Complaint Investigation Report

During a previous visit conducted by LPA Senaha on 04/04/22, LPA Senaha conducted a plant inspection of the facility, received a copy of the Resident Roster, Staff roster, and documents for Residents R1-R4.

On 04/01/22, the El Segundo Adult Senior care referred the above assignment to the Investigations Branch. It was accepted as an assignment to interview Resident R1 and administrator. Investigator Laura Garcia conducted interviews with the former Administrator on 04/05/22 and R1 on 06/01/22.

The investigation revealed the following:

Allegation: Resident assaulted another resident

It is alleged Resident R1 was ‘beat up’ by resident R2 resulting in R1 being transported to the hospital for injuries.

During an interview with the former Administrator, conducted by Investigator Laura Garcia, stated R1 is a wanderer and wandered into R2’s room while they were asleep. R2 woke up, was startled, and pushed R1 who fell.

During file review, LPA reviewed a Special Incident Report (SIR), that was submitted regarding the incident that stated Saff was performing rounds and when R1 was not in their room Staff started to look for R1 and was calling their name, when they heard a R1 cry out loud. Staff observed R1 coming out of R2’s room. R2 said they were asleep, got startled, and pushed R1. The Long Beach Police Department was called out and the responding officer did not make a report due to the nature of the incident. During record review of Resident’s R1 and R2’s Physician Report, Needs and Service Plan, Resident Appraisal, and Staff Notes, LPA observed neither resident has a history of aggressive behavior, nor any previous altercations with other residents.