Complaint Investigation Report

197606270-11-3-2021-31-AS-NMAN-CEJVKF-20220518163015

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/16/2020 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20200916160958

Licensing Program Analyst Abeye Duguma conducted an unannounced visit on this day in order to deliver investigation findings. LPA arrived to the facility at 2:35pm. A tour of the physical plant was conducted at 3:00pm. No health and safety hazard noted. It was alleged that upon discharge from the hospital, the staff refused to take resident #1 (R1) back to the facility. An investigation of this complaint was conducted by the LPA Alex Pitz. As part of this investigation, LPA interviewed the complainant and reviewed associated documents on 9/17/20; interviewed the North Los Angeles County Regional Center (NLACRC) caseworker for resident 1 (R1) on 9/17/20 and 9/21/20; interviewed the administrator and conducted a virtual visit on 9/21/20. LPA reviewed documents submitted by the administrator and received in the Woodland Hills Regional Office (WHRO) on 9/24/20. The allegation, that “Staff illegally evicted resident,” has been substantiated based on the records reviewed and interviews conducted. The administrator confirmed during the 9/21/20 interview, and subsequently in writing on 9/22/20, that R1 was hospitalized for a psychiatric evaluation after unexpectedly physically assaulting a staff member, was medically cleared by the hospital, but not allowed back to the facility due to safety concerns for the other residents and staff.