Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Sam El-Rabaa.

Today's visit was in response to an SOC341 Report of Suspected Dependent Adult/Elder Abuse, which licensee self-submitted to the CCLD San Diego Regional Office (received on 09/07/2023), involving Resident #1 (R1) and Staff #1 (S1). [See LIC 811 Confidential Names List for a description of person identifiers used in this report].

During today’s visit, LPA performed a facility tour and welfare check on R1, verifying they were safe. LPA collected copies of pertinent care, medical, and personnel records. LPA reviewed handwritten witness statements and time-stamped documents from Licensee’s internal investigation. LPA also interviewed pertinent staff and outside sources.

According to R1’s latest LIC602 Physician’s Report (dated 01/09/2023), they were diagnosed with Alzheimer’s type Dementia, but their doctor determined that R1 was continent of bowel and bladder. Licensee’s own Service Plan and internal care assessment (both dated 08/08/2023) corroborated that R1 had dementia but was independent with toileting tasks.

Due to their baseline memory loss, R1 was unable to participate as a reliable historian/interviewee about the incident. However, records and staff interviews showed: During the morning of 09/06/2023, S1 sat beside R1 on a couch and used their hand to touch R1’s upper thigh in a sexualized manner. S1 also touched the side of R1’s breast on a separate occasion. R1 did not suffer physical injuries as a result.