Complaint Investigation Report

It was reported that on 1/16/2025, credible witness from North LA County Regional Center (NLACRC) conducted an unannounced visit at Elwyn Kelvin 2 home and observed there was no licensed staff (LVN) scheduled for the NOC shift (11pm-7am) for that day and for the following weekends: 11/21/2024-11/23/2024,11/28/2024-11/30/2024,12/5/2024-12/7/2024,12/12/2024-12/14/2024,12/26/2024-12/27/2024, and 1/3/2025. This resulted failure of following the approved program design for the Health and Well Being of all clients and violation of the terms of the clients’ Admission Agreements.

LPA requested and reviewed facility Program Design, that was created and approved by the NLACRC, which indicates on page 31 that an LVN - Licensed Vocational Nurses or LPT - Licensed Psychiatric Technicians will always be in the home when residents are present .

Based on interviews and documentation review, there is enough evidence of confirming the allegation, therefore, this allegation is deemed to be Substantiated.

Deficiencies issued on LIC9099-D, Appeal rights provided.

Exit interview conducted and copy of this report printed and delivered.