It may be that the AC unit has been leaking some and the plywood decking has deteriorated and is sagging now. Can you drop the AC grill inside the coach and get a good look at the structure where the opening is? That may provide some useful information.
Can you see the sag looking at that area on the inside ceiling?
Go to YouTube and look at the roof repair videos by "AZ Expert". You can get a good idea of how the roof structure is made up and what to look for.
For Example (maybe look through his videos for something on an old Monaco or HR):