Complaint Investigation Report

(PAGE 2) Report continued from LIC 9099...

On 01/28/2025, the assignment was upgraded to a full investigation. Subsequently, on 02/20/2025, the RO received a complaint pertaining to the same allegation.

On 01/09/2025, from 12:02pm to 3:00pm, Licensing Program Analyst (LPA) Trevor Byrne conducted an unannounced Case Management visit regarding the self-reported Unusual Incident/Injury Report (UIR) incident report received on 01/08/2025. The UIR pertained to an incident that allegedly occurred between R1 and S1. LPA Byrne met with Executive Director (Administrator) Lito Vitug at 12:02pm and explained the reason for the visit. During the visit, the LPA conducted an interview with the Administrator, conducted a brief physical plant tour, and obtained copies of pertinent information. The LPA informed the Administrator that a referral was submitted to CCL’s Investigations Branch and assigned to Investigator Veronica Padilla. The LPA determined further investigation was needed prior to issuing findings.

On 02/26/2025, from 9:30am to 3:20pm, Licensing Program Analyst (LPA) Erica Mosley conducted an unannounced initial complaint visit to the facility. At 9:35am, LPA Mosley met with Rizaandrea Vitug, Assistant Administrator, and explained the reason for the visit. The Executive Director (Administrator) Lito Vitug arrived during the visit. On 02/20/2025 the Department received a complaint alleging staff do not ensure that resident is treated with dignity and respect and a personal rights violation. The personal rights violation is in relation to the self-reported Unusual Incident/Injury Report (UIR) received on 01/08/2025 regarding R1 and S1. The initial visit was conducted on 01/09/2025 by LPA Trevor Byrne. A referral was submitted to Community Care Licensing Division's (CCLD) Investigation Branch (IB) and Investigator Veronica Padilla was assigned to investigate the personal rights violation. At 9:40am, LPA Mosley, along with the Assistant Administrator conducted a physical plant tour to ensure there were no immediate health and safety concerns. From 10:30am to 2:30pm, the LPA conducted interviews with ten (10) residents and six (6) staff including the Administrator and obtained copies of pertinent documents relevant to the investigation. The LPA determined further investigation was needed prior to issuing findings.

On 01/28/2025, from approximately 10:30am to 12:50pm, Investigator Padilla conducted interviews with Resident #1 (R1), residents, and Administrator; on 01/30/2025, at approximately 11:00am, with Los Angeles Police Department (LAPD) Detective; on 02/20/2025, at approximately 9:30am, with Administrator; on 03/11/2025, from approximately 9:00am to 2:51pm, with LAPD Detective, and former facility med tech;