Complaint Investigation Report

It is reported that there was an incident on 01/22/26 where Client #1 (C1) was yelled at by Staff #1 (S1) during a verbal altercation. It is further reported that the facility received a Corrective Action Plan (CAP) from North Los Angeles Regional Center (NLARC) where this incident is confirmed as happening by Administrators verbal admission and a written statement from S1 admitting to the incident. This incident was reported to LPA Casillas on 01/23/26 via phone by the Administrator. An SIR was also sent to Community Care Licensing (CCL) reporting the incident. LPA interviewed the Administrator who confirmed that this incident did take place and that corrective measures have been taken since. The Administrator stated that all staff have been retrained on how to handle and deescalate a situation, so that incidents can be better handled moving forward. Regarding this incident the Administrator stated that they were called by NLARC Consumer Services Coordinator (CSC) worker asking to pick up C1 from a bust stop as emergency placement, however, NLARC did not provide C1’s correct information. C1 was not fit for the facility as their diagnoses were not properly disclosed and was later discovered to have been something that the facility was not fit to handle. Administrator states that C1’s severe behaviors were not disclosed and feels like the CSC was purposely deceitful in order to urgently place C1 in a facility. LPA interviewed two (2) out of two (2) clients who stated that they have not been yelled at by anyone at this facility. LPA interviewed S1 and S1 confirmed that the incident did take place, S1 admits to yelling at C1. S1 was placed on administrative leave, from which they have returned, and all staff received mandatory training on personal rights, training on appropriate interaction, boundaries, and deescalation techniques for residents. LPA reviewed CAP, written statement and staff training that have been completed pertaining to this incident and found that these corroborate the allegation. Therefore, based on interviews, observations and record reviews, this allegation is deemed substantiated.