Complaint Investigation Report

On 9/06/2023 LPA Pamela Bunker and Staff Jerry Brinson(staff 2 -S2) toured facility buildings and grounds to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. No evidence of neglect or abuse was observed during the visit. The department requested and reviewed the following records for R1 and R2: physician's report (R1 only), admission agreement, identification and emergency information, Medication Administration Records (MARs), unusual incident reports, appraisal/needs and services plan, UCLA Harbor Medical records for R1 and Inglewood Police Department (IPD) police report. An employee schedule was requested for the month of 8/2023 and as of the date of this report was not received.

Allegation: Facility staff did not prevent a resident from physically assaulting another resident with a weapon. It is being alleged that a facility resident was able to stab another resident due to a lack of supervision by facility staff.

On 11/29/2023 the department arrived at the facility to conduct interviews and observed that door was opened by resident 3 (R3), who then led them across the street to house of Administrator Beverly Brinson. The department reviewed facility files for R1 and per medical records from Harbor UCLA Hospital, R1 was admitted to Harbor UCLA Hospital on 8/31/2023 with two stab wounds, a 2.5cm linear laceration over the little finger of his right hand and a 7cm linear laceration over their left upper chest. Per police report from the Inglewood Police department, on 8/31/2023 two officers responded to a call at facility address. Per police report, at approximately 10:30pm R1 was awoken by R2, who stabbed at him, which R1 blocked with his hand. R1 ran out of the house and yelled for help with R2 chasing after him. R1 was running to house of S1 (Administrator Beverly Brinson), which is around the corner, but R2 was able to catch up to R1 in the driveway of S1’s house and stab him in the abdominal area before running away. 911 was called by Administrator Brinson and R1 received treatment from paramedics before being sent to the hospital and R2 was arrested.

On 11/29/2023 the department interviewed facility Administrator Beverly Brinson (S1). During interview S1 stated both her and S2 reside in houses across the street from the facility.