Complaint·November 7, 2024

allegation above and reported the facility has not experienced sexual abuse allegations prior to this one. Per A1, staff will investigated allegation, and report the allegation to CCLD if and when abuse is reported by a resident in care. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interview with R1 regarding the allegation above, R1 reports being assaulted by (2) male residents on September 8 th , 2024. Per R1, R1 did not report the assault to staff however R1 called LAPD to make a report. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interviews with residents #2-6 (R2-R6) regarding the allegation above, 5 of 5 residents interviewed denied the allegation above. On 11/04/24 between 12:30pm-1:30 pm LPA conducted interviews with staff 1-3 (S1-S3) regarding the allegation above, 3 of 3 staff interviewed denied the allegation above. On 11/04/24 LPA reviewed UCLA health ER discharge summary dated 09/07/24, there was no indication of sexual assault. On 11/04/24 LPA reviewed the incident report submitted to CCLD on 09/07/24 regarding the allegation above. Allegation: Staff are serving contaminated food to residents in care It is being alleged that the food being serve tastes bad and makes R1 feel sick when R1 consumes it. On 11/07/24 LPA conducted interview with A1 regarding the allegation above, A1 denied the allegation above and reported that the facility has a dietician who visits and inspects the kitchen and menu every month. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interview with R1 regarding the allegation above, R1 states R1 becomes dizzy and nauseous when drinking the cherry juice from the container and believes the drug dealers from down the street are putting PCP into the juice. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interviews with residents #2-6 (R2-R6) regarding the allegation above, 4 of 5 residents interviewed denied the allegation above, 1 of 5 residents interviewed sates the yogurt and milk is sometimes sour. On 11/04/24 between 12:30pm-1:30 pm LPA conducted interviews with staff 1-3 (S1-S3) regarding the allegation above, 3 of 3 staff interviewed denied the allegation above. On 11/04/24 LPA conducted tour of the facility kitchen, LPA observed pantry to have expiration dates on can goods, kitchen was clean and organized at the time of visit. Allegation: Staff does not ensure residents are spoken to in an appropriate manner It is being alleged that the facility administrator is rude to and yells at residents. On 11/07/24 LPA conducted interview with A1 regarding the allegation above, A1 denied the allegation above and reported staff have to speak loudly and repeated themselves often when communicating with residents in care. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interview with R1 regarding the allegation above, R1 reports It is not the staff who screams racist things at R1 it is another resident in care. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interviews with residents #2-6 (R2-R6) regarding the allegation above, 2 of 5 residents interviewed confirmed the allegation above and reported the administrator is rude and disrespectful to residents in care, 3 of 5 residents interviewed denied the allegation above. On 11/04/24 between 12:30pm-1:30 pm LPA conducted interviews with staff 1-3 (S1-S3) regarding the allegation above, 3 of 3 staff interviewed denied the allegation above. Allegation: Staff are over medicating resident It is being alleged that the facility psychiatrist comes into R1’s room at night with 2 LVN's and administers R1 prescribed medication and injection to make R1 sleep. On 11/07/24 LPA conducted interview with A1 regarding the allegation above, A1 denied the allegation above and reported all medications are administrator as prescribed. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interview with R1 regarding the allegation above, per R1 facility psychiatrist with LVN’s are going into R1’s room at night to try to give R1 5 needles of 100 milligrams each. On 11/04/24 between 9:48 am- 12:30pm LPA conducted interviews with residents #2-6 (R2-R6) regarding the allegation above, 5 of 5 residents interviewed denied the allegation above. On 11/04/24 between 12:30pm-1:30 pm LPA conducted interviews with staff 1-3 (S1-S3) regarding the allegation above, 3 of 3 staff interviewed denied the allegation above, 1 of 3 staff interviewed reported having no knowledge on medication administration procedures. On 11/04/24 LPA Villegas conducted review of MAR for October 2024 and there is no indication that R1 receives any injectable medications. On 11/05/24 LPA conducted interview with witness #1 (W1) regarding the allegation above, W1 denied the allegation and reported R1 does not have any injectable medications prescribed. 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 Administrator Ella Naygas, and a copy of this report was provided.