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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202884
Report Date: 10/29/2025
Date Signed: 10/29/2025 12:57:38 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
08/20/2025 and conducted by Evaluator Marcela Yanez
COMPLAINT CONTROL NUMBER: 26-AS-20250820093009
FACILITY NAME:M&K ADULT CARE LLCFACILITY NUMBER:
435202884
ADMINISTRATOR:ZAREGHBEITI, KHOSROWFACILITY TYPE:
735
ADDRESS:5527 CENTURY MANOR COURTTELEPHONE:
(408) 621-6871
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY:6CENSUS: 6DATE:
10/29/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Khosrow Zareghbeiti, AdministratorTIME COMPLETED:
01:05 PM
ALLEGATION(S):
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staff sexually abused resident
INVESTIGATION FINDINGS:
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On 10/29/25 Licensing Program Analyst Marcela Yanez conducted an unannounced complaint investigation visit to deliver findings and met with Administrator Khosrow (Bob) Zareghbeiti. LPA announced the purpose of the visit.

On 08//20/2025 the department received a complaint with the above allegations.

On 08/21/2025 Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced initial complaint investigation visit and met with Administrator Khosrow (Bob) Zareghbeiti and Designated Administrator Marjan Gholizadeh.


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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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 2
Control Number 26-AS-20250820093009
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: M&K ADULT CARE LLC
FACILITY NUMBER: 435202884
VISIT DATE: 10/29/2025
NARRATIVE
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During visit LPA obtained copies of pertinent Residents files, including but not limited to Resident Physicians Report, Individual Program Plan (IPP), Appraisal needs and services, identification and emergency information, after visit summary, functional capability, house rules, grievance policy, 30-day report review.

During the investigation the department interviewed two Residents, R1 and R2 and Administrator. R1 and R2 stated he/she have not been sexually abused or touched in any manner. R1 and R2 stated that the Administrator treats them well and they like living at the facility. R1 and R2 stated that they get along with the administrator and have not felt uncomfortable in any way. R1 and R2 stated that Administrator put on a movie that contained adult scenes and R2 stated that it was inappropriate, this occurred only on 1 occasion of unknown date. R2 stated that he/she sometimes misinterprets things and might misread a situation. R1 stated that the administrator helps with his/her computer tasks when attending school.

ADM stated that the television now has a code on it. The code will not allow to display any movies with adult scenes and the movie that was watched with adult scenes was picked by the R1 and R2.

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 Administrator Khosrow (Bob) Zareghbeiti , and a copy of this report was provided.

END OF REPORT.
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC9099 (FAS) - (06/04)
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