Senior Care Records.

Complaint Investigation Report

Buenavista Home at Hillcrest, Antioch10/16/2025Licence 079200235

Census6
Date signed10/16/2025 03:10:00 PM
The inspector’s account

During investigation, LPA interviewed reporting party (RP), facility staff (ADM, S1, S2), clients (C1, C2, C3, C4) and reviewed C1’s documents. Review of the incident dated 09/20/25 captured on video showed S2 pushing C1 against the back of the transport van and again against the closed garage door while guiding him towards the front entrance of the facility. ADM and S1 confirmed with LPA that on 09/20/25 the other four (4) clients already exited the van and entered the facility leaving C1 still sitting inside the van when this incident occurred. No other staff was present outside the front of the facility during the incident. Staff (ADM, S1) were not aware that this incident occurred until police conducted a welfare check at the facility on 09/22/25. Based on interviews and record reviews which were conducted, the preponderance of evidence standard has been met and the above allegation(s) that staff pushed resident was found to be substantiated.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties .

Exit interview conducted. Appeal rights and a copy of this report provided .

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