Senior Care Records.

Facility Evaluation Report

Parkside Villa INC, San Jose09/11/2025Licence 435202647

Capacity15
Census15
Date signed09/11/2025 05:35:23 PM
Name of licensing program analystMaria Partoza
Name of licensing program managerRomeo Manzano
The inspector’s account

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted and unannounced case management-incident inspection visit. LPA was met by two designated administrators Ninfa Gozon and Lady Sheenely Angeles. LPA stated the purpose of the visit.

On 09/11/2025 the Department received an incident report and SOC341 regarding an inappropriate touching of a resident by the day program's staff (DPS1). The incident happened while the resident was in transit inside the DPS1s own vehicle.

LPA conducted an interview with the resident (R1), and 2 staff ( S1 and S2). R1 stated that the inappropriate touching happened two times, the first was on 09/02/2025, which R1 did not report. R1 stated he/she was in fear of retaliation from DPS1. The second time was on 09/09/2025 which was the one reported on the incident report. LPA received 3 declaration statement from R1, S1 and S2 and copies of R1s LIC 602. Individual Program Plan (IPP) and appraisal needs and services plan.

At the time of the visit law enforcement officers came and interviewed R1. This has been determined that the incident needs further investigation. No citations were issued during today's visit based on California Code of Regulations (CCR) Title 22. An exit interview was conducted with Ninfa Gozon and Sheenely Angeles designated administrators, and a copy of the report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction