Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct a case management – incident visit. LPA met with Executive Director, Tina Bagheri.

This visit is a follow-up on a case management visit conducted on 11/08/2024 regarding sexual abuse by staff (S1) to resident (R1) the night of 11/06/2024. On 11/07/2024, the incident was reported to the Department.

During the investigation, it was found that S1 had inappropriately touched R1’s private areas without consent. The incident was witnessed by a staff member who entered the memory care unit and observed the incident. This staff member immediately rushed to grab another staff and returned to the memory care unit where R1 motioned for the two staff to come over. Due to R1’s diagnosis, R1 primarily relied on physical gesture to communicate. R1 was motioning a grabbing motion in R1’s private areas indicating that R1 was inappropriately touched by S1.

Law enforcement investigated the case and interviewed R1 who was able to articulate that an incident had occurred based on expression. R1 answered yes to the questions of S1 touching R1’s private areas, if he/she was scared, if he/she requested help, if S1 hit him/her, if S1 took his/her pants off, and if R1 saw S1’s private part. R1 was noticeablely distraught during the interview.