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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202710
Report Date: 08/12/2026
Date Signed: 08/12/2026 03:47:24 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
04/29/2026 and conducted by Evaluator Yi Sam Jian
COMPLAINT CONTROL NUMBER: 26-AS-20260429082422
FACILITY NAME:VILLAS AT SARATOGA SKILLED NURSING & ASST LVG, THEFACILITY NUMBER:
435202710
ADMINISTRATOR:WILLIAMS, RYANFACILITY TYPE:
740
ADDRESS:20388 SARATOGA LOS GATOS RDTELEPHONE:
(408) 741-2950
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:74CENSUS: 46DATE:
08/12/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Benjamin RoedelTIME COMPLETED:
03:59 PM
ALLEGATION(S):
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Staff mismanaged resident’s medications
Staff provided the resident with a broken chair resulting in a fall
Staff interfered with the resident’s insurance coverage
Staff did not safeguard resident’s personal items
Staff did not treat resident with dignity and respect
INVESTIGATION FINDINGS:
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On 8/12/2026, Licensing Program Analyst (LPA) Yi Sam Jian arrived unannounced for the purpose of conduct complaint investigation and was greeted by Administrator, Benjamin Roedel.
Regarding the allegation that staff mismanaged the resident’s medications, the Department conducted an investigation. Due to conflicting statements provided by R1 and insufficient corroborating evidence, the investigation did not establish that the facility mismanaged R1’s medications.
Regarding the allegation that staff provided R1 with a broken chair resulting in a fall, the evidence obtained is insufficient to establish that the facility failed to maintain the chair in a safe and good repair condition, resulting in R1’s fall.
Regarding the allegation that staff interfered with R1’s insurance coverage, the facility provided information indicating that R1 was a private-pay resident and responsible for her own insurance coverage. There is insufficient evidence to establish that facility staff intentionally or improperly interfered with R1’s insurance coverage. CONT TO 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
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 2
Control Number 26-AS-20260429082422
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: VILLAS AT SARATOGA SKILLED NURSING & ASST LVG, THE
FACILITY NUMBER: 435202710
VISIT DATE: 08/12/2026
NARRATIVE
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Regarding the allegation that staff did not safeguard R1’s personal belongings, R1 provided conflicting statements, and there is a lack of corroborating evidence. There is insufficient evidence identifying a staff member as having taken, misplaced, or otherwise failed to safeguard R1’s belongings.

Regarding the allegation that staff did not treat R1 with dignity and respect, R1 and Staffs provided conflicting accounts regarding the statement allegedly made to the paramedics. There is no independent or corroborating evidence to establish that staffs treat R1 without dignity and respect.

Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove whether the allegations did or did not occur, therefore the above allegations are UNSUBSTANTIATED.


No Deficiencies cited under California Code of Regulations Title 22. Report is reviewed and a copy of this report is provided to the administrator.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2