197800131-8-18-2023-11-AS-RORN-CWPMRX-20231017095103

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 08/18/2023
Date Signed: 08/18/2023 12:16:04 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 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
08/10/2023 and conducted by Evaluator Lizeth Villegas

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20230810113859

FACILITY NAME:	CHATEAU LONG BEACH		FACILITY NUMBER:	197800131
ADMINISTRATOR:	KHATERA BAHADORY		FACILITY TYPE:	740
ADDRESS:	3100 E. ARTESIA BLVD.		TELEPHONE:	(562) 428-5371
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	184	CENSUS: 102	DATE:	08/18/2023
		UNANNOUNCED	TIME BEGAN:	09:02 AM
MET WITH:	Administrator Khatera Bahadory		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Facility staff allows residents to use marijuana at facility.

INVESTIGATION FINDINGS:

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On 8/18/23 Licesing program analyst (LPA) Villegas conducted an initial complaint investigation visit regarding the above allegation. LPA and LPM met with Administrator, Khatera Bahadory (A1) and as the purpose of today’s visit was explained.
The investigation consisted of the following, LPA toured the facility and conducted room check of rooms 238,245,247 and 248, LPA obtained copies of R1 and R2's: Facesheet, needs and service plan,physicians orders, med list, copy of signed house rules, staff and resident roster.
The investigation revealed the following:It is being alleged that R1's roommate is smoking marijuana inside of their shared room and administration is aware and has not addressed the issue.
On 8/18/23 LPA interviewed Administrator (A1), Staff # 1-2 (S1-S2) and residents # 1 and 4 (R1-R4).
LPA interviewed Administrator Khatera Bahadory about the above allegation, Administrator denied the allegation. Administrator stated that smoking violation forms are given out after a verbal warning and that after 3 violations the resident can receive an eviction letter. After each violation form, the resident is spoken to about the violation, and is asked to sign the violation form and is provided with a copy of the house rules.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Lizeth Villegas	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023

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-20230810113859

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: CHATEAU LONG BEACH	FACILITY NUMBER: 197800131
	VISIT DATE: 08/18/2023

NARRATIVE

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Administrator stated that she is aware that R1 and R2 smoke marijuana when out in the community but not in the facility . Per Administrator no resident has a medical marijuana prescriptions.

On 8/18/23 LPA interviewed R1-R4, per R1 stated that he smell marijuana on a daily basis and has reported several times to "Roxanna and Ana", and was told there is nothing staff can do about it. LPA interview R2-R4 who denied the allegation.

On 8/18/23 LPA interviewed staff #1-2 (S1-S2). S1 reported that S1 has never witnessed R2 smoking weed but S1 has smelled it on him. S1 states that R2 has no income and if he is smoking R2 is probable finding it outside but resident does smoke cigarettes when peers give him one. When asked if S1 has ever witnessed anyone smoking in doors S1 stated S1 Never seen anyone but I have smelled it and called Admin. and Admin speaks to resident(s) in the room are spoken too. When interviewed, S2 reported S2 hasn’t seen anyone smoke marijuana indoors but has found capsules in the trash can, takes a picture and reports to Admin. S2 stated that R2 has smelled of marijuana but has never seen him doing so, S2 also stated that R1 smokes cigarettes but does not know about marijuana usage.

on 8/18/23 LPA reviewed R1 and R2 facility files, and there was no documentation within the file that indicates R1 and R2 smokes marijuana in the facility. LPA reviewed facility file which includes house rules, house rule #5, #7 and #21 state, (#5) "use of illegal substances is strictly prohibited while residing at the facility. This includes smoking marijuana within 20 feet of facility premises. House rule #7 states, there is absolutely no smoking in the building. smoking is permitted only in the designated outdoor area located outside at the back of the facility. House rule #21 states residents shall not be allowed to have anything with an open flame.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview conducted with Administrator Khatera Bahadory and a copy of this report was provided.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Lizeth Villegas	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023

LIC9099 (FAS) - (06/04)

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