complaint·September 12, 2024

All staff added that while R2 was in their room waiting to be transported, R1 was passing by and R2 told R1 to leave the area and raised their arms as though they were about to do something to R1. At that moment Staff #2 (S2) was in the area and shouted out “don’t” but by then it was too late. R2 pushed R1 to the ground. S1 then called 911 again and paramedics took R1 to the hospital and R2 to the 5150 hold. A review of the department’s records confirmed the incident and details. Based on interviews, there is enough information to verify the allegation. Therefore, the allegation is SUBSTANTIATED at this time. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D): No other health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued. Staff added that facility has call buttons for immediate attention and caregivers are divided into four (04) zones for supervision with one (01) caregiver that floats throughout the other zones as needed. A review of the facility’s staff roster confirms staffs’ statements regarding scheduling and availability. During interviews with residents, all residents stated that staff are sufficient in numbers, and competent to provide the services necessary to meet their needs. Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. --- Physical abuse incident was not reported to required agencies. It was alleged that staff did not notify local law enforcement. To investigate the allegation, LPA interviewed four (04) staff from 11:00 AM – 1:00 PM and requested documents at around 1:30 PM. During interviews, all staff stated that after contacting the paramedics, facility contact the Glendale Police Department, but by the time they arrived, the paramedics left with R2 for the 5150 hold. A review of the facility’s incident report states that law enforcement was contacted after the incident and identifies the officer’s name that took the police report including the department, bureau and contact information. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No other health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.