197608029-7-9-2026-11-AS-EMAZ-DW8NJK-20260722103027

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608029
Report Date: 07/09/2026
Date Signed: 07/09/2026 10:02:00 AM

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
03/16/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260316164851

FACILITY NAME:	VISTA DEL MAR SENIOR LIVING		FACILITY NUMBER:	197608029
ADMINISTRATOR:	SUZETTE JOHNSON		FACILITY TYPE:	740
ADDRESS:	3360 MAGNOLIA AVENUE		TELEPHONE:	(562) 595-1559
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90806
CAPACITY:	300	CENSUS:	DATE:	07/09/2026
		UNANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	Suzette Johnson		TIME COMPLETED:	10:19 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff do not prevent residents from using illegal drugs on the facility premises while in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On July 08, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Ernand Dabuet, a subsequent an unannounced complaint visit. Suzette Johnson, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegation mentioned above.

The investigation included interviews, record reviews, and a tour of the facility. Investigation conducted by Investigator Dennis Seng of the CDSS Investigation Branch. Interviews with Staff member S#1 - S#7 (S1-S7), Resident #1 - #6 (R1- R6) and Witness #1 (W1). The Department reviewed several documents, including the Facility Resident Roster (dated 03/18/26), Personnel Report LIC 500 (dated 03/18/26), (R1’s and R2’s) Physicians Report LIC 602 A (dated 03/03/26 and 04/17/25), Appraisal/Needs & Service Plan LIC 625 (dated 10/12/23, 08/01/25 and 09/13/25)

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

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

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 11-AS-20260316164851

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: VISTA DEL MAR SENIOR LIVING	FACILITY NUMBER: 197608029
	VISIT DATE: 07/09/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

On the same day, (S7) reported that law enforcement had been notified and had confiscated the methamphetamine. The responsible parties, (R1 and R2), along with their primary physician, were informed. Additionally, the California Department of Social Services Community Care Licensing, was notified of an Unusual Incident Report (LIC 624) on March 18, 2026.

On April 3, 2026, and June 4, 2026, between 02:09 PM and 05:26 PM, the Department interviewed resident members identified as Resident #1 through Resident #6 (R1-R6). Six (6) of the six (6) resident members cannot support this claim. (R1 and R2) denied any use of illegal drugs on the facility premises. (R1) explained to have spoken to (R2) on March 14, 2026, and notice that a staff gave (R1) notice to sign. (R1) reported that (S2) found the drug on the round table on (R2’s) side of the room.

Three (3) of the four (4) residents (R2-R6) stated that they did not witness (R1 or R2) under the influence of illegal drugs. However, (R6) mentioned that there was one occasion when (R2) had methamphetamine at the facility, specifically in the patio smoking area. (R6) suggested that the staff probably did not know about the drugs because, had they been aware, the drugs would have been taken away, and (R2) would have ended up being evicted.

On April 3, 2026, and June 4, 2026, between 01:42 PM and 04:51 PM, the Department interviewed witness identified as Witness #1 (W1). Witness #1 (W1), who had firsthand knowledge of the incident, asserted that Resident #1 (R1) was not involved in the drug abuse and never used methamphetamine at the facility. (W1) believed that it was Resident #2 (R2) who procured the drugs and misused them in their room. Furthermore, (W1) expressed skepticism about the facility staff's awareness of any drug abuse; had they known, they surely would have acted by evicting (R2) or confiscating the drugs and reporting the incident appropriately.

The Department reviewed the facility complaint history and incident reports; there was no previous indication that Resident #1 and Resident #2 (R1-R2) had engaged in drug abuse while receiving care at the facility. Further review of (R1’s and R2’s) Physicians Report LIC 602 A (dated 03/03/26 and 04/17/25), Appraisal/Needs & Service Plan LIC 625 (dated 10/12/23, 08/01/25 and 09/13/25) Preplacement LIC 603 (dated 10/17/21 and 08/01/25) Physicians Orders Medication (dated 04/04/25 and 07/22/25) Residence and Care Agreement (dated 10/19/21). Additional review of Resident Warning Notice-Contraband Items (dated 03/14/26), Unusual Incident Report LIC 624 (dated 03/18/26), and Long Beach Police Department Report DR 260111793 (dated 03/16/25).

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20260316164851

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: VISTA DEL MAR SENIOR LIVING	FACILITY NUMBER: 197608029
	VISIT DATE: 07/09/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Preplacement LIC 603 (dated 10/17/21 and 08/01/25) Physicians Orders Medication (dated 04/04/25 and 07/22/25) Residence and Care Agreement (dated 10/19/21). Additional review of Resident Warning Notice-Contraband Items (dated 03/14/26), Unusual Incident Report LIC 624 (dated 03/18/26), Photographs of Evidence (dated 03/14/26), and Long Beach Police Department Report DR 260111793 (dated 03/16/25).

INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Staff do not prevent residents from using illegal drugs on the facility premises while in care.

It is alleged that the facility staff fails to prevent residents from using illegal drugs on the premises. Reports indicate that staff discovered drug paraphernalia related to methamphetamine on March 14, 2026. Two residents, referred to as Resident #1 (R1) and Resident #2 (R2), are using illegal drugs on the premises while under care and are providing these substances to other residents.

On April 3, 2026, May 19, 2026, June 10, 2026, and June 11, 2026, between 1:45 PM and 3:27 PM, the department conducted interviews with staff members identified as Staff #1 through Staff #7 (S1-S7). Seven (7) of the seven (7) staff members were unable to corroborate the claim that staff were accountable for neglect or a lack of supervision to prevent Residents #1 and #2 (R1 and R2), from using illegal drugs on the premises.

On March 14, 2026, during a routine medication round, Staff #2 (S2) checked on (R1 and R2). (S2) observed a white powdery substance on the table, which (S2) believed to be illegal methamphetamine. (S2) reported that (R2) placed a box over the powder to conceal it. (S2) then left the room and informed Staff #3 (S3), who came to assist (S2). Together, (S2 and S3) attempted to confiscate the drugs but were unsuccessful. After the incident, (S2 and S3) notified Staff #1 (S1), who instructed Staff #4 (S4) to confiscate the described powdery substance found on (R2’s) nightstand. (S1) also ordered (S4) to conduct several unannounced inspections following the incident.

(S4) then handed the drugs, along with a pipe, to Staff #5 (S5), who returned to (R1 and R2) to issue them a Resident Warning Notice on March 14, 2026, which they signed. (S5) reported that (R1 and R2) did not want to disclose who provided the drugs or where they were obtained. Staff #1 through Staff #7 (S1-S7) reported that they had never witnessed (R1 or R2) using drugs and that neither had a prior history of drug use.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20260316164851

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: VISTA DEL MAR SENIOR LIVING	FACILITY NUMBER: 197608029
	VISIT DATE: 07/09/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Based on the gathered information, it appeared that the facility was unaware of any previous instances of drug abuse involving Resident #1 and Resident #2 and that they acted promptly by reporting and confiscating the drugs once staff found them. There is insufficient evidence to corroborate the allegation.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

No deficiencies cited.

An exit interview was conducted with SUZETTE JOHNSON, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4