Complaint·August 24, 2022

(continued from LIC 9099) During the course of the investigation, LPA Tan interviewed the administrator and staff on 01/25/2022 between 11:15 AM to 1:00 PM. Investigator Brunelli interviewed the administrator, staff, family member, hospital and fire department and law enforcement staff on different dates and time from 03/14/22 to 07/18/22. IB Investigator Brunelli also reviewed hospital record, Los Angeles Police Department (LAPD) and Los Angeles Fire Department (LAFD)’s record on 05/6/22 and 05/27/22. Regarding the allegation that the Facility did not seek timely medical treatment for resident's injuries, it was alleged that Resident #1 (R1) was being burned for two (2) hours prior to anyone from the facility calling 911. IB Investigator Brunelli’s interview with staff on 03/24/22 at 2:05 PM and 03/25/22 at 11:15 AM and LPA’s interview with staff on 01/25/22 at around 10:30 AM revealed that the incident occurred between 4:50 PM to 5:10 PM. IB Investigator Brunelli’s record review of the 911 call record on 05/27/22 however, revealed that the first 911 call regarding the incident was at 7:07:31 PM. IB Brunelli’s interview with the administrator on 3/14/22 at 12:11 PM and LPA’s interview on 01/25/22 at around 11:45 PM also revealed that R1 and R1’s family member (FM) refused to be sent to the hospital initially. Overall investigation concluded that although R1 and their family member refused to send R1 to the hospital, the staff should have immediately call 911 as R1’s injuries has resulted in an imminent threat to resident’s health and safety. Therefore, based on the information gathered during the course of the investigation, the allegation is deemed substantiated at this time. Citation issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report issued. (continued from LIC 9099-A) During the course of the investigation, LPA Tan interviewed the administrator and staff on 01/25/2022 between 11:15 AM to 1:00 PM. Investigator Brunelli interviewed the administrator, staff, family member, hospital and fire department and law enforcement staff on different dates and time from 03/14/22 to 07/18/22. IB Investigator Brunelli also reviewed hospital record, Los Angeles Police Department (LAPD) and Los Angeles Fire Department (LAFD)’s record on 05/6/22 and 05/27/22. Regarding the allegation that Resident sustained major injuries while in care, it was alleged that R1 sustained significant burns 30% to 40% of R1’s body. IB Investigator Brunelli’s interview with staff on 03/24/22 at 2:05 PM and 03/25/22 at 11:15 AM and LPA’s interview with staff on 01/25/22 at around 10:30 AM revealed that R1 had been living at the facility since 04/12/18 and had a daily routine of smoking after every meal at the same place in the residence, which is just outside by the gated swimming pool. There were two (2) care staff on duty at the time of the incident and they were checking R1 periodically every five (5) to ten (10) minutes. Investigator Brunelli’s interview with FM on 03/14/22 at 12:11 PM also revealed that the FM noticed that it was on the day of the incident and thought of calling the facility to notify the staff about the windy condition as FM was aware that R1 usually smokes outside of the house but was not able to, for some reason. FM also expressed that FM did not suspect any foul play or negligence on the part of the staff. Regarding the allegation that Staff did not have adequate knowledge of first aid to properly treat injuries, it was alleged that while the staff attempted to treat R1’s injuries it was the incorrect treatment. LPA record review on 01/25/22 revealed that both staff on duty on the night of the incident had a current first aid certificate on file. LPA’s interview also revealed that the staff applied what they learned from their training and do the best that they can to assist R1 given the circumstances. Based on the information gathered during the course of the investigation, there is insufficient information to support the allegations and therefore deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.