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32 | Report Continued from LIC 9099...
A case management visit addressing the same allegation was conducted on 08/06/2025 by LPA E. Peraldi. During the visit, LPA Peraldi interviewed the ED at 11:30 a.m., requested and obtained copies of pertinent documents at 12:00 p.m., and conducted a physical plant tour at 12:15 p.m.
During an initial visit on 08/08/2025, between approximately 1:00 p.m. and 2:15 p.m., LPA Chochian conducted a physical plant tour with the Marketing Director (MD), Emilia Ruiz, met with random residents, and interviewed five (5) residents in the assisted living unit and three (3) residents in the memory care unit.
Investigator Canto reviewed police records and conducted interviews with residents on 08/21/2025 at approximately 3:38 p.m. and 4:15 p.m.
The investigation revealed that on 08/03/2025, R1’s responsible party informed facility staff that R1 had reported being sexually abused twice within the past month. Further statements indicated this was not the first time R1 had made such an allegation. On 05/08/2023, R1 made a similar allegation of being sexually abused by a staff member. An investigation completed on 09/22/2023 found insufficient evidence to support that allegation.
A review of R1’s Physician’s Report dated 06/18/2025 listed R1’s primary diagnosis as Alzheimer’s dementia. The report indicated that R1 lacks the capacity for self-care and requires assistance with all Activities of Daily Living (ADLs), including but not limited to bathing, dressing/grooming, feeding, toileting, medication administration, and managing own cash resources. The report also noted that R1 is unable to effectively communicate needs or follow instructions or directions. Per the hospice care plan effective 07/11/2025, R1 was recertified for routine level of care with a primary diagnosis of Alzheimer’s disease. The care plan also documented a medical history that includes hypothyroidism, dementia with psychosis, urinary tract infections (UTIs), and agitation.
Interviews further revealed that following the allegation made by R1 on 08/03/2025, R1 was assigned female caregivers only. Staff stated that law enforcement, R1’s Primary Care Physician (PCP), and the hospice agency servicing R1 were notified of the incident.
Report Continued on LIC 9099C...
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