Senior Care Records.

Complaint Investigation Report

Waters Place, Pasadena08/10/2023Licence 198603227

Census3
Date signed08/10/2023 02:27:14 PM
Name of licensing program analystMary G Flores
Name of licensing program managerTony Vasallo
The inspector’s account

The investigation revealed the following: Regarding allegation: Facility failed to prevent sexual touching by one client to another client. It is alleged client is being touched by another client in the chest area and would like it to stop. On 4/13/23 Administrator stated perpetrator (C2) had been showing inappropriate behaviors towards victim (C1) for about six months. On 2/9/23, C2 touched C1’s chest and on 3/21/23, C1 stated C2 had touched C1’s chest again. During a visit from facility’s nurse consultant on 3/24/23, C1 reported to nurse consultant that "C2 touched C1’s chest”. Interviews with staff revealed, 5 out of 5 staff stated to have been aware of C2 touching C1’s chest area. Staff redirected C2, upon observation of C2 attempted to interact with C1. Staff were not able to verify if the behavior was to gain sexual gratification or to “annoy” C1. During interview conducted with Administrator, administrator ensured there is sufficient staff available to supervise. Interview with C1 revealed that C2 had “grabbed” C1’s chest and C1 “did not like it”. C2 had asked C1 several times to “go away” and behavior stopped. During interview with C2, C2 stated to know the behavior was inappropriate, C2 was doing it to “joke around” and it had stopped. Interview with additional client (C3) noted C2 has inappropriate behaviors and staff are always available to redirect the behavior and provide supervision. On 6/20/23 contact with Pasadena Police Department (PPD) revealed a visit by PPD was conducted on 3/24/23 to follow up on a different concern. During PPD's visit Administrator shared C2’s behavior towards C1 with police officers. However, no formal report was open, and the concern was forward to the detectives at that time. On 3/26/23 Nurse Consultant stated C1 had reported that C2 had “touched C1’s boobs” and denied being touched anywhere else.

Document review revealed on 2/10/23 an incident report was submitted to the department reporting C2 touched C1 in the chest and rear end area on 2/9/23. On 3/21/23 an incident report was submitted to the department reporting C1 had notified staff that C2 had touched chest area. C2’s Triennial Individual Program Plan dated 8/19/2019 does not note unusual sexual behaviors. Per interviews conducted and document review, there is no evidence that the touching was to obtain sexual gratification. Therefore, there is not enough evidence to corroborate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED .

Exit interview was conducted with Luther Waters administrator and a copy of this report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction