complaint·February 24, 2022

On 06/02/2021, at 9:00am, LPAs Walker and Balisi conducted the initial complaint visit and met with Rebeka Durgaryan, Administrator. Between 9:00am and 11:30am, the LPAs toured the facility with the Administrator, reviewed and obtained copies of records pertinent to the investigation. The LPAs informed the Administrator that the complaint allegation required further investigation. Investigator Garcia conducted interviews with the Administrator on 07/15/2021, at approximately 10:18am and on 09/16/2021, at approximately 12:30pm; with facility staff on 07/15/2021, at approximately 11:00am, on 09/17/2021, at approximately 2:00pm, and on 09/18/2021, at approximately 1:00pm; ; with residents on 09/17/21, from approximately 1:30pm to 2:30pm; and with Resident #3 (R3) responsible party on 10/18/2021, at approximately 11:00am. Investigator Garcia was unable to interview R2 and Resident #4 (R4) due to unable to locate R2’s current placement and R4’s diagnosis of dementia. Investigator Garcia also obtained and reviewed Incident reports, facility records, Los Angeles Police Department (LAPD) Investigative Report, and Kaiser medical records. Information obtained from interviews, incident reports, police reports and medical records, revealed that on 05/30/21 at approximately 12:45am, R2 began assaulting staff and residents by breaking and throwing large blunt objects including furniture and a wheelchair. Staff attempted to intervene and called 911. R2 fled the scene and later returned to the facility. R2 stated to police that an argument had taken place with R1, which prompted R2 to throw an unknown object at R1. R2 told the officers that R2 “blacked out” and when the blackout episode was over, R2 ran out of the facility. R2 was arrested for assault with a deadly weapon and transported to the Hollywood station for processing. R1 sustained extensive injuries including a proximal humeral head fracture to the left shoulder, multiple abrasions, lacerations, traumatic head injury, and was transported to Kaiser Hospital. R3 suffered bruising and a half inch laceration above left eye which required first aid treatment. R4 sustained a nasal fracture and was transported to the hospital. Staff #1 (S1) sustained a laceration to nose and bruising to hand caused by R2 throwing a chair at S1’s head. Continue on LIC9099C.. On the allegation, Neglect/Lack of Care and Supervision - Resident #1 (R1) sustained unexplained injuries while in care: The information Investigator Garcia obtained through interviews with R1, residents at the facility, staff members, and review of the police and medical records found that there was insufficient evidence to determine neglect/lack of supervision by the staff. R1 denied any type of neglect/lack of supervision on behalf of S1 that was caring for residents at the time of the incident on 05/30/2021. R1 stated that S1 immediately intervened in order to protect the residents and attempted numerous times to stop R2 from additional attacks. S1 immediately dialed 911 and provided first aid. According to the police report, officers determined that R2 suffered from a medical emergency/black outs while R2 assaulted the residents. Additionally, upon detaining R2, R2 appeared disoriented and confused. Based on the information and documentation provided, Investigator Garcia determined there was not sufficient evidence to support the above allegation. Therefore, the allegation of neglect/lack of care and supervision is deemed Unsubstantiated at this time. Exit interview, copy of report given.