435202895-1-2-2026-26-AS-CKAI-DQS3RJ-20260128172850

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202895
Report Date: 01/02/2026
Date Signed: 01/02/2026 10:45:09 AM

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
01/30/2025 and conducted by Evaluator David Marrufo

COMPLAINT CONTROL NUMBER: 26-AS-20250130110626

FACILITY NAME:	MORNINGSTAR ASSISTED LIVING OF WEST SAN JOSE		FACILITY NUMBER:	435202895
ADMINISTRATOR:	WELCH, JOYCE		FACILITY TYPE:	740
ADDRESS:	1380 S DEANZA BLVD		TELEPHONE:	(669) 295-6500
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95129
CAPACITY:	149	CENSUS: 88	DATE:	01/02/2026
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Carlos Espino		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff handled resident in a rough manor
Staff stole residents' medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Carlos Espino, Associate Executive Director. On 01/30/2025, the Department received a complaint with the above allegations. On 02/07/2025, LPA Marrufo conducted an initial complaint investigation visit. On 05/06/2025 and 01/02/2026, LPA Marrufo conducted additional complaint investigation visits.

Allegation: Staff handled resident in a rough manner

When the department received the complaint, it was alleged that staff S1 would forcefully shower residents.

During visit on 02/07/2025, LPA Marrufo interviewed staff S2-S5, who stated to have never observed S1 forcefully shower a resident or handle a resident in a rough manner. S1-S5 stated to have never handled a resident in a rough manner and to have never observed another staff handle a resident in a rough manner.
See LIC9099-C page for more information. Page 1 of 2.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2026

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 2

Control Number 26-AS-20250130110626

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: MORNINGSTAR ASSISTED LIVING OF WEST SAN JOSE	FACILITY NUMBER: 435202895
	VISIT DATE: 01/02/2026

NARRATIVE

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During visit on 02/07/2025, LPA Marrufo interviewed S1. S1 stated to have never forcefully showered a resident or handled a resident in a rough manner.

During visit on 05/06/2025, LPA Marrufo interviewed residents R1-R9, who stated to have never been forcibly showered or handled roughly by S1 or any other staff.

During visit on 01/02/2026, LPA Marrufo interviewed staff S6, who stated to have never observed S1 forcefully shower a resident or handle a resident in a rough manner. S6 stated to have never handled a resident in a rough manner and to have never observed another staff handle a resident in a rough manner.

Allegation: Staff stole residents' medication

When the department received the complaint, it was alleged that S1 gave resident’s pain medications to employees.

During visit on 02/07/2025, LPA Marrufo reviewed the medication records and medications for 6 residents, including R7 and R8. R7 was missing half a tablet of medication M1. R8 was missing half a tablet of medication M2.

During visit on 02/07/2025, LPA Marrufo interviewed staff S1-S5, who stated to have not observed a staff give a resident’s medication to another staff.

During visit on 05/06/2025, LPA Marrufo interviewed residents R1-R9, who stated to have not suspected staff of stealing their medications. During visit on 01/02/2026, LPA Marrufo interviewed S6, who stated to have not observed a staff give a resident’s medication to another staff.

This agency has investigated the complaint allegations listed. Based on interviews with staff and residents 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 Carlos Espino, Associate Executive Director, and a copy of this report was provided.

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/02/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2