197800131-3-27-2025-11-AS-JHAD-DG8V8Z-20250430161335

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 03/27/2025
Date Signed: 03/27/2025 11:23:20 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
03/07/2025 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20250307142022

FACILITY NAME:	CHATEAU LONG BEACH		FACILITY NUMBER:	197800131
ADMINISTRATOR:	ESPERANZA NAAKTGEBOREN		FACILITY TYPE:	740
ADDRESS:	3100 E. ARTESIA BLVD.		TELEPHONE:	(562) 428-5371
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	184	CENSUS: 91	DATE:	03/27/2025
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Executive Director Esperanza Naakgebored		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Staff are not knowledgeable of residents current health conditions.
Staff do not ensure adequate care and supervision is being provided to resident’s care.

INVESTIGATION FINDINGS:

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On 03/27/25 Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Administrator Esperanza Naaktgeboren as the purpose of the visit was explained.

The investigation consisted of the following: On 03/14/25 LPA obtained copies of the following: staff and resident roster, cleaning schedule, room checklist, list of what staff are assigned to each resident, in-service sign in sheets for August 2024-December 2024, in services for January 2025-February 2025, copies of reliase training topics, and documentation on procedures for Day of admission, personal rights, and death of resident. On 03/14/25 LPA requested copies of incontinent logs, list of incontinent residents, and call button response report. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with residents #1-7 (R1-R7), and between 12:45pm-1:40 pm LPA conducted interviews with staff #1-3(S1-S3). On 03/14/25 LPA conducted a tour of the facility and conducted a call button test. On 03/20/25 at 10am LPA conducted interviews with staff #4-5 (S4-S5).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

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-20250307142022

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: CHATEAU LONG BEACH	FACILITY NUMBER: 197800131
	VISIT DATE: 03/27/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Staff are not knowledgeable of residents current health conditions.
It is being alleged that facility staff is unable to communicate residents health conditions to emergency personal. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7, 7 of 7 residents interviewed denied the allegation above and reported feeling safe when assisted by staff. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff denied the allegation above and reported staff are comfortable communicating with emergency personal.

Allegation: Staff do not ensure adequate care and supervision is being provided to resident’s care.
It is being alleged that residents in care have been left on the ground before facility staff will assist.
On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7, 3 of 7 residents interviewed denied experiencing falls while receiving care at the facility, 1 of 7 reported having a witnessed fall and received help in real time, 2 of 7 residents interviewed reported having an un-witnessed fall that did not require staff assistance, and 1 of 7 residents reported having an un-witnessed fall and received assistance within minutes after calling for help. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff denied the allegation above and reported that when a resident is observe to be on the ground a med tech is called to assess the resident before the resident is moved and before the staff calls 911 if needed. 5 of 5 staff also reported that caregivers will respond to call light/pull light right away or will ask med techs to assist if the caregiver is unable to respond right away. On 03/14/25 LPA conducted a tour of the facility and conducted a call button tests, LPA observed caregivers to respond to call within 5 minutes.

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 Executive Director and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025

LIC9099 (FAS) - (06/04)

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