435202655-3-7-2025-26-AS-RMAO-DEWJFZ-20250319070134

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202655
Report Date: 03/07/2025
Date Signed: 03/07/2025 01:44:54 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
08/01/2024 and conducted by Evaluator Simranjit Rai

COMPLAINT CONTROL NUMBER: 26-AS-20240801133025

FACILITY NAME:	MARQUEZ LIVING I (RCFE)		FACILITY NUMBER:	435202655
ADMINISTRATOR:	MARQUEZ LORENZO, MARIA		FACILITY TYPE:	740
ADDRESS:	994 SOBRATO DR		TELEPHONE:	(408) 533-2829
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY:	0	CENSUS: 0	DATE:	03/07/2025
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Manager, Julius Reyes		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not ensure that resident's mobility needs are met while in care.
Staff do not ensure that resident is provided with activities while in care.
Staff do not ensure that resident's bedroom is large enough to accommodate resident's wheelchair needs.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced visit to conclude the complaint investigation. LPA Rai met with the Manager, Julius Reyes and stated the purpose of today’s visit.

On 8/1/2024, the Department received a complaint with the above allegations. On 8/9/2024, the Department conducted an initial investigation at the facility.

Continuation on LIC 9099-C, Page 1 of 3.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Romeo Manzano	TELEPHONE: (650) 388-2297
LICENSING EVALUATOR NAME: Simranjit Rai	TELEPHONE: (408) 324-2112
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025

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-20240801133025

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: MARQUEZ LIVING I (RCFE)	FACILITY NUMBER: 435202655
	VISIT DATE: 03/07/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 2 of 3.

Staff do not ensure that resident’s mobility needs are met while in care.
It was alleged that resident R7 was not provided assistance from staff to transfer into a wheelchair or use the assistance of a Hoyer lift.

On 8/9/2024, the Department interviewed 4 staff (S1-S4). Four out of the four staff stated they provide care and supervision to meet the resident’s mobility needs which include providing assistance to transfer residents between bed to wheelchair and/or walker. Four out of four staff stated they used a Hoyer lift to assist residents which included R7. Four out of the four staff stated R7’s Hoyer lift was kept on the other side of the sliding door for staff to easily access to transfer the resident from the bed to the wheelchair.

On 8/9/2024, the Department interviewed 6 residents (R1-R6). Six out of six residents stated their mobility needs are being met at the facility. Six out of six residents stated the staff do provide assistances routinely and when asked by residents. Six out of six residents stated they did not see staff refuse to provide assistance with mobility to a resident.

Based on review of resident R7’s files, R7’s Home Heath Plan of Care, R7 did have a wheelchair and Hoyer lift and caregivers were trained on using Hoyer lift for R7. Based on review of resident R7’s Preplacement Appraisal dated 1/17/2024 and Appraisal dated 1/22/2024, the documents stated R1 uses wheelchair and cannot get in and out of the wheelchair unassisted.

Staff do not ensure that resident is being provided with activities while in care.
On 8/9/2024, the Department interviewed 4 staff (S1-S4). Four out of four staff stated the residents are being provided activities such as puzzles, walks around the neighborhood and watching television.

On 8/9/2024, the Department interviewed 6 residents (R1-R6). Six out of six residents stated they do participate in activities at the facility. One out of six residents stated they would like see additional activities but was not able to communicate which activities the staff should provided additional to ones scheduled on the activity calendar.

SUPERVISOR'S NAME: Romeo Manzano	TELEPHONE: (650) 388-2297
LICENSING EVALUATOR NAME: Simranjit Rai	TELEPHONE: (408) 324-2112
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 26-AS-20240801133025

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: MARQUEZ LIVING I (RCFE)	FACILITY NUMBER: 435202655
	VISIT DATE: 03/07/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 3 of 3.

On 8/9/2024, LPA Rai observed 6 residents in the living room watching tv, 2 residents in the dining room working with puzzles and 4 residents in their room participating in solo activities such as reading a book, listening to an audio book or music.

Based on review of activity calendar, the facility staff provided variety of activities which included but not limited to puzzles, karaoke, and tv programming.

Staff do not ensure that resident’s bedroom is large enough to accommodate resident’s wheelchair needs.
On 8/9/2024, the Department interviewed 4 staff (S1-S4). Four out of four staff stated the resident rooms are large enough to accommodate resident’s wheelchair needs. Four out of four residents stated there are three residents with wheelchair needs and they have provided care and assistance to the residents in the room & no issues with ensuring there was enough space to accommodate the resident’s wheelchair.

On 8/9/2024, the Department interviewed 6 residents (R1-R6). Six out of six residents stated there are no issues with resident’s bedrooms being large enough to attend to resident’s wheelchair needs. Four out of six residents stated they have seen resident’s wheelchair can fit in the resident’s rooms.

On 8/9/2024, LPA Rai conducted interviews of the residents in a resident room and the room was able to accommodate resident’s wheelchair as the resident was able to move around the room towards the bed, sliding door exit and the door leading to the hallway.

UNSUBSTANTIATED
Based on the interviews conducted with clients and staff and based on observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Manager, Julius Reyes and a copy of the report was provided.

SUPERVISOR'S NAME: Romeo Manzano	TELEPHONE: (650) 388-2297
LICENSING EVALUATOR NAME: Simranjit Rai	TELEPHONE: (408) 324-2112
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3