Complaint Investigation Report

On May 9, 2025, Local Law Enforcement interviewed Witness W1. W1 stated on May 8, 2025, he/she conducted a visit at the facility to see R1. W1 attempted to open R2 and R3’s room, but noticed it was locked. R1 opened the door and W1 saw R1 sitting on a chair and S1 standing approximately 5 feet from R1 and S1 was attempting to pull his/her pants up and buckle his/her belt. W1 did not see whether or not S1’s privates were erect. W1 stated he/she asked S1 why his/her pants were down in a locked room with R1. S1 ignored W1’s question and tried to escort R1 out of the bedroom. W1 asked again why S1’s pants were down and S1 stated he/she was using the bathroom and heard a knock on the door, so S1 rushed out to try to open the door. W1 noted that he/she did not knock on the door and R1 opened the door on his/her own accord.

W1 called Licensee (LN) Elvira Casim on the phone an informed her of the incident. LN told W1 that S1 was attempting to get R1 dressed. W1 told LN that S1’s pants were down. LN told W1 that S1 was rushing out of the bathroom after hearing a knock at the door, which was why S1’s pants were down.

On September 24, 2025, Local Law enforcement interviewed R1. During the interview, Resident R1 was not able to verbalize any words clearly. Resident R1 was unable to provide any details of the incident.

On October 17, 2025, the Department interviewed residents R2 and R3. Residents R2 and R3 were unable to speak in coherent statement and unable to provide responses to questions posed.

On October 21, 2025, the Department interviewed Licensee (LN) Elvira Casim. LN stated on May 8, 2025, Witness W1 arrived unannounced to the facility. W1 reported upon entering the room where R1 was, W1 saw staff S1 pulling his/her pants up while R1 was sitting down. When W1 reported what he/she saw, LN spoke with S1. LN stated, according to S1, he/she used the bathroom that was inside the resident’s room and he/she was pulling up his/her pants while coming out the bathroom that was inside the residents room and he/she was pulling up his pants while coming out of the bathroom, while at the same time W1 came in. LN stated S1 is not fluent in English and was flustered, so he/she was not able to explain the circumstances to W1 clearly when W1 asked him/her why his/her pants were down. LN stated S1 is a good person and has sympathy for the residents. LN stated she never had concerns with S1 and never observed any inappropriate behavior from Staff S1 towards anyone at the facility. Page 2 Out of 3.