Facility Evaluation Report

On 03/28/2023 at 9:05 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility for a case management visit and met with Program Director Valerie Daniels. This case management visit was made regarding an incident that occurred at the facility and the facility submitted Unusual Incident Report (LIC624) to Community Care Licensing Division (CCLD) on 09/06/2022 where Client #1 had allegation of sexual abuse that occurred 08/24/2022. Client #1 was identified on confidential list LIC 811. According to the LIC624 which was reported by the facility, the following took place; Client #1 stated that an incident of sexual abuse had taken place. The individual accused of this incident was unknown as C1 identified accuser as male peer. C1 alleged a male peer sexually assaulted C1 in C1’s bedroom.

During this visit, LPA Brown toured the facility, interviewed clients and staffs and reviewed documents. Program Director Daniels reported that Client #1 was transferred to their Aurora facility. LPA Brown contacted C1 via telephone and C1 reported “No male client/peer went to my room and no sexual assault happened. That time I was having a bad dream. No sexual assault happened. It did not happen.” Staff interviews indicated that C1 reported to them that C1 did not know if C1’s hallucinating or not as C1 reported to them that C1 cannot determine if it really happened or not. LPA Brown also reviewed all documentation provided by facility. According to the LIC624 submitted, it would appear that an allegation of sexual abuse occurred at C1’s bedroom. This facility is equipped with cameras throughout the facility. One camera is positioned in the hallway near C1’s bedroom which is the reported location of the incident. This camera gives view of the hallway and clear view of C1’s bedroom door. According to Program Director Daniels, these cameras record for three months consecutively. During the facility's investigation, this footage was reviewed and at no time does it show any male clients coming or going alone to C1’s bedroom on the reported incident date. In addition, facility reported that during their internal investigation, C1 reported that C1 believed that the male who came into C1’s bedroom smelled of alcohol and staffs at the facility conducted room safety checks on all client’s bedrooms and no alcohol found. *** Continuation in LIC809C ***