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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202894
Report Date: 08/13/2026
Date Signed: 08/18/2026 04:13:02 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
03/17/2026 and conducted by Evaluator Maria Partoza
COMPLAINT CONTROL NUMBER: 26-AS-20260317093638
FACILITY NAME:FAMILY FEELS RESIDENTIAL CARE 3FACILITY NUMBER:
435202894
ADMINISTRATOR:GARCIA, RITAFACILITY TYPE:
740
ADDRESS:770 PRONTO DRTELEPHONE:
(408) 440-2916
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:6CENSUS: 3DATE:
08/13/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Philipp Perez Designated AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not properly address pests in the facility resulting to infestation.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Amended report for the above allegation.

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced complaint investigation visit and met with designated administrator (DADM) Philipp Perez. LPA stated the purpose of the visit. Licensee/Administrator (LIC/ADM) David Devries was not available at the time of the LPAs visit due to prior commitment.

On 03/17/2026, the Department received a complaint with the above allegation(s). On 03/25/2026 the Department conducted an initial investigation visit t the facility and conducted interviews, inspection of the facility and requested for documents.

page 1 of 2
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
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-20260317093638
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 3
FACILITY NUMBER: 435202894
VISIT DATE: 08/13/2026
NARRATIVE
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Amended Report - continued

Allegation 2: Staff did not properly address pests in the facility resulting in infestation

On 03/25/2026, LPA conducted a facility inspection. During the inspection, LPA observed cockroaches in the food pantry, Room #3, and the staff room. LPA did not observe spiders during the inspection.

On 03/25/2026, LPA interviewed S1, S2, and S3. S1 stated pest-control services were performed on 03/24/2026 and reported that cockroaches may remain visible following treatment. S2 stated small cockroaches were observed after returning to employment on 02/02/2026 and reported pest-control treatment was performed. S2 stated spiders had not been observed and S2 was not aware of a resident sustaining a spider bite. S3 stated a resident reported observing a black spider but stated it is not a black widow spider, it was observed outside near the garden area and stated S3 was not aware of a resident sustaining a spider bite.On 03/26/2026, LPA received documentation indicating pest-control services were obtained on 01/29/2026, with treatment performed on 02/02/2026 and 03/24/2026. On 04/24/2026, W1 reported that R1 continued to report the presence of cockroaches and spiders within the facility and reported another resident had allegedly sustained a spider bite several years earlier. No documentation regarding the reported spider bite was provided to LPA.

Based on interviews, observations, and records reviewed, R1 stated the phone remained in R1's possession. R1, W1, W2, S1, S2, and S3 did not provide information identifying an individual who used R1's phone. LPA observed cockroaches within the facility and reviewed documentation showing pest-control services were obtained on 01/29/2026, with treatment performed on 02/02/2026 and 03/24/2026. LPA reviewed R2's records and did not observe documentation indicating R2 sustained a spider bite or received hospital services related to a spider bite. This agency has investigated the complaint alleging staff did not properly address pests in the facility resulting in infestation. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

No deficiencies were cited during today's visit. A copy of the report was provided to DADM Philipp Perez.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Maria Partoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC9099 (FAS) - (06/04)
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