Facility Evaluation Report

Villa Glen Home One, San Jose05/23/2025Licence 435202766

Capacity6
Census6
Date signed05/23/2025 04:22:22 PM
Name of licensing program analystManuel Monter
Name of licensing program managerRomeo Manzano
The inspector’s account

On, May 23, 2025, Licensing Program Analyst Manuel Monter conducted an unannounced Case Management – incident, in response to a self reported SOC341 regarding alleged physical abuse.

On May 15, 2025, the Department received a SOC341 regarding alleged physical abuse. The SOC341 stated the following information: R1 had alleged that staff S1 had struck him/her on approximately March 11, 2025. R1 stated he/she tried turning over resident R2 to his/her side thinking that it would be more comfortable for him/her to sleep. R1 stated that's when a staff (S1) walked in the room to intervene. R1 stated S1 hit him/her on the side of his/her head. Administrator, Patrick Binarao, and Kara interviewed R1 who said that S1 hit him on the side of his/her head because he/she was trying to wake up R2 while he/she was sleeping. R1 said this was the first time he/she has ever been hit by S1.

On Wednesday, May 14, Patrick and Kara interviewed staff S1 about the incident. S1 said that R1 entered R2s room to wake R1 up. R1 then tried to put his/her arms around R2 (in a hugging position) and S1 told R1 to stop bothering R2 since he/she was sleeping. R1 did not listen and continued to put his arms around R2. S1 went in the middle of the two individuals. R1 flailed his/her arms, screamed, and ran out of the room into the kitchen where another staff was able to calm him/her down and redirect him/her back into his/her bedroom. When asked if he/she ever hit R1 during the incident, S1 said, "no," and that he/she only put his/her arms in between the two individuals to separate them.

On Wednesday, May 14, Patrick and Kara interviewed staff S2 who was on shift during the incident. S2 said that he/she was in the kitchen at the time of the incident. S2 stated he/she did not witnessed S1 hit R1, he/she said, "no,' and did not notice any injuries on R1. Page 1 Out of 2.

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