Complaint Investigation Report

Interviews with staff conducted be the Department indicated that staff were not fully aware of resident (R1’s) prior sexually inappropriate behavior. However, staff reported and acknowledged R1 had sexually touched several residents (R2, R3, R4, and R5) on their chest or buttocks.

Interview with staff member (S1) indicated that facility management (S2 and Administrator Parveen Saroay) were made aware of R1’s sexually inappropriate past. However, R1 was still admitted into the facility. Interview with relevant party revealed that R1’s extensive sexually inappropriate behavior was disclosed to Administrator Saroay prior to their placement. Despite knowledge of R1’s behavior, R1 was admitted into the facility.

A review of two Sacramento County Sheriff’s Office (SCSO) reports indicated that R2, R3, and R4 reported being touched by R1 in a sexually inappropriate manner. After reported incidents of sexually inappropriate touching at the facility, R1 was sent to the hospital and returned. Upon return, R1 was place on increased supervision.

Despite the changes to R1’s care plan for increased supervision, R1 continued to act sexually inappropriate and touched additional residents (R3 and R4). R1 was also observed to be masturbating and ejaculating in a public part of the facility.

Based on interviews conducted by the Department and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. An immediate civil penalty per Health and Safety Code § 1548 in the amount of $500 for the date of 11/30/2022 is assessed for a violation that the department determines was caused by the absence of supervision as required by statute or regulation. An additional civil penalty assessment is under review and a determination is pending. LPA will return on a future date to assess an additional civil penalty if warranted.

Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Administrator's signature on these forms acknowledges receipt of these documents.