Complaint Investigation Report

Allegation #1: Staff allowed clients to bully another client in care.

It is alleged that the staff failed to prevent Client #1 (C1) from being bullied. Reports indicate that several clients at the facility violated (C1's) personal rights and that no staff members intervened during these incidents, resulting in (C1's) humiliation. No additional details about this allegation have been provided.

On December 17, 2025, between 11:10 AM and 12:15 PM, the Department interviewed clients identified as Client #1 through Client #8 (C1-C8). Seven (7) out of the eight (8) clients were unable to confirm the claim. Clients (C2-C8) stated that they have not experienced or witnessed any harassment or bullying behavior among clients at this facility. The facility staff quickly addresses any prohibited actions against clients. (C2-C6) who are familiar with (C1) and mentioned in the complaint have come forward to express their concerns. They genuinely believe that the claim made against (C1) may not accurately reflect the situation and feel that (C1) could have inadvertently contributed to particular circumstances. Client #1 (C1) was interviewed but opted not to continue with the process, sharing that (C1) is no longer affiliated with Olivia Isabel Manor and would prefer to maintain (C1's) distance from the facility.

On December 17, 2025, and December 18, 2025, between 10:10 AM and 01:59 PM, the Department interviewed staff identified as Staff #1 through Staff #5 (S1-S5). Five (5) out of (5) staff members could not support this claim. (S1-S5) claimed this accusation is false. (S1-S5) stated that (C1) has a history of incidents for failing to abide the facility’s house rules and that (C1) was the one who would instigate these behaviors with other clients. Additionally, (S1-S3) stated that (C1) continues to communicate via text with staff who wish to resolve issues with other staff members and return to the facility.

A review of Client #1 (C1’s) Facility Resident Report (dated 02/11/25 through 07/18/25) and Facility Progress Notes (dated 01/22/25 through 10/08/25) revealed multiple house rule violations by (C1). A review of Harbor UCLA Medical Records (dated 07/28/25), Resident Appraisal LIC 603A (dated 02/21/23), Physician’s Report LICA 602 (dated 01/26/25), and Behavioral Contract (dated 09/02/25) and Telecommunication Text Messages revealed that (C1’s) medical diagnosis contributes to (C1’s) line of thinking/belief system.

(Evaluation Report continues LIC 9099--C)