Senior Care Records.

Complaint Investigation Report

Neo Nicholas Manor, San Jose10/18/2023Licence 435201758

Census6
Date signed10/18/2023 04:58:57 PM
The inspector’s account

Resident was pushed up against a wall by a staff:

On 07/01/2021, LPA interviewed staff S2. S2 stated he/she did not choke or push R1 and did not hear or observe that R1 was choked by anyone or was pushed by anyone.

On 9/23/2021, LPA interviewed staff S1. S1 denied the allegation that R1 was pushed or was choked by staff. S1 stated he/she never observed or heard that R1 was choked by staff or was pushed by staff. S1 stated he/she asked R1 about the allegations. R1 stated the allegations did not happen, and he just faked it.

On the same day, LPA interviewed Administrator (ADM). ADM stated he/she did not have knowledge of the incidents claimed by R1 that R1 was pushed or was choked by staff. ADM stated he/she did not receive any reports that resident was pushed or was choked by staff.

LPA reviewed incident reports (SIRs) of R1, and found R1 had some episodes of claiming pains, but after evaluated by paramedics, they turned out to be false claims. During R1 hospitalization, he/she claimed similar allegations, and the doctor did not observe any bruises on R1' body.

Based on the documents reviewed and the interviews conducted, there was no evidence to show that R1 was choked by staff or was pushed up against a wall by staff.

The Department has investigated the above allegations. Based on the investigation, observations, records reviewed, and interviews conducted, the Department has found that the above allegations are UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur.

Exit interview was conducted with HM. No citation was noted. The report was provided to HM for signature. A copy of the report was provided. to HM.

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