Facility Evaluation Report

Licensing Program Analyst (LPA) arrived unannounced to conduct a case management visit regarding a report received by Community Care Licensing (CCL) alleging non ‑ consensual sexual contact between Resident 1 (R1) and Resident 2 (R2). LPA met with the Administrator and explained the purpose of the visit.

The visit was conducted to determine whether the facility provided adequate supervision and protected residents’ personal rights as required under Title 22.

Based on interviews, documentation reviewed, and observations, the following was determined: R1 engaged in oral sexual contact (fellatio) with R2. R2 is a conserved individual with a diagnosis that does not support the capacity to consent to sexual activity. Because R2 is unable to provide informed consent, the contact is classified as non ‑ consensual under Title 22 personal rights standards. Following the incident, R2 began exhibiting changes in condition, including behavioral and emotional distress.

Due to these changes, R2 was transported to a medical facility for assessment. As of the time of the visit, R2 has not returned to the facility.