Senior Care Records.

Complaint Investigation Report

Vila Victoria #1, San Jose08/30/2023Licence 435202473

Census22
Date signed08/30/2023 04:02:06 PM
The inspector’s account

The water temperature that poured when the knob was turned to the right, the cold side, was measured at 77 F.

During today's visit, LPA Marrufo observed that the bottom door of the kitchen was off its hinges and placed to be leaning on the doorway. The laundry room had three holes in the ceiling. The first floor bathroom had broken tile on the floor. Resident R1's bedroom had three holes in the wall and the bottom half of the closet door was torn off. 1 out of 2 second floor bathroom sinks was clogged.

Based on LPA observations, there is preponderance of evidence to prove the alleged violations did occur; therefore, the allegations are substantiated.

See 9099-D for deficiencies cited per the California Code of Regulations, Title 22.

This report was reviewed with Brandon Inneh and a copy of this report was provided.

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