435202897-2-22-2026-26-AS-RMAO-DTFP2S-20260424105622

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202897
Report Date: 02/20/2026
Date Signed: 02/22/2026 09:24:45 PM

Substantiated

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
12/18/2025 and conducted by Evaluator Maria Partoza

COMPLAINT CONTROL NUMBER: 26-AS-20251218135439

FACILITY NAME:	FAMILY FEELS RESIDENTIAL CARE		FACILITY NUMBER:	435202897
ADMINISTRATOR:	SHIH, YIWEN		FACILITY TYPE:	740
ADDRESS:	781 TERRAZO DR		TELEPHONE:	(408) 300-1757
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95123
CAPACITY:	6	CENSUS: 5	DATE:	02/20/2026
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Philipp Perez Designated Administrator		TIME COMPLETED:	05:25 PM

ALLEGATION(S):

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Unlawful Eviction

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced visit to deliver the findings for a 2 Out of 3 complaint investigation.

On 12/18/2025, the Department received a complaint regarding the above allegations. On 12/22/2025, the Department conducted an initial 10-day investigation visit, during which requested documents were obtained and interviews were conducted with four staff members (S1–S4) and three residents (R2–R4) out of the six residing at the facility. Two residents (R5 and R6) were not interviewed; R5 declined to participate, and R6 was resting at the time of the visit. Resident 1 (R1) was not present during the visit, as R1 had been hospitalized due to pain. After discharge, R1’s case manager (CM) placed R1 in a temporary shelter (motel) due to the fact that the licensee did not want R1 back at the facility.

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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

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 7

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
12/18/2025 and conducted by Evaluator Maria Partoza

COMPLAINT CONTROL NUMBER: 26-AS-20251218135439

FACILITY NAME:	FAMILY FEELS RESIDENTIAL CARE		FACILITY NUMBER:	435202897
ADMINISTRATOR:	SHIH, YIWEN		FACILITY TYPE:	740
ADDRESS:	781 TERRAZO DR		TELEPHONE:	(408) 300-1757
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95123
CAPACITY:	6	CENSUS:	DATE:	02/20/2026
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:			TIME COMPLETED:	05:25 PM

ALLEGATION(S):

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Staff did not safeguard resdient's personal belongings

INVESTIGATION FINDINGS:

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conitnuation from LIC 9099
Based on interview, Resident 1 (R1) case manager (CM) stated that R1 admitted to CM that the drugs belonged to R1; however, R1 claimed the drugs were inside a bag and alleged that staff searched R1’s personal belongings without permission, thereby violating R1’s privacy. CM stated that he/she believes R1’s account of the incident; however, R1 did not clarify whether the bag containing the drugs was left open or closed or where it is located. CM stated that facility staff sent CM photographs of the drugs and the bag in question.

Staff members, S1 through S4 stated that no staff intentionally search through R1’s personal belongings without consent. S2 stated, when R1 was hospitalized, staff began cleaning R1’s room and changing the mattress in preparation for R1’s return. S2 reported that R1’s bag was fully open, and when it fell to the floor, its contents spilled out.
page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 7

Control Number 26-AS-20251218135439

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: FAMILY FEELS RESIDENTIAL CARE	FACILITY NUMBER: 435202897
	VISIT DATE: 02/20/2026

NARRATIVE

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S2 stated that S3 assisted during the cleanup. S3 stated that while cleaning the room and replacing the mattress, they hit the bag hanging on the bed, causing its contents to fall. S3 observed a white substance and a pipe among the items. S2 and S3 stated that staff did not search through R1’s belongings.

Residents R2 through R4 stated that staff request permission before entering their rooms for cleaning and do not go through personal belongings.

Based on review of the complaint narrative, R1 alleges that staff were interested in his/her food stamp and had recently purchased a box of waffles and later discovered that S2 had given the waffles to another resident.

Staff members S1 through S4 stated that food belonging to residents is labeled with the resident’s name to ensure proper identification. Three out of five residents (R2–R4) stated that they write their names on boxes or containers to prevent others from taking their food from the refrigerator. R2 to R4 stated they have not experienced staff giving away their food.

The remaining two residents (R5 and R6) do not store food in the refrigerator, as their meals are prepared according to their specific dietary requirements.

Based on interviews, 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 citations are issued based on California Code of Regulation (CCR) Title 22. A copy of the report was provided to designated administrator Philipp Perez. An exit interview and a copy of the report was provided.

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SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 7

Control Number 26-AS-20251218135439

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: FAMILY FEELS RESIDENTIAL CARE	FACILITY NUMBER: 435202897
	VISIT DATE: 02/20/2026

NARRATIVE

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Based on interviews with staff members S2 through S4, they stated that they were not aware of any eviction notice for R1. S2 reported that R1’s case manager (CM) visited the facility and informed staff that R1 would be returning.

S1 stated that R1 violated the facility’s house rules and could no longer reside at the facility. S1 confirmed that no formal eviction notice was issued to R1 and no notification was sent to the Community Care Licensing Division (CCLD). S1 stated that he/she communicated with CM regarding R1’s noncompliance with house rules that is related to drug use and allowing individuals into R1’s room without prior notification to staff or the licensee. S1 stated to CM that he/she feels that R1s behavior poses a safety concern for other residents.

On 02/05/2026, LPA Partoza conducted an interview with R1’s case manager (CM). CM stated that S1 reached out to him/her to inform him/her that S1 will not admit R1 back at the facility, when staff discovered drug paraphernalia in R1’s room. CM stated that he/she could not dissuade S1 not to make a rushed decision in not re-admitting R1 back to the facility, which compromised R1s safety. The rush decision prompted CM to place R1 in a motel after being discharge from the hospital. CM stated that they were not given a 30-day eviction notice by S1 to give them time to find a new placement for R1. CM stated that S1 was firm with the decision and said that he/she will take full citations from CCLD for the unlawful eviction. CM stated that S1 expressed his/her concern regarding R1s behavior. S1 told CM that he/she was not willing to readmit R1 to the facility because S1 would be prioritizing the safety of the current residents in place and staff over compliance with licensing requirements.

S4 stated that he/she observed R1 smoke Marijuana when he/she and S2 first got hired in 2024. then in June of 2025 R1 no longer smokes weed at the property. S4 stated he/she has not seen R1 use any other drugs. Based on document review from the time that R1 was admitted to the facility on 08/01/2023, no incident report was submitted to CCLD by the facility that R1 was observed using drugs inside the facility that would require law enforcement intervention. R1s medical assessment states that R1 has a substance abuse, hypertension, diabetes type 2, COPD and HIV. R1 is highly cognitive, and is able to leave the facility without assistance. R1s appraisal needs and services plan, states that R1 is alert and oriented, and will maintain current level of functioning and "very independent with his/her ADLS and likes to go out with his/her friends." page 2 of 3

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

Page: 5 of 7

Control Number 26-AS-20251218135439

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: FAMILY FEELS RESIDENTIAL CARE	FACILITY NUMBER: 435202897
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/20/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/21/2026 Section Cited CCR 87224(a)	1 2 3 4 5 6 7	87224 Eviction Procedures(a)...Thirty (30) days written notice to the resident is required...This requirement is not met as evidenced by: Based on interviews and record review, Licensee did not follow eviction procedure	1 2 3 4 5 6 7	DADM, stated that licensee will be notified that a plan of correction needs to be submitted to LPA within 24 hours (02/21/2026).
	8 9 10 11 12 13 14	as stipulated on the admission agreement by not issuing a 30-day eviction notice to R1s and CM and provide CM & R1 time to relocate on 12/16/25, which pose/s an immediate health, safety and personal rights risks to persons in care.	8 9 10 11 12 13 14
Type B 03/02/2026 Section Cited CCR 87224(f)	1 2 3 4 5 6 7	87224(f) Eviction procedure (f) A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	DADM stated that he/she will notify Licensee/administrator that a plan of correction is required to handle notification regarding eviction procedures by 03/02/2026.
	8 9 10 11 12 13 14	Based on interview and record review, the Licensee did not submit a written report within 5 days to CCLD and R1s CM commencing on 12/17/25, which pose/s a potential health, safety and personal right risk to persons on care.	8 9 10 11 12 13 14

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

Page: 6 of 7

Control Number 26-AS-20251218135439

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: FAMILY FEELS RESIDENTIAL CARE	FACILITY NUMBER: 435202897
	VISIT DATE: 02/20/2026

NARRATIVE

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Based on review of the admission agreement, stipulated on page 10 under the condition for eviction, are as follows: “the licensee to provide a 30-day written notice to the resident for, 3. Failure of the resident to comply with written general policies of the facility (house rules).” The written general policies was updated in June of 2025 as part of the admission agreement.

Based on document reviews and interviews the preponderance of evidence standard has been met; therefore, the allegation of unlawful eviction is found to be SUBSTANTIATED.

Deficiencies were cited during today's visit based on the California Code of Regulation (CCR) Title 22. An exit interview was conducted with designated Administrator Philipp Perez and a copy of the report was provided.

This report is continued for the other 2 allegations for this complaint. (See LIC 9099A)

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SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

LIC9099 (FAS) - (06/04)

Page: 7 of 7