complaint·January 19, 2024

In regard of allegation of staff sexually assaulted resident while in care , it was alleged that facility staff put their finger in R1’s vagina while they bathed R1 at the facility. The investigation revealed the following. On 10/13/22, IB investigator conducted interviews with R1, R1’s responsible party, administrator, staff, and ombudsman. Per resident interview, it revealed the R1 was inconsistence with resident’s statements and the allegation. Thus, the resident could not corroborate the allegation. Per the interviews of staff and responsible party, all of them denied the allegation. Per record review, R1 had a history of not aligning R1’s understanding with the reality and misunderstanding of what was happening to the resident. On today’s visit, LPA Tao interviewed staff from staff#2 (S2) to staff#4 (S4). All staff denied the allegation. Per resident interviews from resident #2 (R2) to resident#4 (R4), all residents could not corroborate the allegation. Thus, there was not preponderance of evidence to prove staff sexually assaulted resident while in care. In regard of allegation of staff inappropriately handled resident while in care , it was alleged that staff grabbed, pushed and hit the resident a few times over the past few months. The investigation revealed the following. The department conducted investigation visits on 10/13/22 and 1/19/24 (today). Per resident interviews, four (4) out of four (4) residents interviewed could not corroborate the allegation. It revealed staff did not mishandle residents while providing care. Per the interviews of staff, ombudsman and responsible party, all six (6) of them denied the allegation. Per record review, R1 had a history of not aligning R1's understanding with the reality and misunderstanding of what was happening to the resident. Per staff interviews, all staff denied the allegation. Per resident interviews from resident #2 (R2) to resident#4 (R4). All residents interviewed could not corroborate the allegation. Per record review, R1 had a history of having R1’s own interpretation of incidents but not aligned with the reality. Thus, there was not preponderance of evidence to prove staff inappropriately handled resident while in care. Although the allegations may have happened or is valid, there’s not preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are UNSUBSTANTIATED. An exit interview was conducted with Alberto Galvan, administrator assistant. Findings were discussed. A copy this report was provided at the time of visit.