Complaint Investigation Report

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

During today’s visit, starting at 9:30 a.m. LPA and staff conducted a physical plant tour to ensure there are no immediate health and safety concerns and facility is in compliance with Title 22 Regulations, at 9:35 a.m. conducted a brief telephonic interview with the Administrator and reconducted the telephonic interview at 11:35 a.m. starting at 9:57 a.m. conducted in-person interviews with one (1) staff member / care giver, starting at 10:15 a.m. conducted in person interviews with three (3) residents and two (2) family members who were visiting, starting at 10:42 a.m. conducted a file review, and obtained copies of pertinent documents relevant to the investigation, At 11:28 a.m. two (2) attempted phone calls and voicemail were left for the facility office staff, starting at 12:26 p.m. conducted telephonic interviews with two (2) relocation site facility Administrators.

On the allegation Staff did not prevent resident from leaving the facility unassisted it is the concern of the Reporting Party (RP) that approx. around June 2025 Resident #1 (R1) had wandered out the facility. To investigate this complaint, on 06/13/25 at 1:36 p.m., 06/18/2025 at 8:30 a.m. LPA conducted a telephonic interview with the Los Angeles County Public Guardian (LACPG) on 06/17/2025 at 3:29p.m. conducted a telephonic interview with Family Member (FM) of R1, 06/19/25 starting at 9:35 a.m. conducted a brief telephonic interview with the Administrator and reconducted the telephonic interview at 11:35 a.m. starting at 9:57 a.m. conducted in-person interviews with one (1) staff member / care giver, starting at 10:15 a.m. conducted in person interviews with three (3) residents and two (2) family members / visitors, who were visiting a resident, starting at 10:42 a.m. conducted a file review, and obtained copies of pertinent documents relevant to the investigation, at 11:28 a.m. two (2) attempted phone calls and voicemails were left for the facility office staff. Telephonic interview with LACPG revealed that on 06/10/2025 they were informed that R1 was wandering however no specific details were given or provided. Interview with FM revealed that they are unaware of R1 leaving the facility unattended or unassisted. Interview with the Administrator revealed that R1 was only at the facility for two (2) to three (3) days max and in that time R1 wandered around the facility grounds however never wandered out of the facility. Interview with caregiver revealed that R1 was briefly at the facility one (1) to two (2) days and wandering around the kitchen in desire to cook food. R1 never left the facility unassisted by staff. R1 remained on the facility grounds supervised.