Incident investigation·August 28, 2024

Licensing Program Analysts (LPAs) Kimberly Lyman and Sam Haddadin conducted an unannounced case management visit to follow up on an incident report submitted on 05/31/2024. LPAs were greeted and granted entry into the facility and explained the reason for the visit. Incident report dated 05/29/2024 indicated Resident 1 (R1) was sent out on a 5150 psychiatric evaluation after allegedly making threats to kill everyone in the facility. Resident was evaluated by psychiatrist and referred for the hold. Resident was sent to LA Downtown Medical Center. Resident has a history of bi-polar, depression, paranoia and anxiety. Resident has not returned to the facility. LPAs toured the facility and observed residents relaxing and eating lunch. Facility appears clean, safe and sanitary during today's visit. Exit interview conducted and a copy of this report was left at the facility.