197800131-12-1-2022-11-AS-UCOL-CLQ3SX-20221201173100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 07/12/2022
Date Signed: 12/01/2022 01:19:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/06/2022 and conducted by Evaluator Don Senaha

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20220706171230

FACILITY NAME:	CHATEAU LONG BEACH		FACILITY NUMBER:	197800131
ADMINISTRATOR:	BEATRICE ROMEO		FACILITY TYPE:	740
ADDRESS:	3100 E. ARTESIA BLVD.		TELEPHONE:	(562) 428-5371
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	184	CENSUS: 90	DATE:	07/12/2022
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Kristine Hartwell - Business Office Manager		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility is overcharging resident.

INVESTIGATION FINDINGS:

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This report on 12/01/22 serves as an amendment to clarify finding. It does not change the investigation findings reflected on report created 07/12/22.

On 07/12/2022 Licensing Program Analyst (LPA) Don Senaha initiated a complaint investigation for the allegation listed above. Today’s complaint investigation was conducted with Business Office Manager Kristine Hartwell. The investigation consisted of the following: LPA requested and received resident roster, staff roster and other service documents on 07/12/2022. LPA interviewed staff (S1-S2), Residents (R1-R3) and Witness (W1-W2).

A plant inspection of the facility was conducted on 07/12/2022. No deficiencies were found at the time of the visit.

Continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don Senaha	TELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

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-20220706171230

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: CHATEAU LONG BEACH	FACILITY NUMBER: 197800131
	VISIT DATE: 07/12/2022

NARRATIVE

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Investigation revealed:

Allegation: Facility is overcharging resident.

During the course of the investigation, LPA was unable to find any witnesses or documentation supporting the allegation above.

There is no evidence that supports the facility is overcharging residents. LPA interviewed staff (S1-S2) and witness (W2) who stated there is no issue with the facility overcharging the residents. Resident (R3) stated the facility sends a letter whenever there is a rent increase and they make sure everybody knows.

LPA reviewed resident (R1) Admissions Agreement signed and dated 10/26/2020 which reserves the right to increase the charges for basic and optional services after admission into the facility. LPA obtained addendum to resident services agreement indicating rent responsible for resident (R1). LPA obtained payee information (W2) and interviewed witness (W2) who provides the check to the facility each month and is current. LPA obtained and reviewed payee (W2) transaction history report from 05/1/2022-07/09/2022 ending with a balance of $0 as of 07/06/2022 showing no unusual issues. LPA obtained and reviewed billing information for resident (R1) since move in date 10/20/2020 through 07/06/2022 showing no charges.

Based on LPA’s interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated

An exit interview was conducted with present Administrator Khatera Bahadory and a hard copy was provided for signature via email on 12/01/2022.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don Senaha	TELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC9099 (FAS) - (06/04)

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