Facility Evaluation Report

Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced. This case management visit is a follow-up visit to the health and safety visit made to the facility on November 30, 2022. LPA met with Administrator, Larry Lawler and explained the purpose of the visit.

LPA Prieto conducted an initial case management visit in response to an Unusual Incident/Injury Report (UIR) received by this agency from the facility on November 28, 2022. The UIR alleged that staff #1 purchased various items (alcohol, e-cigarettes, and candy) for resident #1 (R1), S1 touched R1 inappropriately, and S1 drugged and sexually assaulted R1.

This incident was investigated by department staff. Department staff interview with the administrator revealed that they were made aware of the allegations almost two (2) weeks after R1 was discharged from the facility. The administrator stated they questioned resident #2 (R2) about the allegation. R2 was R1’s former roommate. The administrator stated that according to R2, S1 gave R1 their phone number. The administrator stated that R2 denied S1 and R1 had sexual relations; however, R2 stated that R1 and S1 had dinner. The administrator said they started an investigation into S1, and it was later decided to terminate S1. However, it was revealed through the course of this investigation that S1 resigned before the termination could be given.

Department staff attempted to locate R1 for an interview and was unsuccessful. Department staff interview with S1 revealed that initially, S1 denied knowing R1, and S1 would also state, “I plead the 5th”. Department staff file review revealed that no reports of S1 or any other facility staff member bringing items like alcohol for R1 or any other resident in care. Department staff file review also revealed that R1 stated S1 met them after R1 was discharged from the facility, drugged them, and sexually assaulted them. There is no evidence or witnesses to corroborate the allegations; therefore, investigation into this incident is closed.

No deficiencies were cited during this visit. An exit interview was conducted where this report (LIC 809) was discussed and provided to Lawler.