Senior Care Records.

Complaint Investigation Report

Sherwood Forest Manor 4, Modesto01/24/2024Licence 507005675

Census5
Date signed01/25/2024 11:43:36 AM
The inspector’s account

Staff 2 (S2) came behind R1’s chair and became frustrated. S1 then witnessed S2 reach for the back of R1’s chair and grabbed the handles and picked up the chair and dropped it in a rough manner while the resident was in the chair. An interview with Staff 3 was conducted, which confirmed that S2 picked up the resident’s chair and dropped it while the resident was in the chair.

Based on the information gathered, the staff handled a resident in a rough manner.

Based on observations, review of records and information gathered through interviews, the above allegations were SUBSTANIATED meaning that there was a preponderance of evidence to prove that the allegations occurred as alleged. An exit interview was conducted, a copy of the LIC9099 and 9099-D, and appeals rights was provided to the Facility Designated Administrator, Quincy Beltran

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