Complaint Investigation Report

Allegation: Staff did not seek medical attention for residents in care in a timely manner.

The details of the complaint alleged that facility staff did not seek medical attention for (R#1) in a timely manner.

On September 16, 2025, at approximately 10:30 a.m., during the records review, LPA Iniguez observed a copy of the Culver City Fire Department Incident Report dated 3/7/25. LPA Iniguez observed that the report states that on the night of 3/7/25 at approximately 11:31 p.m., the emergency department was dispatched to the facility regarding (R#1). When the emergency department arrived at (R#1)’s room, emergency personnel spoke with (R#1), who denied any medical complaint. (R#1) stated that they were very uncomfortable because they needed an adjustable bed, and the facility did not have one. Emergency personnel took (R#1) to the hospital.

On August 7, 2025, at approximately 10:00 AM, during an Interview with the Administrative Assistant (A#1), she stated that (R#1) was only one day with us at the facility. (R#1) was taken to the hospital for further care and evaluation. In addition, (A#1) stated that the facility did not use Uber or Lyft to transfer (R#1) to the hospital; the emergency department came on the night of 3/7/25 and took them back to the hospital.

On August 7, 2025, at approximately 11:25 am, Licensing Program Analyst-LPA Alfonso Iniguez contacted former resident (R#1), they answered the call and LPA Iniguez introduced himself, (R#1) stated that they do not have time to take the call since they are at the hospital and they do not want to talk about it. LPA Iniguez thanked (R#1) for their time and ended the call.