Complaint Investigation Report

On 3/25/2022, at approx. 4:30 p.m., LPA interviewed Staff #1 (S1) who worked the evening shift of the alleged incident. On 3/28/2022, at approx. 5 p.m., LPA interviewed Staff #2 (S2) and Staff #3 (S3), who also worked during the evening shift of the alleged incident. On 04/11/2022, LPA interviewed a family member of R1. Moreover, on 4/12/2022, 4/13/2022, 4/15/2022 and 4/20/2022, LPA attempted to conduct additional interviews with R1 and parties relevant to the investigation; however, was not successful. On 4/27/2022, LPA reviewed R1’s hospital records from Los Angeles Community Hospital at Bellflower and Valley Presbyterian Hospital.

Information gathered revealed that on 09/03/2021, at approximately 8:30 p.m., R1 returned to the facility from the hospital via emergency transport and was escorted to R1’s room. Per interviews, shortly after, R1 came out from R1’s room dressed in the hospital gown and appeared to be a bit agitated. Per interviews conducted, R1 was not demonstrating R1’s typical behavior. R1 threw a 5-Gallon water dispenser on the floor, which caused most of the water to spill out. R1 was redirected back to the room, and S1 assisted R1 in getting dressed. R1 then proceeded to enter bathtub, sit-down and turn on the water. S1, S2 and S3 observed the bathtub drain to be open and the water continued to run into the drain. S2 then called 911 and R1 was transported back to the hospital. Interviews conducted with R1’s roommate, and other staff revealed that no one witnessed staff trying to drown R1 in the bathtub, or anything physical which would cause bruising to R1.

Furthermore, interview conducted with R1s family revealed that they had no concerns for the health and safety of R1 while R1 was residing at the facility. The family also stated that they have not witnessed staff rough handling R1 which would cause any bruising. Hospital records reviewed revealed that there was no evidence of bruising to R1 upon admission to the hospital. Per hospital records reviewed, R1 was admitted to the hospital for acute encephalopathy, psychosis versus toxic metabolic from possible Urinary Tract Infection (UTI) and suicidal attempt. Based on information gathered, the Department does not have sufficient evidence to determine staff rough handled R1 resulting in multiple bruising. Therefore, the above allegation is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Report issued and sent via email.