complaint·May 14, 2024

The investigation revealed the following: Allegations: Staff did not prevent a resident from causing harm to another resident while in care. It is being alleged that R2 would often curse at R1 and yell threats. On 05/14/24 LPA interviewed ED regarding the allegation above, ED denied the allegation above. Per ED, R1 and R2 came to ED on 04/12/24 to report verbal feud, ED offered a room change which would have been R2’s 4 th room change however room change was not done as R2 was taken to LADMC for psychological evaluation on 04/13/23 and on 04/14/23 R2 was discharged from the facility by responsible party. 05/14/24 LPA interviewed S1-S4 regarding the allegation above, 4 of 4 staff interviewed denied the allegation above and reported there are de-escalation procedures in place to ensure all residents are happy and comfortable. Per 4 of 4 staff, room changes take place when roommates are not getting along. On 04/21/23 LPA Alvizar interviewed R1 regarding the allegation above, per R1 staff did not prevent R2’s relative from yelling and cursing at R1. R1 denied R2 causing harm to R1. LPA was unable to interview R2 since R2 is no longer a resident at the facility and R2 whereabouts are unknown at this time. On 05/14/24 LPA interviewed R3-R10 regarding the allegation above, 7 of 7 residents interviewed denied the allegation above and reported feeling safe at the facility. LPA unable to interview R2 are no longer receiving care at Burbank Senior Villa East. On 05/14/23 LPA conducted records review and observed document listing all dates R2 had room changes due to not getting along with roommates. Based on interviews conducted and records reviewed their were no witnesses or documentation to corroborate that R2 yelled / cursed or causes harm to R1, therefore the allegation is unsubstantiated. Allegation: Visitor vandalized a resident's room while in care It is being alleged that on 04/14/23 R1’s belongings were vandalized by R2’s relative. It is alleged during the incident R1 property was damaged. On 05/14/24 LPA interviewed ED regarding the allegation above, ED confirmed that an incident did occur on 04/14/23 between R1 and R2’s relative as R2 was in the process of being moved out of the On 05/14/24 LPA interviewed S1-S4 regarding the allegation above, 1 of 4 staff interviewed reported being present when the incident occurred and reports assisting ED with de-escalating the incident. 1 of 4 staff continued to report that ED called the police right away and assisted with removing R2 and R2’s relative from the bedroom to ensure safety. 3 of 4 staff interviewed reported not having any details on the incident. On 04/21/23 LPA Alvizar interviewed R1 regarding the allegation above, per R1 R2’s relative made it into the bedroom and began throwing belongings out of the closet resulting in a wooden divider to be cracked. On 05/14/24 LPA interviewed R3-R10 regarding the allegation above, 7 of 7 residents interviewed denied the allegation above and reported that their belongings have not been vandalized while living at the facility. LPA unable to interview R2 as R2 is no longer receiving care at Burbank Senior Villa East. On 05/14/24 at 10 am LPA conducted a review of the facility and there is no documentation of any similar incidents occurring at the facility. On 05/14/24, LPA reviewed R1 Property Inventory sheet and did not observe a room divider documented. LPA reviewed the incident report for the occurrence, and it does not indicate any of R1 belongings were vandalized. Based on interviews conducted and records review, on 04/14/23 an incident occurred between R1 and R2’s relative, records detail that during the incident a room divider was cracked but no other damage was noted. Interviews with witnesses conducted did not corroborate R2 relative cracking the room divider. There is no photographic evidence or surveillance footage to support the allegation. Based on interviews and records reviewed there is not enough evidence to support the allegation therefore the allegation is unsubstantiated.. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted with Executive Director Imelda Villanueva, and a copy of this report was provided.