Honestly.... how goddamn hard is this concept to wrap around your head? ESRB Rating : M for mature. This game contains: http://www.rockstargames.com/sanandreas/image/M.g
Thats the ESRB rating right from the box...
Where on there does it say the game is SAFE for kids to play? It's not meant for children.
It even says there's strong sexual content. That would mean the "hot coffee" mod doesn't raise the bar any higher then it's already been set for!