Complaint Investigation Report

Regarding the allegation: Staff did not meet the needs and services for a client. It is being alleged that client #1 (C1) is being neglected due to lack of treatment and care. C1 was taken by the facility to the Olive View hospital on 09/04/25 for low levels of oxygen and fever. C1 was kept in the hospital for further treatment of pneumonia and discharged on 09/14/25. On 09/23/25, Los Angeles Fire Department (LAFD) was called by C1’s mother to do a well ness check. LAFD arrived and reported C1 was doing well. C1’s mother insisted C1 be taken to hospital and C1 was transported around 9:00pm on 09/23/25 to the Olive View hospital but C1 was released from the hospital around 5:00am on 09/24/25 because there was no reason for C1 to be hospitalized. Let it be noted, C1 has a 1:1 staff that was also with C1 at the hospital on these two (2) separate hospital visits. LPA interviewed three (3) staff that confirmed C1 was taken to the hospital by the facility on 09/04/25 and returned to the facility on 09/14/25 and since then C1 has been doing well. Two (2) staff also confirmed that because C1 has a 1:1 staff two (2) staff followed the ambulance that transported C1 to the hospital on 09/23/25. LPA attempted to interview C1 but C1 is non-verbal. LPA did obtain all Unusual Incident/Injury reports that were sent to Community Care Licensing Department regarding C1 including C1's hospitalization. Furthermore, LPA received the Olive View hospital Discharge papers that confirmed C1 was in the hospital from 09/04/25 until 09/14/25 because of pneumonia and the visit that occurred on 09/23/25. Therefore, based on the LPA's record review and staff interviews, the above allegation(s) above is UNSUBSTANTIATED at this time.

An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the Administrator .