1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | Allegation: Personal Rights/ Client was possibly sexually abused. It was alleged that during C-1’s medical appointment (06/19/2024), C-1’s allegedly had signs of anal penetration. Per Investigator Laura Garcia’s report, “according to statements, there were no witnesses to any type of sexual penetration between clients”. C-1 moved out from this facility on 04/25/24. During this investigation, per Investigator Garcia’s report, C-1’s physician indicated that there was insufficient evidence to indicate that C-1 was sexually abused. Per Investigator Garcia’s report, “based on statements provided, there is not enough evidence to determine if C-1 was sexually abused due to neglect/lack of care” by this facility. Interviewed staff denied possible sexual abuse. Clients were not interviewed due to their cognitive disabilities and/or being non-verbal. Interviews do not corroborate this allegation.
Allegation: Personal Rights/Due to a lack of supervision clients engaged in inappropriate interactions. It was alleged that when C-1 and C-2 shared a room, both were caught doing inappropriate acts. Per Investigator Garcia, an incident was reported on 09/22/23, in which both C-1 and C-2 were inappropriately touching each other. Per investigation, immediate action was taken by facility staff and preventative measures were implemented in order to prevent further incidents. Staff immediately intervened, separated C-1 and C-2, moved both C-1 and C-2 to separate bedrooms and held a meeting. There were no further incidents of this nature since the preventative measures were implemented. A Special Incident Report (SIR) pertaining to this incident was sent to San Gabriel Pomona Regional Center and Community Care Licensing. Interviews and documentation do not corroborate this allegation.
Allegation: Due to a lack of supervision clients engaged in physical altercation. There was not detailed information provided for this allegation. During this investigation, it was determined that on 04/23/24, C-1 and C-2 had a physical altercation. During the altercation, per staff interviews, facility staff intervened and stopped the altercation. There is no evidence to support that due to lack of supervision clients engaged in a physical altercation. A Special Incident Report (SIR) pertaining to this incident was sent to San Gabriel Pomona Regional Center and Community Care Licensing. Interviews and documentation do not corroborate this allegation.
Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
An exit interview conducted, appeal rights and a copy of this report was provided to John Alfred. |