complaint·August 25, 2025

Allegation #1: Staff unlawfully evicted a resident. The complaint states that the patient was taken to the Harbor UCLA Psychiatric Emergency Room (ER) and placed on a 51/50 hold. A review of the psychiatrist’s progress note, dated August 22, 2025, revealed that on August 19, 2025, the Psychiatric ER contacted the Gardena Retirement Center and spoke with Administrator A1 regarding the patient's return to the facility. A1 informed them that the facility did not want the residents to return. On August 25, 2025, the LPA interviewed A1, who reiterated that the facility did not wish to accept the resident back. During a file review for R1 conducted by LPA Richard, it was noted that R1 was admitted to Gardena Retirement on June 25, 2015. A review of the admission agreement for Gardena Retirement Center revealed that the facility is required to provide residents with 30 days' written notice before any changes (or 3 days if approved by the Department of Social Services). However, there is no record of the facility providing 30 days' notice to either the residents or their responsible party. Based on interviews and record reviews, the preponderance of evidence has been met; therefore, the allegation is Substantiated. California Code of Regulations, Title 22, Division 6, and Chapter 8 are being cited on the attached LIC9099D. Deficiencies were issued. An exit interview was conducted, and plans for correction were developed. A copy of this report and appeals rights was reviewed and left with the facility Administrator, Susie Fuentes.