Complaint Investigation Report

Allegation: “Staff did not prevent a resident from sexually abusing another resident.”

It was reported that Resident #1 (R1) was sexually abused by Resident #2 (R2) on 09/02/2025 and 09/03/2025. Subsequently, it was also reported that R2 was sexually abused by R1 on 09/03/2025. Interview with five (5) Staff and the Administrator revealed that R1 and R2 were good friends and commonly known to spend time together in their bedrooms or in the living room. When R1 and R2 were together in their bedrooms, Staff instructed them to leave the door open. Staff monitor Residents frequently, and two (2) Staff reported that R1 and R2 are known to be loud; when it becomes unusually quiet, Staff immediately check on them.

Staff noted both residents enjoy each other’s company and refer to each other as their siblings and best friends. Staff observed R1 and R2 to converse, watch TV, and give each other massages when they are together. Staff stated that neither Resident had a history of sexual or inappropriate behavior, their interactions have been mutual, and without complaints. Additionally, Staff noted both Residents were always clothed when together.

R1 denied inappropriately touching R2 but claimed that R2 touched R1’s private area on both days. When asked about consent, R1 stated they initially did not give consent, but R2 assured they would not get in trouble, and R1 then allowed R2 to touch them. Staff #1 (S1) observed the Residents together on 09/03/2025 and instructed R2 to return to their bedroom, which R2 did compliantly. R1 claimed to have reported the inappropriate behavior to S1; however, S1 stated they were not informed of any incidents, and Progress Notes did not indicate any reports. R2 denied the allegation of either Resident sexually abusing one another and stated R2 did not touch R1 and vice versa.

R1’s Tri-Counties Regional Center (TCRC) Quarterly Report dated 08/19/2025 and Individual Program Plan (IPP) dated 03/09/2023 revealed that R1 had manipulative tendencies, a history of making allegations and fabricating stories, and one (1) incident of inappropriate touching during that quarter.