Complaint Investigation Report

Allegation #1: Staff holds resident down resulting in injuries.

It is alleged that the staff physically restrained Resident #1 (R1), resulting in injuries. Reports indicate that the facility staff used physical restraint on (R1), leading to cuts on (R1's) arms. No additional information about the incident has been provided.

On June 5, 2026, between 09:30 AM and 01:25 PM, the Department interviewed staff members identified as Staff #1 through Staff #3. Three (3) out of the three (3) staff members could not support this claim. Resident #1 (R1) was feeling unwell, impacting (R1’s) mood and mental clarity associated with the behaviors from the infecton. Staff (S1) contacted (R1's) responsible party, and (R1) was admitted to Torrance Memorial Hospital on May 30, 2026, for medical evaluation. The Torrance Memorial Medical Assessment (dated 05/31/26), indicated that (R1) is being treated for a urinary tract infection. (S1-S3) firmly denied any use of restraining (R1) in their caregiving or supervision. They disputed (R1) ever sustaining injuries resulting from manual or physical restraint.

On June 5, 2026, between 9:45 AM and 10:25 AM, the Department interviewed resident members identified as Resident #2 through Resident #5 (R1-R5). Five (5) out of the (5) five residents cannot support this claim. All reported feeling well-treated by the staff and stated that they have not undergone any physical restraint or sustained any injuries while in care.

On June 5, 2026, between 10:40 AM and 11:23 AM, the Department interviewed resident member identified as Resident #1 (R1) at Torrance Memorial Hospital. (R1) confirmed was admitted for medical care due to Urinary Tract Infection. Resident (R1) reported that a staff member at the facility would hold (R1) in a way that caused cuts on (R1’s) right wrist and arm. (R1) could not remember when the incident occurred or name the staff member involved, but (R1) indicated that this behavior is ongoing. However, (R1) clarified that it was not physical abuse and did not wish to provide further details. Overall, (R1) stated that (R1) have been treated well by the facility's staff and feel safe living there.

During the interview with (R1), the Department observed that there were no fresh cuts, scrapes, or bruises on (R1’s) arms.