Complaint Investigation Report

Allegation: Client sustained Clavicle fracture while in care.

It is being reported that C1 sustained an injury due to neglect and lack of supervision. On 2/17/26, Licensing Program Analyst, (LPA) Felisa Shirley reviewed medical records from Long Beach Medical Center, dated, 10/19/25. Per medical records, C1 received a diagnosis of a “Closed nondisplaced fracture of sternal end of left clavicle” and a “Hematoma of left chest wall.” Dr. Farhood Saremi, MD stated that the hematoma appears to be old, it appeared that C1 had an initial injury and hematoma and the bruising was starting to dissipate. C1 had that yellow slightly mottled appearance of an old bruise and did not feel that this is a recent injury. During review of medical reports from MemorialCare Long Beach Medical Center, LPA Shirley observed that C1 has a past medical history of seizures. Per interview with S1 on 11/5/25, she didn’t notice any bruises during C1’s shower on 10/18/25 prior to C1’s visit to family home. On 2/17/26, LPA Shirley reviewed correspondences from Access Services, Risk Management Coordinator, dated 10/27/25, stating that footage was reviewed for C1 during transport to family residence on 10/18/25. The correspondence confirmed that there were no reported incidents involving C1. Per interview with W3, Westside Regional Staff on, 12/18/25, it was verified that there is no supplemental staff supervision required for C1. Therefore, the possibility of an unwitnessed fall or unwitnessed injurious event cannot be ruled out.