435294328-9-23-2026-26-AS-RMAO-DYS3MP-20261011182240

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435294328
Report Date: 09/23/2026
Date Signed: 09/23/2026 04:46:46 PM

Unfounded

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
06/09/2026 and conducted by Evaluator Chihhsien Chang

COMPLAINT CONTROL NUMBER: 26-AS-20260609171447

FACILITY NAME:	VILLA FONTANA		FACILITY NUMBER:	435294328
ADMINISTRATOR:	DUEWEL, MA. FELICITAS V.		FACILITY TYPE:	740
ADDRESS:	5555 PROSPECT ROAD		TELEPHONE:	(408) 255-5555
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95129
CAPACITY:	104	CENSUS: 93	DATE:	09/23/2026
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Marife Duewel		TIME COMPLETED:	04:35 PM

ALLEGATION(S):

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Resident is being denied visitors.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Executive Director (ED) Maride Duewel.

On 06/09/2026, the Department received a complaint with the allegation that resident is being denied visitors.

On 06/17/2026, the Department conducted an initial investigation visit.

LPA interviewed ED, staff, and resident R1.

LPA requested resident roster, LIC500, visitor sign in log, incident reports, R1's physician report, and resident R1's document file.
Continue on LIC9099-C. Page 1 of 3.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

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 3

Control Number 26-AS-20260609171447

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: VILLA FONTANA	FACILITY NUMBER: 435294328
	VISIT DATE: 09/23/2026

NARRATIVE

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On 06/17/2026, LPA interviewed Executive Director (ED) Marife Duewel and Director of Assisted Living unit (S1). ADM stated the facility did not restrict or deny visitors to visit residents. The facility has policy for visitors to sign in and sign out. Both visitor and resident need to sign out and sign in if visitor is going to take resident out. The facility visitor hours are from 8:00AM to 8:00PM. Resident needs to return to the facility by 8:00PM if visitor takes resident out. If visitor checks in before 8:00PM and wants to stay overnight with the resident, visitor can stay overnight with resident after visitor notifying the facility.

ADM stated resident R1's spouse (FM), R1's DOPA, notified the facility that he/she does not like visitor to stay overnight with R1 if not necessary. FM told staff to notify him/her if R1 has any visitor. ADM stated FM notified the facility that the facility shall let him/her know and obtain his/her approval if visitor would like to take R1 out from the facility. ADM stated the facility had conducted R1's care conference with R1's families after 05/08/2026.

S1 stated when visitor (V1) visited the facility in March, April, and May 2026, the facility staff requested V1 to sign in and sign out but staff did not restrict or deny visitors to visit resident R1. S1 stated when V1 requested to stay overnight and sleep overnight in R1's room, staff did not restrict or deny V1's request of staying overnight with R1.

S1 stated on 05/08/2026, V1 wanted to take R1 out for lunch and meet R1's neighbors. S1 stated the facility notified FM and FM talked to V1 on the phone. FM told V1 that he/she did not agree that V1 to take R1 out from the facility. S1 stated on 05/08/2026, V1 took R1 out and signed out for lunch. S1 stated V1 did not take R1 back to the facility on 05/08/2026. S1 stated FM reported the incident to police department.

On the same day, LPA interviewed FM on the phone. FM stated he/she did not refuse V1 to visit R1 but wants V1's visit is under "supervision". FM stated she filed a Restraining Oder for V1 to visit R1 but still pending.

On the same day, LPA interviewed resident R1. R1 stated any visitor including his/her children can visit him/her any time. R1 stated FM did not restrict his/her children to visit him/her.
LPA reviewed R1's visitor log in May 2026, on 05/08/2026, R1 was signed out for lunch with V1.
Continue on LIC9099-C. Page 2 of 3.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 26-AS-20260609171447

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: VILLA FONTANA	FACILITY NUMBER: 435294328
	VISIT DATE: 09/23/2026

NARRATIVE

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On 9/19/2026, LPA confirmed with ED that the facility visiting hours are from 8:00 AM to 8:00 PM. Overnight stays are permitted under the following circumstances:
1. The resident requests support while transitioning to the new environment.
2. A hospice resident requires support from loved ones.
3. A loved one is visiting from out of state and needs overnight accommodations.
4. To stay overnight in the facility, guests must provide a copy of their ID. This ensures our staff is aware of who is in the building and allows the facility to account for everyone in the event of an emergency.

ED confirmed that V1 was allowed to stay over night with R1 in R1's bedroom.

Based on the interview and records review, the facility did not restrict or deny visitors to visit residents.

The Department has investigated the above allegation. Based on the investigation, records reviewed, and interviews conducted, the Department found that the above allegation is UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis.

No citations noted at today’s compliant investigation visit. Exit interview conducted with Executive Director (ED). This report was provided to review and for signature. A copy of this report was provided to ED.

Page 3 of 3.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC9099 (FAS) - (06/04)

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