Complaint Investigation Report

Allegation: Allegation: Resident sustained an unexplained injury while in care.

The details of the complaint alleged that (C#1) sustained unexplained injuries while in care.

On June 25, 2025, at approximately 10:00 AM, LPA Iniguez reviewed records and observed the hospitalization discharge papers for (C#1), dated April 21, 2025. LPA Iniguez noted that there were no indications of injuries sustained by (C#1) due to staff negligence. Additionally, LPA Iniguez examined (C#1)’s most recent Individual Program Plan (IPP) from the South-Central Los Angeles Regional Center (SCLARC), dated January 10, 2024. There were no notes from the Regional Center Service Coordinator (SC) suggesting that the facility was neglectful in the care of (C#1). Moreover, LPA Iniguez observed Copies of facility staff training regarding Client’s Rights dated:5/14/25.

On April 22, 2025, at approximately 2:00 PM, during an interview with the Administrator (A#1), he stated that he is aware of the client’s rights and (C#1) did not sustain unexplained injuries due to facility staff negligence. In addition, (A#1) stated that the facility staff are always assisting (C#1) and all the clients in the care.

On April 22, 2025, at approximately 2:30 PM, during an interview with Witnesses 1 and 2 (W#1-W#2), (2) out of (2) stated that during their visits to (C#1), they had never observed negligence from facility staff. In addition, (2) out of (2) Witnesses stated that they have no complaints regarding (C#1)’s care at the facility.

On June 25, 2025, at approximately 9:30 AM, the Licensing Program Analyst-LPA was unable to speak with (C#1) because they were at a Skilled Nursing Facility (SNF) in the city of Norwalk following their hospitalization in April.