Complaint Investigation Report

S1 Licensee Ms. Kim and LPA Bunker toured the facility both inside and outside, to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. During today's visit, no signs of neglect or abuse were observed. We observed and thoroughly reviewed the resident’s records.

LPA Pamela Bunker requested copies of the following documents: Personnel Report, Resident's Rosters, Admission Agreement, Identification and Emergency Information, Appraisal/Needs and Service Plan, Physician's Report, Medical and Dental Service Services records, Medication List, Medication log, Medication Administration Records (MARs), Functional Capability Assessment, Daily Progress Notes, House Rules, 30-day Eviction Notice, Unusual/Special Incident Reports, and Los Angeles Sheriff's Department Report.

Allegation #1: Staff Unlawfully Evicted a Resident While in Care

Staff 1 (S1), Licensee/Administrator Ms. Kim, reported that on 08/09/2023, a resident physically assaulted a staff member by punching them in the face. The Los Angeles County Sheriff's Department was called to the facility, and the resident was subsequently arrested. The following day, 08/10/2023, the resident voluntarily moved to a new location. S1 emphasized that the resident was not evicted but left of their own accord. S1 confirmed that all relevant documentation was faxed to LPA Ernand Dabuet, Community Care Licensing, and other appropriate agencies in a timely manner. S1 explained that on 08/10/2023, the resident's Case Manager contacted her to inform her that the resident would be voluntarily relocated to a new home. The Case Manager, along with the resident’s family, arranged to pick up the resident's personal belongings and medications. S1 assured that all documents related to this matter were submitted prior to the complaint being filed. S1 stated that at no point was the resident denied access to basic needs such as shelter, medication, food, etc. The resident was provided with their medications and personal belongings as required. S1 stated that the resident’s Case Manager indicated that the resident required a higher level of care and instructed her to draft a 30-day eviction notice for the resident’s Conservator. S1 stated that there was a misunderstanding and that she was acting under the Case Manager's instructions. S1 stated that the issue was resolved before this complaint was made, and the resident was permitted to return to the facility. S1 also stated that the resident’s Conservator later provided a letter indicating the resident's was moving. R2-R6 expressed satisfaction with the care provided by the staff and stated that no unlawful eviction notices were issued to any of them. Both Staff 1 (S1) and Residents 2-6 (R2-R6) denied the allegation of unlawful eviction.