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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202897
Report Date: 10/28/2025
Date Signed: 10/28/2025 09:45:55 AM

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
06/09/2025 and conducted by Evaluator Manuel Monter
COMPLAINT CONTROL NUMBER: 26-AS-20250609082231
FACILITY NAME:FAMILY FEELS RESIDENTIAL CAREFACILITY NUMBER:
435202897
ADMINISTRATOR:SHIH, YIWENFACILITY TYPE:
740
ADDRESS:781 TERRAZO DRTELEPHONE:
(408) 224-6225
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:6CENSUS: 5DATE:
10/28/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Administrator designee Rita GarciaTIME COMPLETED:
09:50 AM
ALLEGATION(S):
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Facility staff is financially abusing resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Manuel Monter arrived unannounced to deliver the finding for this complaint investigation. LPA met with Administrator designee Rita Garcia

On 06/09/2025, the Department received the complaint alleging that the staff is financially abusing resident (R1) by asking R1 to lend them money. It was alleged that a staff asked R1 for $100.00 then paid it back, and another staff asked to loan $200.00 from R1. The reporting party (RP) stated that R1 could not say no and loaned staff the money and staff had not paid back R1 as of 06/09/2025.

On 06/18/2025, the initial complaint investigation was conducted. Documents were obtained to include 6 residents physician's report, identification and emergency contact information, resident roster, LIC500, and 1 resident's admission agreement and appraisal/needs and services plan. Page 1 Out of 3.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
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 4
Control Number 26-AS-20250609082231
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: 10/28/2025
NARRATIVE
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On 06/18/2025, 3 staff members (S1 – S3) and the Administrator were interviewed.

S1 states that there was one time around May 2025 when the staff’s paycheck was running late. S1 stated that he/she desperately needed to send money to his/her family member for school. S1 stated that the staff were talking about their paycheck being late in the dining room when R1 overheard and offered to loan S1 $200. S1 admitted to taking the money that R1 offered and paid R1 pack with a $50 interest about 3 days after. S1 denied asking R1 for money. S1 states that it only happened once and denied borrowing money from R1 on other occasions.

S1 states that R1 likes to go shopping and if R1 doesn’t like the clothing, R1 sells them to the staff. S1 states that he/she has bought clothes from R1. S1 states that he/she bought a clothing item from R1 amounting to $25. S1 stated to have paid R1 $15 but still owed R1 $10. S1 states that R1 was okay with it and stated that S1 can pay R1 back later. S1 states that R1 likes to make money in the facility and the staff support it.

S2 denied ever taking or asking for money from any resident and denied R1 loaning him/her any money.

S3 stated that R1 buys him/her a vape at least once a month or when he/she runs out and pays R1 back whenever he/she receives a paycheck. S3 stated that he/she would pay R1 extra money on top of the price of the vape to pay for R1’s gas. S3 denied owning any money to R1. S3 also stated that about 2-3 months ago, S3 asked R1 for money because his/her paycheck was late. S3 stated that R1 loaned him/her $100 and when S3 received his/her paycheck about 6-7 days after, S3 gave R1 the money owed plus interest of $50 totaling $150.

On 06/18/2025, resident (R1) was interviewed. Based on interview, R1 denied any staff asking R1 for money and denied any staff taking money from R1 without his/her consent. R1 stated that he/she voluntarily loaned his/her money to 3 staff members (S1 – S3) because R1 felt bad that their paycheck was late. R1 denied staff asking him/her to loan money and stated to have voluntarily offered his/her money on his/her own doing. R1 states that the 3 staff members that he/she loaned money to paid R1 back, and denied any staff currently owing R1 money. R1 denied receiving more money than what was initially loaned. R1 stated to voluntarily buy a staff (S3) a vape from the smoke shop because they have a good friendship. R1 stated that S3 has also given him/her money to buy a vape when R1 goes to the smoke shop. Page 2 Out of 3.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 26-AS-20250609082231
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: 10/28/2025
NARRATIVE
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On 06/18/2025, the Administrator was interviewed who denied knowledge of any staff borrowing money from R1. The Administrator stated that R1 takes care of his/her own cash resources. Administrator states that the staff do not have any policy or rules regarding do and don’t while working in the facility. Administrator states that the staff should not be accepting money from the residents.

On 10/07/2025, the Administrator states they have created a house rule and policy for the residents and staff to sign. The review of the house rules and policy states that the residents and staff are not allowed to sell or buy anything from each other, and no borrowing or lending money to residents and vice vera. This was signed by the residents on 06/21/2025 and the staff members (including S1 – S3) on 07/15/2025.

On October 22, 2025, LPA Monter interviewed Staff S4. S4 confirmed there is no written agreement regarding handling R1's finances and/or loaning money from residents.

Based on record review, R1 does not have a neurocognitive disorder and is able to manage his/her cash resources.

Based on interviews and documents review the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED.

Deficiencies were cited during todays visit. Please see LIC9099-D. This report was reviewed with Administrator designee Rita Garcia, Appeal rights were provided.

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

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 26-AS-20250609082231
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: 10/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/29/2025
Section Cited
CCR
1569.50(a)(3)
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1569.50 Denial, suspension or revocation of license; ...exclusion from licensee without right to petition for reinstatement (a)(3) Conduct that is inimical to the health, morals, welfare, or safety ... from the facility or the people of the State of California. This requirement was not met as evidenced by;
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ADM stated she will conduct a personal rights training with her staff. ADM stated she will send documentation of the training with the following information: who participated, who conducted the training, duration of the training, what materials were used.
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Based on interviews conducted, and evidenced reviewed, staff S1 and S3 admitted to loaning money from R1. This action is a violation of resident R1’s personal rights. This poses an immediate threat to residents health, safety and personal rights.
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ADM stated she will send a letter of understanding regarding the regulation. ADM stated she will send the plan of corrections to LPA by POC date, October 29, 2025.
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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: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4