Complaint Investigation Report

On 06/15/2026, between the hours of 1:30pm – 2:40pm, the Department conducted a records review and observed the following: the facility’s Resident Return from Extended Leave Policy & Procedure states that residents returning from hospitalization or any absence exceeding seven (7) days must be assessed prior to readmission, and the facility may require updated medical documentation to determine whether it can safely meet the resident’s needs. R1’s Pre- and Re-Assessment (dated 05/26/2026) documented traumatic brain injury, mental health challenges, memory loss, behavioral triggers, a history of aggression, and the need for assistance with activities of daily living and medication management. The communication log reflected ongoing contact between the facility and UCLA from 05/04/2026 through 06/06/2026, including repeated requests for updated clinical information and the LIC 602. Documentation showed the facility received the updated LIC 602 on 06/04/2026, completed the assessment on 05/26/2026, and confirmed R1’s return hospital on 06/05/2026. Hospital records (dated 06/08/2026) indicated R1 was medically cleared, stable for discharge, and appropriate for return to the facility. R1’s LIC 602 (dated 06/04/2026) listed diagnoses of acute psychosis, schizophrenia, and traumatic brain injury and confirmed R1 required staff assistance with medication administration.

Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted with Michelle Brown (Wellness Director) and a copy of this report was provided.