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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 11/05/2025
Date Signed: 11/05/2025 03:43:40 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
10/28/2025 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20251028132123
FACILITY NAME:CHATEAU LONG BEACHFACILITY NUMBER:
197800131
ADMINISTRATOR:ESPERANZA NAAKTGEBORENFACILITY TYPE:
740
ADDRESS:3100 E. ARTESIA BLVD.TELEPHONE:
(562) 428-5371
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:184CENSUS: 106DATE:
11/05/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:ESPERANZA NAAKTGEBORENTIME COMPLETED:
03:42 PM
ALLEGATION(S):
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Staff did not ensure that the facility was kept free of pests.
Staff did not provide proper bed accommodations to resident in care.
INVESTIGATION FINDINGS:
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On 10/05/25 at 9:00 am Licensing Program Analyst (LPA) Villegas conducted a initial complaint visit regarding the allegation(s) above. LPA met with Administrator ESPERANZA NAAKTGEBOREN as the purpose of today’s visit was explained.

The investigation consisted of the following: On 11/05/25 LPA Villegas obtained copies of the staff and resident roster, housekeeping shedule, facility map, impressive extermination invoices for September and October 2025, and copies of the following documents for Resident #1 (R1) face sheet, admission agreement dated:06/27/25 , Pre-Appraisal dated:06/27/25 Physicians report dated: 06/24/25, Needs and service plan dated: 06/27/25, Physicians orders, order summary report dated 12/16/24, telephone order dated: 11/05/25, and incident reports dated June 2025, July 2025, and October 2025. On 11/05/25 from 10:00 am- 11:30 am LPA conducted Interviews with Residents #1-10 (R1-R10), from 11:30am -12 pm LPA and administrator conducted inspection of bedrooms #127, 28,129, 130. On 11/05/25 from 1pm-2pm interviews conducted with staff #1-5 (S1-S5).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
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 2
Control Number 11-AS-20251028132123
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: 11/05/2025
NARRATIVE
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The investigation revealed the following:
Allegation: Staff did not ensure that the facility was kept free of pests.
It is being alleged that the facility has a roach infestation that is not being addressed.
On 11/05/25 from 10:00 am- 11:30 am LPA conducted Interviews with R1-R10 regarding the allegation above. 7 of the 10 residents interviewed denied the allegation above, 2 of the 10 residents interviewed reported seeing roaches in the past. On 11/05/25 LPA conducted interview with R1 regarding the allegation above, R1 confirmed the allegation above and reported seeing a roach last night. On 11/05/25 from 11:30am -12 pm LPA and administrator conducted inspection of bedrooms #127, 28,129, and 130, LPA did not observe any pest, LPA observed housekeeping actively cleaning bedrooms, and hallways. On 11/05/25 from 1pm-2pm interviews conducted with S1-S5 regarding the allegation above, 3 of 5 staff denied the allegation above, 2 of 5 staff stated that residents have reported roaches in the their bedrooms, staff will notify management and pest control services will be scheduled. On 11/05/25 LPA conducted a review of the housekeeping schedule, LPA observed that each housekeeper cleans a 5-7 rooms each every day. Deep cleanings occur on Thursdays. On 11/05/25 LPA conducted a review of the Impressive extermination invoices for September 2025 and October 2025. Per invoices, Impressive extermination treats the facility 2 times a month, the facility is treated more if any pest is reported to staff.

Allegation: Staff did not provide proper bed accommodations to resident in care.
It is being alleged that facility provided a resident in care with a bed that is not operable. On 11/05/25 from 10:00 am- 11:30 am LPA conducted Interviews with R1-R10 regarding the allegation above. 9 of the 10 residents interviewed denied the allegation above and reported having no issues with their bed. 3 of the 10 residents interviewed reported having a hospital bed. On 11/05/25 LPA conducted interview with R1 regarding the allegation above, R1 confirmed the allegation above and reported having an issues with bed head rest. On 11/05/25 LPA conducted a review of telephone order dated 11/05/25 which indicates that Doctor gave order to remove hospital bed per R1's request. On 11/05/25 LPA observed standard bed being placed in bedroom per Doctors orders. LPA observed order summary report dated 12/16/24 which indicated that R1 admitted to The Chateau of Long Beach with hospital bed. On 11/05/25 from 1pm-2pm interviews conducted with S1-S5 regarding the allegation above, 5 of 5 staff interviewed denied the allegation above.

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, and a copy of this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
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