It is being alleged that the facility did not prevent R5 from sexually harassing R1. Interviews conducted revealed the following: A1 states that R1 informed staff that R5 had touched and harassed R1 while in the facility. A1 states that A1 spoke to R5 who denied any involvement with R1. A1 states that A1 would work with R1 to make sure the harassment did not happen. 2 out of 3 staff state that they did not witness R1 or R5 have any interactions. S3 could not be interviewed as S3 was on vacation. R1 states that R5 harassed R1 by touching R1 hand and getting too close to R1 body. R2-R4 state that they have no knowledge of R5 harassing R1 or any other resident in care. R5 states that R5 never sexually harassed R1 ever. Reviewed Physician Report and Needs and Service plan for R1 and R5. Both residents have health issues. Reviewed email from R1 to A1. R1 reported the supposed harassment and A1 investigated the report. LPA Calderon toured the facility and could not find any video of the supposed harassment.

It is being alleged that staff did not prevent R1 from being threatened by R5. Interviews conducted revealed the following: A1 states that R1 emailed A1 on 05/10/2024 to advise that R5 had threatened sexually R1 while in the dining room. A1 states that there was an investigation by staff and the allegation could not be supported. A1 states that A1 investigated the allegation and spoke to R5. S1-S3 state that they did not witness R1 and R5 having words in the dining room. 2 out of 3 staff state that they have no record of any harassment by any resident. S3 could not be interviewed as S3 was on vacation. R1 states that R1 was in the dining room on 05/10/2024 and R1 grabbed R1 arm and told R1 that R5 would molest R1. R1 advised A1 by email of the incident. R1 states that there was no witness to the incident. R2-R4 state that no one has ever threatened them while living at the facility. R5 states that R5 never had a conversation with R1 and never threatened R1. R5 states that R1 made up the story for unknown reasons. Record reviews indicate that: R1 and R5 have health issues. Reviewed the incident report and email (dated 05/10/2024), A1 spoke to R1 and could not find any witnesses or evidence to support the allegation. Toured the facility with A1, could not locate any video in the dining room area.

It is being alleged that staff did not provide a safe and comfortable environment for residents. Interviews conducted revealed the following: A1 states that A1 takes every resident need for safety as very important. A1 spoke to R1 who stated that R1 felt safe living in the facility. A1 states that A1 spoke to R5 and advised R5 to stay away from R1 while at the facility. A1 states that R5 denied having any conversation with R1 who made up the story. A1 states that A1 would work with R1 to make sure the facility was safe. S1-S2 state that they provide a safe and comfortable environment for all residents in care. S3 could not be interviewed as S3 was on vacation. R1 states that R1 feels safe living at the facility and that R5 has not spoken to R1 for some time. R2-R4 state that they feel safe living at the facility and no resident has ever harassed them. R5 states that R5 feels safe living at the facility and R1 has made up the story of R5 harassing R1. Reviewed incident and emails (dated 03/08/2024 and 05/10/2024), there is no evidence that proves that R5 harassed R1 while inside the facility. Toured the facility and the facility was clean and well maintained. The facility was safe for

Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has NOT been met; therefore, the allegation of “staff did not prevent resident from being sexually harassed by another resident” “staff did not prevent resident from being threatened by another resident” “staff did not provide a safe and comfortable environment for resident” is found to be UNSUBSTANTIATED.

An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Jenny Angeles (A1).