complaint·October 24, 2025

This investigation was completed by Investigator Santana with the Investigations Branch and revealed the following: Allegation: Facility staff did not provide adequate supervision, resulting in non-consensual sexual behavior amongst residents. It is alleged that R1 was inappropriately touched on their private parts by R2 in the dining room on 08/08/2025 because of neglect/lack of supervision at the facility. Interviews and surveillance video made it clear that during R1’s month-long stay at the facility, that R2, who was not cognitively impaired, was romantically pursuing R1, who had dementia. It was also known to facility management that R2 had a history of allegedly making unwanted physical contact with female residents. Staff members witnessed two incidents on 8/01/2025 and 8/07/2025 in which R2 touched R1's thigh and both incidents were reported to facility management. Despite these witnessed incidents, no available facility surveillance footage of the dining room showed R2 touching R1’s breasts or groin. Furthermore, interviewed witnesses were unable to identify the location of the alleged incident, and the claimed witness denied seeing anything. Interview conducted with R1 revealed that there were 2-3 times when R2 touched them inappropriately, however, R1 was unwilling to provide further details. Pasadena Police Department took a report but did not investigate further. As a result, the allegation that R2 touched R1's breasts and/or groin is therefore Unsubstantiated. Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided to Bryanna Luke, Administrator.