complaint·January 30, 2026

The investigation revealed the following : Allegation- Staff did not ensure that resident received medical care in a timely manner. The details of the complaint alleged that the facility did not get the resident medical care in a timely manner. On 1/30/2026, from 9:30am-3:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff did not ensure that resident received medical care in a timely manner. All staff stated that the facility does call for emergency services in a timely manner whenever the resident has needed assistance on previous hospital visits and currently. Staff stated that the resident was recently being transported in their wheelchair when their body began to shake. They stated the caregivers lowered the resident out of their wheelchair to the ground, 911 was called, the executive director was notified, and the caregivers stayed with the resident until paramedics arrived. They stated that the resident was assessed by paramedics and taken to So Cal Culver City emergency room. Staff stated that when the resident was observed possibly having a seizure, 911 was called immediately. The department interviewed residents (R1-R10) about the allegation and 10 of 10 residents that were interviewed stated that they have not had any issues with getting medical attention in a timely manner. They state that whenever they need or ask for medical services to be called, the staff always calls immediately. The department reviewed the After Visit Summary Cedars-Sinai (Dated: 11/23/2025), Incident Report (Dated: 01/26/2026), Physician’s Report (Dated: 04/08/2025), Appraisal & Needs Service Plan (Dated: 05/02/2025), and Pre-Placement Appraisal (Dated:04/11/2025). The department did not find any evidence in the interviews or records that would suggest that the facility failed to ensure that the resident received medical care in a timely manner. Based on interviews, and records reviewed, there is insufficient evidence to support the allegation that Staff did not ensure that resident received medical care in a timely manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated . No deficiencies were cited for this complaint investigation. An exit interview was conducted with Michelle Brown, Wellness Director, and a hard copy of this Complaint Investigation Report was provided.