Violation Details: 00443697-AP-414508

Records Request Print
Date
12/5/2025
Report number
00443697-AP-414508
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(a)(g) and (s), 411-054-0028(2)
External site: 411-054-0036(2)(g), 411-054-0040(2)(a)
Findings
The Alleged Victim (AV) and Witness 1 (W1) have cognitive deficits and rely on the facility for their care. Witness 1 (W1) has a history of sexualized behaviors towards other residents and AV and is care planned to be monitored by staff when around opposite sexed peers. According to an investigation, on or about January 11, 2025, W1 and AV were observed engaged in sexual acts while both residents were in the common area, resulting in a loss of dignity for AV. Both residents had been in the line of sight of staff. W1's service planned interventions were not increased to effectively address behaviors. The facility failed to provide a safe environment and timely address resident behaviors, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP26-00258 $375.00 fine assessed