Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff did not provide medical personnel with medical records in a timely manner. It is being alleged that on 10/27/25, a doctor at UCLA Medical Center asked facility Administrator to provide medical records for R1, but no records were provided. It is also being alleged that R1’s family member contacted facility administrator multiple times to ask them to send the medical records to the doctor. On 11/05/25, LPA Gonzalez conducted interviews with staff S1-S3. Of those interviewed, 2 out of 3 staff denied the allegation, and 1 out of 3 staff could not corroborate with the allegation. An interview with S2 revealed that S2 spoke with a physician at UCLA Medical Center on 10/27/25 and verbally provided the requested information regarding R1. S2 stated that on 10/28/25, after speaking with Witness #1 (W1), who requested that R1’s medical records be sent in paper form to the physician, S2 mailed the requested medical records on 10/28/25. On 11/05/25, LPA Gonzalez conducted interviews with residents R1-R3 and attempted to interview R4 but were unable to as they were sleeping. Of those interviewed, 3 out of 3 residents could not corroborate with the allegation.

Based on records reviewed, and interviews conducted, there is insufficient evidence to support the allegation. 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: Staff disclosed confidential information about resident to others. It is being alleged that facility Administrator has been contacting R1’s responsible party’s sibling via text and phone calls about R1, despite their request that no information be shared without their consent. On 11/05/25, LPA Gonzalez conducted interviews with S1-S3. Of those interviewed, 3 out of 3 staff denied the allegation. An interview with S1 indicated that R1 maintains ongoing communication with their family and retains the right to authorize the release of personal information at their discretion. On 11/05/25, LPA Gonzalez conducted interviews with residents #1-#3 (R1-R3) and attempted to interview R4 but were unable to as they were sleeping. Of those interviewed, 3 out of 3 residents could not corroborate with the allegation.