435202917-5-9-2025-26-AS-KHOS-DGMQEY-20250513120707

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202917
Report Date: 05/09/2025
Date Signed: 05/09/2025 03:10:10 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
04/14/2025 and conducted by Evaluator Marcela Yanez

COMPLAINT CONTROL NUMBER: 26-AS-20250414110947

FACILITY NAME:	ELLIE REESE CARE HOME LLC		FACILITY NUMBER:	435202917
ADMINISTRATOR:	OVISO, PORTIA		FACILITY TYPE:	735
ADDRESS:	3175 SYLVAN DR		TELEPHONE:	(408) 891-7016
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95148
CAPACITY:	6	CENSUS: 6	DATE:	05/09/2025
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Portia Oviso Administrator		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Staff did not provide adequate food services to resident.
Staff mistreated resident.
Staff did not ensure a comfortable environment was provided for resident.

INVESTIGATION FINDINGS:

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On 05/09/25 Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced complaint investigation visit to deliver complaint findings. LPA met with Administrator Portia Oviso. LPA announced the purpose of the visit.

On 04/14/25 the department received a complaint alleging the facility Staff did not provide adequate food services to resident, Staff mistreated resident, and Staff did not ensure a comfortable environment was provided for resident.

On 04/14/25 LPA interviewed Staff (S1, S2) and 4 Residents (R1-R4). LPA obtained copies of physician’s report and Appraisal needs and services and physicians report for 3 out of 6 residents..

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2025

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

LIC9099 (FAS) - (06/04)

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Control Number 26-AS-20250414110947

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: ELLIE REESE CARE HOME LLC	FACILITY NUMBER: 435202917
	VISIT DATE: 05/09/2025

NARRATIVE

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LPA interviewed Residents (R1 to R4). 4 out of 4 residents stated that the facility provides good food and they like the food that is served, food consists of chicken and fish and hot dogs. 3 out of 4 stated that R2 eats everyone’s food and takes other residents food.

R1 keeps their non-perishable food which consists of Fruit Loops cereal, Frosted Flakes cereal and Quaker Oatmeal, crackers and Peanut Butter in the office for safekeeping

During visit LPA observed food consisting of chicken and hot dogs and facility staff serving a resident Adobo for lunch LPA also observed food served is nutritious according to the resident’s dietary needs.

R1-R4 stated the facility staff treats them well and has never been mistreated. R2-R4 stated that the only 2 residents who do not get along is R1 and R2.

On 05/09/25 LPA interviewed Administrator Portia Oviso who stated the facility has a standard shopping list every month for Insta-Cart and consist of nutritious foods and protein. ADM stated that the facility provides snacks for residents and keeps refrigerator open for residents to take food any time they like. ADM states the residents families are content with how residents are being cared for.

During visit LPA observed the residents watching television and interacting with staff.

Based on observations, interviews and document review the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time.

No citations noted at today’s compliant investigation visit. Exit interview conducted with Administrator Portia Oviso. This report was provided to review and for signature. A copy of this report was provided

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2025

LIC9099 (FAS) - (06/04)

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