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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202719
Report Date: 04/13/2026
Date Signed: 04/13/2026 05:17:16 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
12/26/2025 and conducted by Evaluator Maria Partoza
COMPLAINT CONTROL NUMBER: 26-AS-20251226160333
FACILITY NAME:EBADAT RESIDENTIAL CARE HOME #2FACILITY NUMBER:
435202719
ADMINISTRATOR:SHU JEN COLLADOFACILITY TYPE:
735
ADDRESS:5686 TONOPAH DRTELEPHONE:
(408) 224-8258
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:6CENSUS: 6DATE:
04/13/2026
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Shu Jen Collado - AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff had inappropriate interaction with resident.
Staff spoke inappropriately to resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced visit to deliver the findings of the complaint filed with the Department on 12/26/2025. LPA met with administrator Shu Jen Collado and stated the purpose of the visit.

On 12/26/2025, the Department received a complaint with the above allegation(s) and the Department conducted investigations on the following dates: 12/30/2025 and 02/25/2026.

The facility services adults 18 to 59 years of age, for 6 amublatory residents only. The facility is a level 6 (4i) designed for individuals requiring 24/7 care, and behavioral management. It provides specialized support for severe self-help deficits, extreme behavioral challenges.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
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 2
Control Number 26-AS-20251226160333
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: EBADAT RESIDENTIAL CARE HOME #2
FACILITY NUMBER: 435202719
VISIT DATE: 04/13/2026
NARRATIVE
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LPA interviewed RP, W1–W2, S1–S5, and R1–R4. R5 was unavailable.

RP, W1–W2: Reported a resident disclosed staff made weight related comments and felt upset; a report was filed based on the disclosure.

S1, stated that inappropriate (non-physical) interactions observed are typically resident to resident; staff do not yell at residents. S1 stated that residents are weighed monthly and nutrition consultations occur every two months; diet reminders are provided for health needs (e.g., diabetes).

S2–S5: stated that staff do not make derogatory or weight related comments toward residents; staff stated residents sometimes joke or make comments to each other; staff avoid appearance/weight remarks and monitor diets per directions of their dietitian.

R1–R4: Reported they have not heard staff call residents “fat” or comment that clothing does not fit; described staff as providing supervision and care; stated joking occurs among residents, but R5 does not engage or joins in the these verbal exchanges.

Based on documents reviewed, the facility maintains food that aligns with residents’ health needs and follows Therapeutic Diet designed by a dietitian for the facility, for food portion control and food safety. Based on documents reviewed, the residents’ weight stays consistent with no significant weight loss or weight gains. Based on observation, the facility is consistent with the food supply that aligns with the dietitian's guidelines which are proportioned: fruits, non-starchy vegetables, starch/grain/bread, protein/meat.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were cited based on California Code of Regulations (CCR) Title 22. An exit interview was conducted with Administrator Shu Jen Collado and a copy of the report was provided.

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end of report
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2