Complaint·June 29, 2022

When asked what SA was doing at the facility by R1, SA proceeded to grab his genitals and state SA was there to please the women. R1 proceeded to ask SA to leave, only to have SA come back within 15 minutes and again R1 telling SA to leave again. An interview with an outside source, a review of a police report, and an interview with Police Officer (P1), who responded to the facility, and obtained R1’s initial statement, corroborated the information provided by R1 to be consistent. An Interview with R2 revealed that on 12/3/2021, R2 woke up to find SA lying next to R2, masturbating and groping R2’s breast. R2 proceeded to tell SA to leave. SA initial refused, but soon after complied and left. R2 then walked to the facility’s Wellness Center on the second floor of the facility and notified Staff # 1 (S1). An interview with an outside source, a review of a police report, and an interview with P1, corroborated the information provided by R2 to be consistent. An interview with R3 revealed SA entered R3’s room at approximately 4:30 am, on 12/3/2021. SA stood by the doorway with SA’s hands on SA’s private parts, until R3 screamed at SA to leave. An interview with an outside source, a review of a police report corroborated the information provided by R3 to consistent. Interviews of S1 and Staff # 2 (S2) revealed SA was seen inside the facility withing the hours of 4am to 5am. S2 saw SA walking through the memory care unit doors, noticed SA was not an employee and proceeded to ask S1 for assistance in locating SA. While conducting a search and checking doors, Staff # 3 and Staff # 4, staff assigned to the memory care unit, notified S1 and S2 one of the resident (S4) in the memory care unit had reported an unknown individual knocked on a patio door and attempted to grab the resident. S1 and S2 continued to search the facility and witnessed SA exiting R3’s room. Both S1 and S2 escorted SA out of the facility and notified law enforcement. A police report obtained during the investigation revealed SA encountered several locked doors around the facility but was able to gain entry through the unlocked lobby doors. Interviewed staff declined ever witnessing the lobby doors being propped open or being unlocked during the timeframe in question. Interviews with outside sources revealed the front doors to the lobby have been found unlocked and propped open early in the morning, on multiple occasions. Facility observations during the investigation revealed multiple patio doors, meant to be locked, were unlocked. An interview with staff revealed this was not the first time an unknown individual has entered the facility campus. Based on the evidence gathered from police reports, records reviewed, and interviews with internal and external sources, the preponderance of evidence standard was met to Substantiate the above allegation. This deficiency was cited in the attached LIC 9099D. A Plan of Correction was jointly discussed and formulated with Executive Director, Jolene Farish. At this time, per Health and Safety Code Section 1569.49, a civil penalty assessment is under review by the Program Administrator of the Community Care Licensing Division. An exit interview was conducted with Executive Director, Jolene Farish, to whom a copy of this report and the Licensee Rights (LIC9058 9/16) were provided to.