Incident investigation·January 11, 2024

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit due to an incident reported to the department on 1/9/24 via SOC 341. LPA met with Annalyssa Camacho Front desk and explained the reason for the visit and requested a copy of staff roster and resident roster. On 1/9/24 Administrator submitted to the department a copy of SOC 341 (report of suspected dependent adult/ elder abuse) reporting Resident #1(R1) reported that staff #1(S1) came into R1's room and raped R1. During today's visit the following documents were reviewed: Physician's report dated 2/2/23, Identification and Emergency Information dated 3/10/21, Individual Service Plan - Assisted Living Waiver dated 8/1/23 and 2/10/21, medication sheets for the last three months, R4's notes, S1's personnel record, fingerprint clearance, criminal record clearance, and copy of S1's identification card. LPA interviewed Lori Lackey Assistant Administrator, who stated the following on 1/9/24 R1 stated to assistant administrator not to want to go to R1's room as R1 was afraid S1 wants to sleep with R1, R1 further said "S1 wants to have sex with R1 and rape R1." On 1/9/24 facility's administrator reviewed video footage for the night of 1/8/24 -1/9/24 and R1 was observed in the dining couch throughout the night. Staff attempted to redirect R1 to the bedroom and was not able to. In the morning of 1/9/24 Lori Lackey held a conversation with R1 that let the above statement. S1 worked on 1/8/24 from 12:00pm - 8:30pm. S1 was observed by facility's administration on video surveillance clocked out at 8:30pm and leave the facility. 1/9/24 facility submitted SOC 341 to Community Care Licensing (CCLD) and Local Ombudsman. On 1/10/24 facility contacted the Pasadena Police Department and report the allegation, Officer Cabuto visited the facility and requested the video footage to be send to Pasadena Police Department. R1 was taken to USC Verdugo Emergency Hospital for evaluation. Facility placed S1 on a verbal suspension on 1/9/24, and will follow up with a written suspension until the investigation is concluded. Further investigation is required at this time and LPA will wait for Pasadena Police Department report and hospital evaluation to determined if the allegation took place. Exit interview was conducted with Lori Lackey and a copy of this report was provided.