complaint·April 3, 2026

LPA interviewed the hospital staff, facility staff, and residents regarding this allegation. LPA interviewed a personnel member from Olive View – UCLA Psychiatric, who confirmed that R1 was ready for discharge on 1/30/26 and did not have a change of condition or require additional care services. The hospital staff reported that they have been in contact with the facility to arrange for discharge and were informed that R1 cannot return to the facility. LPA also interviewed a mental health professional who stated that R1 appeared stable and was ready for hospital discharge. LPA interviewed the facility staff. Staff indicated that they received a call from the hospital to discharge R1 back to the facility. However, staff stated they were unable to reassess the resident and determined that it may not be safe for R1 to return to the facility due to suicidal ideation. Staff voiced that R1 is actively trying to hurt self, and that the facility does not have the staffing to provide adequate supervision for R1’s psychiatric needs. Upon review of the R1’s medical notes, the resident was hospitalized from 1/14/26 and was placed on a 5250 (14-day) hold to expire on 1/30/26. The records indicated that on 1/29/26, R1 was not currently endorsing Suicidal Ideation and had actively engaged in safety planning. Therefore, R1 was ready for discharge back to the facility. Based on interviews conducted and record review, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted. The Plan of Correction was reviewed and developed with the administrator. A copy of this report and appeal rights were provided.