Incident investigation·February 2, 2024

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a Case Management and was greeted by Stephanie Limberg, Administrator. Facility currently has 101 residents in care.. On 1/31/2024 CCL received from facility a SOC341 report of abuse, type of abuse reported is sexual assault. Suspected abuser is unknown. At approximately 1:45pm on 1/31/2024, resident (R1) reported to Admin they were sexually assaulted. R1 reported that the suspect entered their apartment, put a hand over their mouth, held them down and assaulted them. Admin notified Santa Rosa Police Dept (event #SR24-1243) immediately upon reporting of assault. R1 transported to hospital for evaluation at approximately 4:35pm on 1/30/2024. Description of suspect was given to Admin and authorities. Per LPA interview with Admin, no one on staff matches that description. Admin also notified R1's responsible party at approximately 2:01pm and 4:35pm. R1 discharged from hospital on 2/1/2024 and is currently residing with responsible party at a hotel. No definitive return date to facility has been determined or communicated, as of today. LPA requested hospital discharge information, updated LIC602, updated Care Plan, and police report. Per Admin, hospital refused to provide them with discharge information. Therefore, an updated care plan is not available. Per Admin, police report not available yet. LPA to request police report. Updated LIC602 will be provided to CCL once by Admin. LPA obtained documents and made observations. LPA will follow up with assigned detective and will return to facility for follow-up. No deficiencies cited during this inspection.