complaint·October 18, 2025

The investigation revealed the following: regarding the allegation “Staff did not prevent a resident from being sexually abused while in care.” It is alleged staff did not prevent R1 from being sexually abused while in care. Interviews conducted by Community Care Licensing Investigation Branch did not corroborate this allegation. Eight (8) out of the eight (8) staff interviewed by LPA Ramirez, did not corroborate with this allegation. Staff interviews revealed R1 suffered from cognitive impairment and aggressive behaviors. Interview with S6 revealed prior to R1 relocating to the facility memory care unit, R1 revealed to S6 that they (R1) experienced a traumatic event when they were younger and S6 believed this traumatic event was re-manifested into R1’s memory and that’s why R1 made this allegation. S6 revealed they did not care for R1 once R1 moved to the facility memory care but, S6 would still go visit R1 and observed R1 to be well cared for by memory care staff. Four (4) out of the four (4) residents interviewed by LPA Ramirez did not corroborate this allegation. Despite several attempts to contact R1 by Community Care Licensing Investigation Branch and LPA Ramirez, all attempts were unsuccessful. 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 . “Staff did not safeguard resident's personal belongings.” It is alleged staff did not safeguard R1’s hearing aid devices and walker. Eight (8) out of the eight (8) staff interviewed by LPA Ramirez, did not corroborate with this allegation. S8 revealed that R1’s hearing aids were charged in the memory care medication room; along with all other memory care residents’ hearing aids. S8 revealed they recalled R1’s hearing aids were believed to have been misplaced but were located shortly after in the medication room. S7 revealed that R1’s hearing aids were placed on R1 during the day and charged at night in the memory care medication room. S7 revealed that R1 would take off their hearing aids often and staff would place them on the charger. S7 revealed they were never told by any staff or by R1’s family that R1’s walker was missing. Review of R1’s Client/Resident Personal Property and Valuables (LIC 921), did not corroborate this allegation. LPA Ramirez made multiple attempts to contact R1 and R1’s responsible party but all attempts were unsuccessful. Four (4) out of the four (4) residents interviewed by LPA Ramirez did not corroborate this allegation. R2 revealed that they have never had any personal belongings missing. R3 revealed staff treated them well and they felt safe to leave expensive personal belongings out when staff clean their room. 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 . No deficiencies were cited during this complaint investigation. A copy of this report was provided.