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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202856
Report Date: 05/21/2026
Date Signed: 05/21/2026 04:32:04 PM

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
04/09/2026 and conducted by Evaluator David Marrufo
COMPLAINT CONTROL NUMBER: 26-AS-20260409143500
FACILITY NAME:BELMONT VILLAGE LOS GATOSFACILITY NUMBER:
435202856
ADMINISTRATOR:MARTINEZ, RADHIKAFACILITY TYPE:
740
ADDRESS:5121 UNION AVENUETELEPHONE:
(408) 559-3333
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY:175CENSUS: 136DATE:
05/21/2026
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Jeeteeh GigliottiTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff sexually abused resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Jeeteeh Gigliotti, Director of Resident Care Services. On 04/09/2026, the department received a complaint with the above allegation. On 04/10/2026, LPA Marrufo conducted an initial complaint investigation visit.

When the department received the complaint, it was alleged that on or around 04/02/2026, a staff put a condom over her fingers and digitally penetrated resident R1’s anus while the staff was giving R1 a shower. The staff was described as a Hispanic female around age 40. The name of the staff was not provided.

On 04/10/2026, the department obtained copies of R1’s charting notes. According to R1’s charting notes, R1 refused a shower on 04/01/2026. R1 received seven showers between the dates of 03/14/2026 through 03/28/2026 by six different female staff. 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: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
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 3
Control Number 26-AS-20260409143500
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: BELMONT VILLAGE LOS GATOS
FACILITY NUMBER: 435202856
VISIT DATE: 05/21/2026
NARRATIVE
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On 04/23/2026, a department investigator interviewed R1. During interview, R1 was unable to provide any information about the alleged incident.

On 05/04/2026, the department obtained a copy of the police report made when police officers arrived in response to the alleged sexual abuse of R1. The police report states police arrived at the facility on 04/02/2026. The police report states a police officer interviewed R1, who stated R1 did not recall any incident in which staff made R1 feel uncomfortable or were taking advantage of him/her.

The police report states during the police officer’s visit, Administrator Radhika Martinez was unable to identify any staff who met the description of the staff suspected of abusing R1.

On 04/02/2026, the facility submitted an Unusual Incident/Injury Report (IR). The IR states that on 04/02/2026, a facility nurse observed R1 and did not find any injuries.

This agency has investigated the complaint allegation listed. Based on interviews and review of records, the department has found that the complaint allegation is unfounded, meaning that the allegation was false, could not have happened, and/or is without a reasonable basis.

This report was reviewed with Jeeteeh Gigliotti and a copy of this report was provided.
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3