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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202856
Report Date: 06/24/2026
Date Signed: 06/24/2026 04:51:51 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: 139DATE:
06/24/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jeeteeh GigliottiTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff inappropriately assisted resident with a shower
INVESTIGATION FINDINGS:
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When the department received the complaint, it was alleged that a staff inappropriately assisted R1 with a shower by lathering up R1 on or around 04/01/2026.

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.

On 04/10/2026, the department obtained a copy of R1’s Resident Assessment and Service Plan. R1’s Resident Assessment and Service Plan states two staff provide stand-by assistance to R1 with showering, including assisting R1 in and out of the shower. R1’s Resident Assessment and Service Plan states R1 does not require hands-on care while showering and is able to shower independently.

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: 06/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
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 2
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: 06/24/2026
NARRATIVE
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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 04/23/2026, a department investigator interviewed R1. During interview, R1 stated staff help him/her with showers. R1 states he/she showers once per day and one to two staff assist R1 with soap application. When asked if anything unusual occurred in the shower, R1 stated something unusual did occur but he/she did not know the specific date when the incident occurred. R1 stated the incident occurred “a couple months ago in the morning.” R1 stated he/she did not know which staff helped him/her, but it was “one or two staff.”

On 06/24/2026, LPA Marrufo interviewed staff S1-S4 and Jeeteeh Gigliotti, Director of Residential Care Services. S1 stated he/she showered R1 last month and only provides stand-by assistance to R1 during showers. S2 stated that his/her manager, Director of Residential Care Services Jeeteeh Gigliotti, recently instructed the staff not to provide hands-on assistance to R1 in the shower. S2 stated that prior to the recent instructions from his/her manager, S2 would provide hands-on lathering assistance to R1 on the parts of R1’s body that R1 could not independently reach, such as his/her back and back of legs. S3 stated to have not provided hands-on care to R1. S4 stated to have not provided showering assistance to R1. Jeeteeh Gigliotti, Director of Residential Care Services stated staff do not provide hands-on care during showers to R1 except for times when R1 is unable to lather himself/herself, such as when R1 is attempting to lather his/her back.

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.

Page 2 of 2. END REPORT.
SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: David Marrufo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2