complaint·April 16, 2025

Regarding the allegation: Staff did not prevent a resident from hitting another resident while in care. It is being alleged that resident #1 (R1) was hit several times by resident #2 (R2) and staff did not prevent it. During LPA's interview with R1, R1 said the fight between them and R2 happened in the dining hall early in the morning before breakfast was being served. R1 admits to having an argument with R2 but did not expect R2 to hit them. R1 confirmed that two (2) staff responded to the incident and came to their aide and in addition, resident #3 (R3) told R2 to stop. LPA interviewed R3 and R3 stated, "they were sitting outside in the patio when they saw the commotion in the dining hall and told R2 to stop." R3 also stated that two (2) staff came to see what was happening. LPA attempted to interview another resident #4 (R4) but they did not see the incident. LPA interviewed two (2) staff that were present and said R2 did stop hitting R1 when they intervened. LPA received the Unusual Incident/Injury Report and SOC 341 that was sent to Community Care Licensing and the Local Police Department. Furthermore, LPA received an additional Unusual Incident/Injury Report for April 09, 2025, regarding R2 being sent to Los Angeles Department Medical Center (LADMC) for psychiatric evaluation therefore, R2 was not able to be interviewed and remains at LADMC. Let it be noted, R1, R2, R3 and R4 are residents from Pasadena Villa Senior Living (198603286) that are residing at Cedars Assisted Living because of the Fire Evacuations. Therefore, based on the LPA's record review, resident and staff interviews, the above allegation(s) above is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not prevent a resident from threatening another resident while in care. It is being alleged that resident #1 (R1) was threatened by resident #2 (R2) and staff did not prevent it. During LPA's interview with R1, R1 admitted that there was no staff or residents around when R2 threatened them. Let it be noted, R2 could not be interviewed due to them being sent to Los Angeles Department Medical Center (LADMC) for psychiatric evaluation. During LPA's interview with R3, R3 stated, "I saw R2 hitting R1 but never heard a threat." LPA attempted to interview another resident #4 (R4) but they did not see the incident or hear any threats from any residents. LPA interviewed two (2) staff that intervened when R1 was being hit but they confirmed they did not hear any threats being made by R2. Let it be noted, R1, R2, R3 and R4 are residents from Pasadena Villa Senior Living (198603286) that are residing at Cedars Assisted Living because of the Fire Evacuations. Therefore, based on the LPA's record review, resident and staff interviews, the above allegation(s) above is UNSUBSTANTIATED at this time. Exit interview was conducted, no citation(s) were issued for the above allegation(s) and a copy of this report was given to the Administrator, Alexander Solorio.