Complaint Investigation Report

Allegation: Staff sexually assaulted a resident while in care

The details of the complaint alleged that facility staff (S#1) sexually assaulted (R#1) at the facility.

On October 17, 2025, at approximately 1:00 PM, during a records review, the department found a copy of Long Beach Police Department (LBPD) report #250025649, dated June 8, 2025. This report details an incident where, on June 8, 2025, at around 4:00 PM, LBPD officers responded to a memory care unit following a report of sexual assault. The report indicated that the victim (R#1) claimed to have been sexually assaulted by the suspect (S#1). LBPD officers interviewed (R#1), who stated that approximately three weeks prior, (S#1) had entered their room twice to administer medication once around 9:00 PM and again around 10:00 PM. (R#1) mentioned that the following morning, they woke up experiencing significant vaginal pain. During the interview, (R#1) provided a tissue that they had used to clean their private area. A Sexual Assault Forensic Medical Exam (SART) was subsequently performed on (R#1), but the examination revealed no physical findings. Additionally, the department reviewed the copy of (R#1)'s Physician's report for Residential Care Facilities for the Elderly (RCFE) dated 6/9/25. The department observed that (R#1) has a cognitive impairment that might influence their decision-making and behavior.

On 8/28/25, at approximately, 9:45 am, the Department interviewed facility administrator (A#1), she stated that when (R#1) move into the facility, they were placed in the assisted living section, however, it was determined that (R#1) needed a higher level of care, therefore, (R#1) transitioned to the memory care unit and resided there for approximately four weeks before moving out.