Senior Care Records.

Complaint Investigation Report

SVS Gilroy Adult Day Program, Gilroy03/14/2024Licence 435202331

Date signed03/14/2024 01:48:40 PM
The inspector’s account

S4's Employee Separation Form states S4 was separated from the facility as an employee on utilizing a non-approved redirection technique and that other staff observed a slapping sound.

The second incident occurred approximately at 1:15 PM and involved staff S5 putting client C1 in a choke hold by putting an arm around C1's neck and holding one of C1's wrists behind C1's back.

S5's Employment Separation Form states S5 was separated from the facility as an employee for utilizing physical restraint with a resident.

A deficiency was cited as per California Code of Regulations Title 22. See LIC9099-D for more information.

This report was reviewed with Program Director Michelle Pagsisihan and a copy of the report and appeal rights were provided.

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