Complaint Investigation Report

Resident was physically assaulted by staff.

It was alleged that the staff #1 (S1) kicked Client #1 (C1) in the hall way. To investigate this allegation LPA conducted an interview with the Administrator and Staff #1 (S1) and both parties denied the above allegation and informed LPA that on 09/02/2025 at around 9:30 AM, C1 had a behavior episode and C1 broke the Television and a coffee table. The staff redirected C1, and continued to monitor C1 every fifteen minutes; however, C1 managed to elope the facility through neighbor's fence. Upon discovery the staff immediately contacted 9-1-1 to report the incident. When C1 was located by the police, C1 was admitted to the hospital for further assessment. During today's visit, LPA conducted a collateral visit to Adventist Health Glendale hospital to interview C1. LPA was informed by the RN that C1 is currently at Psychiatric Department. Interview with the RN also revealed that a complete assessment of C1 was conducted upon admission and no signs of physical assault were noted. Additionally, LPA was informed that C1 was admitted to the hospital due to hearing voices. Interview with C1 confirmed that on 09/02/2025, C1 had psychosis and was hearing voices. Lastly, interview with three (3) clients revealed that no physical assault took place nor any witnesses were available to confirm. Therefore, based on interviews, record review, and information gathered this allegation is deemed Unsubstantiated at this time.

Exit interview conducted and copy of this report signed and delivered.