complaint·October 10, 2025

During the initial visit made by LPA Cava on 07/10/25, interviews with the administrator and one (1) of one staff state that R1 was never a resident of this facility. They do not know who R1 is. Interview with two (2) of two residents state R2 is not a resident of this facility. Both residents also state they do not know who R1 is. Also, on 07/10/25, LPA Cava spoke with R1’s Conservator, Hospital Staff and staff from the transportation company who transported R1 from hospital to facility. All three confirmed this facility’s address. On 07/15/25. LPA Cava was provided with Discharge/Transportation paperwork, indicating address to where R1 was transported to. On 07/28/25, LPA spoke with hospital social worker to confirm facility address that R1 was transported to. LPA also called back the transportation company, to confirm whether or not staff assisted R1 in entering facility, and or to confirm if R1 actually entered the facility. Transportation staff could not confirm if R1 actually entered facility doors as they just brought, or dropped R1 off at the curb and left. On 08/12/25, conservator confirms R1 is at another institution. Conservator indicated that R1 is capable of making own decisions and does not have dementia or cognitive impairment. R1 also doesn’t require any supervision when out in the community. On 08/18/25, LPA spoke with a Fire Captain from the Los Angeles Fire Department (LAFD) to confirm any emergency activities and calls for service at facility address. The Fire Captain confirmed two service calls made for this address on 05/13/25 and 06/11/25. Neither of these service calls are related to R1. Fire Captain identified a resident names, who is not R1. On 10/10/25, at approximately 9:15am – 10:15am, LPA held an interview with the administrator who’s statements remain consistent with the interview held on 07/10/25. LPA interviewed Staff 2 (S2), who is new and just recently started. She does not know who R1 is. Administrator adds that law enforcement conducted a check, and were also advised that R1 never resided here. From 10:15am – 11:30am, LPA conducted a physical plant inspection. From 11:30am – 12:30pm, LPA conducted a file review. Review of facility roster and records on file show no evidence that R1 resided here. Between 12:30pm to 1:30pm, LPA interviewed three (3) of three residents, who all confirm they do not know who R1 is. Based on the information obtained, the allegations made of staff not complying with reporting requirements, not assisting R1 in arranging transportation for medical treatment, not providing necessary care and supervision and not responding to communication involving R1’s health and safety could not be proven as there was no evidence that R1 was a resident of this facility. Therefore, the allegation is deemed Unsubstantiated at this time.