complaint·October 17, 2025

LPA Allen also conducted interviews with Staff 1- Staff 5 (S1 – S5), Residents 1 (R1), Witness 1 (W1) and attempted to interview Resident 2 (R2) along with observations of R1 physical signs of physical abuse, LIC624 dated 4/7/2025, interviews with Deeyanna Banda and Administrator Brittany Kavanaugh. Investigation revealed the following: #1-Allegation: Resident was physically abused while in care On 4/15/2025, at 11:15 AM, LPA interviewed Staff 1- 5 (S1–S5). of those interviewed 5 out of 5 staff members reported that they did not witness R1 being physically assaulted by R2 and were unable to establish a timeline for the alleged incident. However, each staff member stated that they observed unexplained bruises on R1’s face immediately upon entering R1's room. Additional bruising to R1's abdomen was noted by staff within a few hours. LPA Allen also interviewed R1, who stated that R2 punched them in the face, mouth, and stomach. On 4/16/2025, at 3:00 PM, LPA received and reviewed the Culver City Police Department (CCPD) report. The report confirmed that R1 reported being physically assaulted by R2. The medical assessment revealed R1 sustained abrasions to the face, a swollen left eye, injuries to the upper and lower lip, a skin tear on the left elbow, a hematoma to the head, neck and back pain upon palpation, chest pain, and bruising to the stomach. R2 admitted to the assault during their interview with CCPD and was subsequently arrested. R1 was transported by EMS to the Emergency Room (ER) for further evaluation. LPA attempted to conduct a file review for R2 but was unable to do so, as the facility failed to complete a pre-admission assessment to determine the resident’s care and supervision needs. Based on observations, staff interviews, and records reviewed, it was determined that the facility failed to provide proper supervision of R2, resulting in the assault on R1 and causing R1 to sustain multiple injuries. #4- Allegation: Staff had inadequate record keeping for a resident - On 4/15/2025, at 11:15AM, LPA interviewed Staff 1- 5 (S1-S5), of those interviewed 5 out of 5 stated upon the paramedic’s arrival, no records or medical information were available for residents R1 or R2. Continued The interviews conducted with Memory Care Director Deeyanna Banda and Administrator Brittany Kavanaugh both stated that no records had been prepared for either resident prior to the altercation. When LPA arrived at the facility and inquired about the absence of records, Deeyanna and Brittany explained that R1 and R2 were newly admitted as displaced individuals who arrived without any identification, medical history or documentation. As a result, their files were not created until after the incident occurred. Based on the evidence gathered during the investigation of record review, interviews and observations the above allegations are found to be Substantiated . A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report was discussed and provided to Brittany Kavanaugh- Administrator, at the conclusion of the visit with appeal rights. Per Administrators’ approval, Joseph Wieder was authorized to sign the report.