Complaint Investigation Report

C1's current IPP report, C1's hospital visit summaries, C1's photos (showing injuries), S2's written incident statement, S3's written incident statement, and the house rules. A separate investigation was conducted by Department of Social Services, Investigations Branch (IB) Investigator (Edward Hector) which included a review of the facility’s surveillance video, hospital medical records, LASD incident report, and photographs; interviews with five (5) facility staff, three (3) clients, two (2) medical services staff, and the responding LASD deputies.

Allegation: Facility staff hit resident in care

Regarding Allegation #1 : this investigation revealed that Client #1 (referred to as C1) was a client at the facility, effective 03/10/20. IB’s review of a surveillance video obtained from the facility shows on 4/12/2020 with a timestamp of 18:59:15, S1 is seen dragging C1 out of the dimly lit room into the hallway. At timestamp 18:59:19, S1 lifts up his right leg and appears to use a downward motion to stomp C1, who is still on the floor, lying on his back. At timestamp 18:59:20, S1 then uses his right hand in a closed fist position to punch C1 who is shown to be in an upward fetal position with his back on the ground, but his legs and feet in the air. At timestamp 18:59:26, S1 is shown lifting his left leg and quickly bringing it in a downward motion toward C1. According to obtained medical records (dated 04/15/20, 04/22/20, and 04/25/20) from St. Francis Medical Center, C1 suffered a facial fracture, a closed head injury, a right rib fracture, neck sprain, and chest wall contusion from an assault by Staff #1 (referred to as S1). Based upon the evidence gathered and interviews conducted and records reviewed, the preponderance of evidence standard has been met: Staff #1 dragged, punched, and kicked Client #1 who sustained injuries including a facial fracture and rib fractures; therefore the above allegation of PHYSICAL ABUSE: Facility staff hit resident in care is found to be SUBSTANTIATED .

Allegation: Failure to seek timely medical attention

Regarding Allegation #3 : this investigation revealed that the facility failed to seek timely medical attention for C1: S2 stated in a written statement that C1 requested S2 to call 911 and thirty minutes later the sheriff showed up. IB’s interview with Staff #3 (referred to as S3) indicated C1 requested S3 to call 911 but there was no indication that S3 called 911. Based upon the evidence gathered and records reviewed, a call log obtained from the Los Angeles (LA) Sheriff’s Department, Century Station shows C1 made a call to 911 on 4/12/2020 at