in English and was flustered, so he/she was not able to explain the circumstances to W1 clearly when W1 asked him/her why his/her pants were down. LN stated S1 is a good person and has sympathy for the residents. LN stated she never had concerns with S1 and never observed any inappropriate behavior from Staff S1 towards anyone at the facility. Page 2 Out of 3.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 26-AS-20250512152138
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: CEDAR MANOR LLC
FACILITY NUMBER: 435202578
VISIT DATE: 11/25/2025
NARRATIVE
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The Department interviewed Staff S3. S3 stated he/she wasn’t working on May 8, 2025. S3 stated S1 is a good person and doesn’t think S1 have the personality nor capability to abuse someone. S3 stated R1 never reported anything to S3 regarding S1 touching R1 inappropriately and S3 never observed any changes in R1’s behaviors.

On October 22, 2025, the Department interviewed Staff S1. S1 stated on May 8, 2025, he/she was supervising residents R2 and R3 in their bedroom. S1 stated he/she decided to use the private bathroom because it was close and he/she needed to use it right away. S1 stated while in the bathroom, S1 did not realize that R1 went to the room. S1 stated when he/she heard a knock on the door, he/she rushed out of the bathroom to see who was knocking. S1 stated while walking out of the bathroom, he/she was pulling his/her pants back up. S1 denied touching R1 inappropriately and denied R1 touching him/her inappropriately.

On November 4, 2025, the Department interviewed staff S2. S2 stated he/she was in the garage doing laundry when W1 arrived at the facility. S2 stated S1 was supervising residents R1-R3 in the bedroom at the time. S2 stated he/she did not believe that S1 would sexually abuse R1.

The Department interviewed R1’s Family member, referred to as FM. FM stated when R1 was still living at Cedar Manor, FM would visit R1 about 1-2x a month. FM stated he/she never had any issues or observed anything that was concern about the facility or the staff. FM stated R1 never reported or indicated anything to him/her that as of concern. FM stated he/she never observed any changes in R1’s behaviors. FM stated he/she thought the staff at Cedar Manor provided adequate care and supervision to R1 and he/she never heard of any inappropriate interactions between staff and the residents.

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.

This report was reviewed with ADM Mary Grace Lazaro, via telephone. ADM stated Staff Golda Mediante could sign on her behalf. A copy of the report was proved.

Page 3 Out of 3. END OF REPORT.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3