Complaint Investigation Report

Allegation: Resident was sexually assaulted while in care.

The details of the complaint alleged that (R#1) was sexually assaulted by (R#2) while living at the facility.

On August 3, 2025, at approximately 8:30 am, during the records review, the department observed the Riverside County Sheriff’s Department Report # T232650034 dated:9/22/23. The department noticed that the deputy assigned to investigate (R#1)’s alleged sexual assault by (R#2). After interviewing (R#1), the deputy stated that there were no signs of forceful interaction and that it was more likely consensual between (R#1) and (R#2). In addition, the department reviewed the copy of (R#1)’s Physician’s Report for Residential Care Facilities for the Elderly (RCFE) or LIC 602A dated:12/14/22, the department observed that it was written on (R#1)’s assessment that they have a mild cognitive impairment, they are not confused or disoriented, are able to follow instructions, and able to communicate their needs. Moreover, the department reviewed the copy of (R#1)’s Preplacement Appraisal Information or LIC 603 dated:2/23/23, and the department observed that it was written that (R#1) ’s mental condition was alert, oriented, and did not need special supervision due to confusion or forgetfulness. Additionally, the department reviewed the copy of Staff Roster or LIC 500 dated: September 2023, the department observed that the day of (R#1)’s incident 9/22/23 at approximately 9:00 am, there were (5) caregivers in the memory care unit, the department noticed there were enough facility staff to provided care and supervision to (R#1 and R#2) and the rest of the residents.

On October 6, 2023, the department interviewed the Assistant Executive Director (A#1). She stated that the incident between (R#1) and (R#2) was reported to her by (S#1). Additionally, (A#1) stated that she was told by (S#1) that (R#1) was not in distress after the incident happened. The day before the incident, (S#1) observed (R#1) and (R#2) “happy” and holding hands. Moreover, (A#1) stated that it was observed through the facility’s video surveillance cameras in the hallway (R#1) and (R#2) showing signs of affection to each other. In addition, (A#1) mentioned that the police department was called, but they found no issues after their investigation.