435202885-1-16-2026-26-AS-CKAI-DTDUCA-20260422152733

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202885
Report Date: 01/16/2026
Date Signed: 01/16/2026 04:50:35 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
08/18/2025 and conducted by Evaluator David Marrufo

COMPLAINT CONTROL NUMBER: 26-AS-20250818112059

FACILITY NAME:	MERIDIAN VILLA		FACILITY NUMBER:	435202885
ADMINISTRATOR:	ROSANA MENDOZA		FACILITY TYPE:	740
ADDRESS:	2755 MERIDIAN AVE		TELEPHONE:	(408) 440-2445
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95124
CAPACITY:	6	CENSUS: 5	DATE:	01/16/2026
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Modesta Aquino		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility did not adequately provide food to residents while in care.
Facility staff are consuming alcohol beverage while on duty.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Modesta Aquino. On 08/18/2025, the department received a complaint with the above allegations. On 08/26/2025, LPA Marrufo conducted an initial complaint investigation visit.

Allegation - Facility did not adequately provide food to residents while in care.

On 08/26/2025, LPA Marrufo toured the facility kitchen refrigerator, pantries, and garage refrigerator. LPA Marrufo observed the refrigerators and pantries stocked with food, including frozen meats and pizzas, bags of bread, containers of grains and cereals, canned fruits, sauces, and soups, and bowls of fresh fruits.

See LIC9099-C pages for more information. Page 1 of 3.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

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 26-AS-20250818112059

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: MERIDIAN VILLA	FACILITY NUMBER: 435202885
	VISIT DATE: 01/16/2026

NARRATIVE

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LPA Marrufo observed there to be a daily menu posted in the kitchen.

LPA Marrufo observed lunch service. Residents were served a chicken salad with diced melon and a yogurt cup.

During visit on 08/26/2025, LPA Marrufo interviewed residents R1-R5. LPA Marrufo attempted to interview R6, but R6 was sleeping during visit. R1-R5 stated that staff give them enough food to eat for each meal. R1 could not remember how many meals staff provide for residents per day. R2-R5 stated that the facility staff provide three meals per day. R1 and R3-R5 stated staff make snacks available to residents. R2 stated staff hardly make snacks available to him/her, but staff bring him/her coffee each morning.

During visit on 08/26/2025, LPA Marrufo interviewed staff S1-S3. S1-S3 stated that staff give residents enough food per meal. S1-S3 stated staff serve residents three meals per day and provide them with snacks.
During visit on 08/26/2025, Administrator (ADM) Rosana Mendoza stated that staff serve residents meals and snacks three times a day.

On 8/28/2025, LPA Marrufo obtained copies of facility food purchasing receipts. A receipt dated 08/04/2025 totals $140.27. A receipt dated 08/06/2025 totals $225.70. A receipt dated 08/15/2025 totals $54.44.

Allegation - Facility staff are consuming alcohol beverage while on duty.

During visit on 08/26/2025, LPA toured the facility, including the kitchen area and garage area. LPA did not find any alcoholic beverages or bottles at the facility.

During interview on 08/26/2025, R1-R5 stated to have never seen staff drink alcohol at the facility. R1-R5 stated to have never seen staff to be drunk at the facility.

Page 2 of 3.

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 26-AS-20250818112059

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: MERIDIAN VILLA	FACILITY NUMBER: 435202885
	VISIT DATE: 01/16/2026

NARRATIVE

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During interview on 08/26/2025, S1-S3 stated to have never observed a staff drink alcohol at the facility or be drunk at the facility.

During interview on 08/26/2025, ADM stated to have never observed a staff drink alcohol or being drunk at the facility. ADM stated staff are told when they are first hired that they are not allowed to drink alcohol at the facility or store alcohol in their staff bedrooms.

This agency has investigated the complaint allegations listed. Based on interviews and review of records, the CCLD has found that the complaint allegations are unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis.

This report was reviewed with Modesta Aquino and a copy of this report was provided.

Page 3 of 3.

END REPORT

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3