Complaint Investigation Report

S1 stated during interview to have spoken with emergency responders when they arrived to the facility in response to R1’s seizure. S1 stated the emergency responders asked S1 what had happened to R1 and S1 replied that R1 had a seizure. S1 stated emergency responders asked S1 how long R1 seizure lasted and S1 stated it lasted five minutes. S1 stated that he/she provided emergency responders with a binder containing information about R1’s medication and other emergency information.

S2 stated during interview that when emergency responders arrived at the facility, they spoke with S1, S3, and the administrator. S2 stated he/she was looking for R1’s information binder so it can be given to the emergency responders.

During visit on 01/23/2026, LPA Marrufo conducted an interview with staff S3. S3 stated to not recall a time when emergency responders arrived at the facility to respond to R1’s seizures.

During visit on 03/06/2025, LPA observed there to be a binder labeled “Emergency Info (for 911 calls)” on the spine of the binder. The binder had a tab with R1’s name. The section behind R1’s tab included R1’s Emergency Contact Form, general facility contact information, and R1’s Primary Care Physician’s contact information.

During visit on 03/06/2025, Administrator Bonuan stated that when emergency responders arrived to the facility to respond to R1’s seizure, Administrator Bonuan was available to talk to the emergency responders via Facetime in case the facility staff were unsure of any of the emergency responder’s questions. Administrator Bonuan stated the staff understand English and can communicate with emergency personnel, but the staff may have been panicked at the time, so Administrator Bonuan made herself available to answer questions via Facetime.