191600093-1-6-2026-11-AS-JHAD-DQE369-20260116165757

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191600093
Report Date: 01/06/2026
Date Signed: 01/06/2026 01:22:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/02/2026 and conducted by Evaluator Zina Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260102155455

FACILITY NAME:	BAY BREEZE CARE		FACILITY NUMBER:	191600093
ADMINISTRATOR:	HONEYLET URREA		FACILITY TYPE:	735
ADDRESS:	1653- 55 SANTA FE AVE		TELEPHONE:	(562) 432-8033
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	76	CENSUS: 61	DATE:	01/06/2026
		UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Honeylet Urrea (Back-up Adminstrator/Corporate)		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff did not prevent a client from inappropriately touching another client in care

INVESTIGATION FINDINGS:

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On 01/06/2025 at 08:20am, Licensing Program Analyst (LPA) Zina Brown conducted an initial visit at this facility to deliver the complaint findings for the allegations above. During today’s visit LPA met with Honeylet Urrea (Back-up Adminstrator/Corporate) and explained the purpose of the visit.

The investigation consisted of the following: On 01/06/2026 at 8:20am, Licensing Program Analysts (LPA) Zina Brown, conducted interviews with Administrator (A1), Staff (S1-S6) & Clients (C1, C3-C9) between the hours of 8:52 am - 11:08am. LPA requested and obtained copies of Client Roster (received 01/06/2026), Staff Roster (dated 12/11/2025), Staff Schedule (12/14/2025 - 01/03/2026), Client Room Assignment (printed 01/06/2026), Serious Incident Reports (dated 12/28/2025), NOC Room Check (dated 12/19/2025, 12/20/2025) For C1 & C2: LIC 601 Emergency Identification Information (dated 02/04/2025 for C1& dated 04/07/2025 for C2 ), LIC 602 Physician Report (dated 05/15/2025 for C1 & dated 04/09/2025 for C2) LIC 625 Appraisal Needs & Service (dated 12/01/2025 for C1 & 04/07/2025 for C2, Medication Administration Records (December 2025 - January 2026). Report continues on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260102155455

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: BAY BREEZE CARE	FACILITY NUMBER: 191600093
	VISIT DATE: 01/06/2026

NARRATIVE

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The investigation revealed the following:
Allegation: Staff did not prevent a client from inappropriately touching another client in care
It was alleged that facility staff failed to prevent a client from inappropriately touching another client while in care. Specifically, it was alleged that a client reported waking up with fecal matter in their clothing and observing blood in their stool, leading C2 to suspect possible inappropriate contact while asleep and drowsy from medication. It was further alleged that the incident occurred during overnight hours and that staff supervision was insufficient to prevent the alleged inappropriate contact between clients.

On 01/06/2026, between the hours of 9:35am - 10:00am, LPA interviewed the Administrator (A1). A1 denied the allegation and stated that an incident report was completed by a facility MedTech. The incident report occurred on 12/28/2025 at approximately 2:55pm - 3:00pm. The MedTech conducted a body check on C2 after C2 alleged that they had been physically touched by C1 due to C2 observing blood in stool. On 12/29/2025, C2 recanted the allegation and informed law enforcement and the medical mental health team that no inappropriate touching had occurred. Also on 12/31/2025, C2 was evaluated by their psychiatrist and stated not being touched inappropriately by C1.

On 01/06/2026, between the hours of 10:16am - 11:08 am, LPA interviewed 6 staff regarding the allegation.
4 of the 6 staff stated they were aware of the allegation and reported that immediate actions were taken once the incident was reported, including conducting a body check on C2 and making changes to room assignments so that C1 and C2 were no longer roommates. 2 of 6 staff stated they were unaware of the allegation and explained not having an knowledge of the incident being reported.

On 01/06/2026, between the hours of 8:52am - 9:31 am, the LPA interviewed 8 clients regarding the allegation. At the time of the interviews being conducted, Client 2 (C2) refused to be interviewed regarding the allegation. In regards to the allegation, 8 of 8 clients denied the allegation.

On 01/06/2026 at 11:15am, LPA conducted a records review and observed the department received a fax of a LIC 624 Unusual Incident Injury Report (dated 12/28/2025 at 02:55pm). Upon review the LIC 624 states Client 2 (C2) in the beginning reported to staff a possibility of sexual abuse. C1 and C2 remain separated and room reassignment took place due to the allegation.

Report continues on LIC 9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260102155455

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: BAY BREEZE CARE	FACILITY NUMBER: 191600093
	VISIT DATE: 01/06/2026

NARRATIVE

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On 01/06/2026 between the hours of 12:50pm - 1:00pm, LPA conducted a records review of LIC 602: Physician Report and LIC 625: Appraisal/Needs Service Plans for C1 and C2 observed the following: no history of sexual assault nor sexual behaviors. Also upon further review, there is no documented history of incidents between C1 and C2.

Based on information gathered through interviews and record reviews, there is not enough evidence to support the allegation. 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.

Exit interview was conducted with Honeylet Urrea (Back-up Adminstrator/Corporate) & a copy of this report was provided

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026

LIC9099 (FAS) - (06/04)

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