Complaint Investigation Report

The staff working on the incident dated 4/17/2021 knew nothing about the allegations R1 made against Staff 1 (S1). All the staff interviewed indicated they had several casual conversations with R1 during that day, but nothing was ever mentioned about an assault by S1. All the staff interviewed noted that it appeared to be a normal day for R1, and there were no signs of pain or distress. Residents interviewed did not have any issues with staff or have experienced any abuse.

During the interview with R1, it was difficult to get R1 to focus on the questions asked. R1 continually went off-topic and was redirected back to the allegations made regarding S1. R1 stated that S1 stuck the broomstick inside their anus. When R1 was asked what they were wearing, R1 stated spandex pants. This was different than what was told to the case manager (R1 stated they were wearing a dress). When R1 was asked if their pants were torn, the answer was no. When asked if they were injured, R1 stated, "My butt hurt for several days, especially when I sat down." When asked if they had any visible injuries. R1 did not answer. S1 was aware of the reason for the visit and provided the following statement: " S1 has always gotten along with R1 and does not know why R1 would make false allegations against S1. S1 stated that R1 would often act inappropriately and say things of a sexual nature to S1. S1 would remind R1 of boundaries. S1 stated that residents are asked to leave their rooms when it is time to clean some residents leave, some do not. On the day of the incident, S1 saw R1 once that day and did not have any interactions with R1.

R1 had x-rays of their buttock performed during the emergency visit at the hospital. The medical records were reviewed, and the section History of Present Illness states, “There was no evidence of assault, and their complaints were so extreme they seem quite delusional and without merit.”

This Department has investigated the allegation that staff sexually assaulted a resident and has found that the preponderance of the evidence was not met; therefore, the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report, along with the Licensee Rights (LIC 9058), was provided to the Administrator. His signature on this form confirms receipt of the documents.