Complaint Investigation Report

Administrator and gathered information pertinent to allegation. The Administrator indicated that Staff #1 (S1) was awake when the Sheriff Department spoke over a loudspeaker telling staff and clients to evacuate the facility.

S1 immediately informed the Administrator. While S1 started evacuation process and told all clients to gather in front of the facility, the Administrator and staff #2 (S2) arrived and went to check all bedrooms to make sure no clients were left behind. They gathered medication, clothes and transported clients to the Pasadena Convention Center. On 09/18/2025, at 4:00p.m., LPA and LPM conducted via phone interview with staff #2 (S2) regarding the allegation. Information revealed ,from S2 supported the statement received from the Administrator. On 10/06/25 at about 3:00p.m., LPA contacted Administrator via-phone again, attempting to obtain contact information for staff #1 (S1), but not available. In addition, LPA made an attempt to obtain a contact phone numbers for facility clients. However, due to fire and emergency relocation no contact information was available. On 10/06/25 LPA reviewed facility file and available documentation and confirmed that an approved Emergency Disaster Plan was on file. The information revealed from the document corroborated the information received from interviews.

Based on interviews and record review, it was concluded that although the alleged incident may have happened, there is insufficient information to confirm that “Facility did not ensure an emergency disaster plan was in place”. Therefore, the allegation was deemed UNSUBSTANTIATED at this time.

No health and safety hazards were noted during this visit.

Exit interview conducted/copy of report provided.