Complaint Investigation Report

During LPA De La Cerra's subsequent visit, on 3/20/25, staff interviews were conducted between 11:15am to 12:15pm, client interviews were conducted between 1:15pm to 2:15pm. At the time of this visit at 12:00p.m. LPA Duguma conducted physical plant inspection, which included the observation and inspection of all gender bathrooms.

At 12:10p.m. LPA Duguma conducted additional interviews with the staff that had knowledge of the incident involving C1 and C2.

interviews with staff #2 (S2) and Staff #3 (S3) revealed that on 10/14/24 at 12:35pm C1 went into all gender restrooms. Upon going inside, client C1 was touched on the buttocks area by another client #2 (C2) who was already inside all gender restroom. S2 walked inside the restroom a few seconds after client C1 and witnessed client C2's hand on client C1's buttocks and C2's pelvic region pressed against client C1's buttocks. Client C2 saw S2 coming in and immediately removed their hand and pelvic area away from client C1. S2 also heard client C1 tell client C2 "No, don't touch me. I don't like that!"

Interviews with facility staff, revealed that there are no previous incidents of C2 engaging in inappropriate behavior with C1, or act inappropriately towards another client. Staff revealed that none of them have observed client C2 engaging in inappropriate interactions with client C1 or with another client. Interviews with six (06) clients out of seven (07) clients revealed that they have never witnessed any clients engaging in inappropriate actions with another client nor have they been subjected to any inappropriate actions committed by them.

Record reviews reveal that C1 is able to use the restroom independently. Records also revealed that after the incident the facility implemented a preventive action plan and close supervision of C2. C2 was placed on one-on-one behavior support plan.

Based on observations, interviews and record reviews, there is enough supporting information and evidence to support the allegation. Therefore, the allegation is substantiated at this time. No citations or penalties issued.

Exit interview was conducted and a copy of the report was issued.