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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486804352
Report Date: 07/14/2026
Date Signed: 07/14/2026 04:23:24 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/07/2026 and conducted by Evaluator Ethel Contreras
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260707085934
FACILITY NAME:ALAYA IIFACILITY NUMBER:
486804352
ADMINISTRATOR:SANTOS, JUAN MIGUEL LUISFACILITY TYPE:
740
ADDRESS:2033 MARSHALL ROADTELEPHONE:
(707) 724-6764
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:6CENSUS: 6DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
01:21 PM
MET WITH:Juan Miguel Santos-Adminsitrator TIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Staff does not ensure facility is kept free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ethel Contreras arrived unannounced for the purpose of opening the investigation of this complaint. LPAs met with Administrator Juan Miguel Santos.

LPA conducted a walk-through of facility and observed there to be ants through out facility. LPA observed ants on kitchen table and throughout flooring in dinning room area and in resident rooms. In addition, LPA observed a plastic canister with sugar infested with ants in kitchen cabinet.

Based on LPA and licensee observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Ethel Contreras
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
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 21-AS-20260707085934
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ALAYA II
FACILITY NUMBER: 486804352
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/14/2026
Section Cited
CCR
87303(a)
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87303(a) Maintenance and operation- The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
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Ensure that licensee follows a maintenance plan to ensure the facility is free of pests, and obtain a professional pest/exterminator service company to inspect, treat, and advise with proof of pest booking by plan of correction due date 7/21/2026
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This requirement was not met as evidenced by: Resident room, dinning table kitchen and throughout facility flooring observed to have ants. In addition ant infestation observed inside sugar canister located inside kitchen cabinet
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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.
SUPERVISOR'S NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Ethel Contreras
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3