complaint·April 23, 2024

On 1/8/24 R1 was found sleeping in the dining room and refused to sleep in own bedroom. On 1/9/24 Assistant administrator asked R1 why R1 refused to sleep in own room. R1 stated that staff #1(S1) kept entering R1’s room to sleep with R1. Assistant Administrator continue to ask more questions and R1 stated, “S1 raped me.” On 1/9/24 Facility’s administration team cross reported R1’s allegation of sexual assault by staff to community care licensing and local ombudsman. On 1/10/24 facility contacted local police department. Police officers responded to the report. R1 was send to the hospital to be evaluated. Interviews conducted revealed facility staff and R1’s conservator do not believe S1 raped R1. Facility staff stated that S1 does not go into residents’ room as S1 job does not require them to enter the rooms. S1 was observed leaving the facility the night of 1/8/24. S1 stated to not have been alone with R1 at any time and does not know why R1 would state that as S1 does not go to rooms alone. Documents reviewed revealed R1’s physician report dated 1/17/24 notes R1 as confused and in need of redirection due to mild cognitive skills. Police report dated 1/10/24 notes police officers responded to a call at the facility due to suspicious circumstances. Officers conducted interviews with administrator team, R1, and reviewed video footage at the facility, attempted to interview S1, no further investigation was reported by Pasadena Police Department. IB investigator reviewed facility’s video footage and observed R1 sleeping in the dining room on 1/8/24, R1 seem to be speaking to someone. However, there was no one there. S1 was observed leaving the facility at the end of the shift and no where near R1. Due to R1's cognitive skills and other interviews the allegation cannot be corroborate. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED . Exit interview was conducted with Lori Lackey and a copy of this report was provided.