Complaint Investigation Report

On 09/28/23, During today's visit from 09:50am-02:00pm, LPA conducted interviews with staff (S1-S7) and clients (C1-C10) for the complaint allegations 2-4. While IB Investigator, Dennis Seng, interviewed contacts C1 and C2 for allegation #1 on 09/05/23. The El Segundo Adult and Senior Care Regional office referred this case to the Investigations Branch, and on 08/07/23, investigator Dennis Seng was assigned to conduct the interviews for contacts C1 and C2.

The investigation revealed the following- Allegation # 1: Residents are using illegal drugs on facility premises due to lack of supervision.

It is alleged that due to lack of supervision, clients are using illegal drugs on the premises. On 08/07/23, the investigation was assigned to Investigation’s Branch (IB) Investigator, Dennis Seng. On 09/05/23, at approximately 1423 hours, IB Investigator conducted an interview with client C1 about the allegation. It was reported that C1 tested positive for drugs and witnessed another client using crack, but when ask by the investigator about the allegation, C1 denied that C1 tested positive for drugs. Additionally, C1 denied having any knowledge of C2 abusing illegal drugs in C1s presence. C1 had no additional information to provide.

On 09/05/23, at approximately 1435 hours, IB Investigator, Dennis Seng interviewed C2 about the allegation. IB investigator asked C2 about the allegation, C2 denied abusing illegal drugs at any time while at the facility and did not know why someone would file a complaint as C2 has never abused drugs while at the facility. C2 had no additional information to provide.

IB Investigator concluded that the interviews of C1 & C2 did not disclose any information that either individuals were using marijuana or crack while in the care of the facility. Furthermore, found no information to warrant a full investigation.

Based on interviews, there is insufficient evidence to support the allegation: Residents are using illegal drugs on facility premises due to lack of supervision. 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 # 2: Staff did not ensure that resident was appropriately dressed.

It was reported that a client was walking around naked in the facility. On 09/28/23, LPA Perry Scott interviewed staff S1-S7 about the allegation. 4 of 7 staff denied the allegation that Staff did not ensure that resident was appropriately dressed. Most of the staff state that they had no complaints about clients walking around naked in the facility. LPA interviewed clients C1-C10 about the allegation. 6 of 10 clients denied the allegation. The majority of the clients state they have not seen anyone walking around naked in the facility.