Complaint Investigation Report, 02/12/2025 — Willing Workers, Incorporated, Los Angeles CA

Allegation: Staff did not properly report an incident involving a resident. It is alleged that the above-named facility did not report an incident involving a client fall and/or injury to their provider and/or guardian. On 02/10/25, the department interviewed S1-S6. Based on interviews conducted, 4 out of 6 staff interviewed stated that they don’t know if C1s provider and/or guardian was notified regarding C1 falling on 01/31/25. 6 out of 6 staff interviewed stated that the client’s provider and/or guardian along with all applicable agencies are notified when a client falls, has an accident, and or sustains an injury.6 out of 6 staff interviewed stated that an SIR was submitted to the department on 01/31/25.

Based on interviews conducted 3 out of 6 clients interviewed revealed that they do not know if staff reported an incident involving a client falling and/or an injury to their provider and/or guardian. 3 out of 6 clients were unable to communicate with the department.

A review of records revealed that an SIR dated 01/31/25 was provided to the department revealing that a client fell during a fire drill on 01/31/25.

Based on the information gathered, interviews conducted, and records reviewed, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

Allegation: Client sustained unexplained injuries while in care. It is alleged that a client was taken to urgent care and was treated for head, neck fracture, and bruising to their arm. Based on interviews conducted, 5 out of 6 staff interviewed stated that C1 did not have any visible injuries. An interview conducted with C1’s coach S4 revealed that immediately after they noticed that C1 had fallen, they rushed to their aid. S4 stated that they did a body check and did not see any visible injuries on C1 that would require emergency services and/or first aid. S4 stated they also asked C1 if they were ok, to which C1 stated they were.