197800131-1-8-2021-11-AS-MCAA-BYT2D4-20210304161740

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 09/09/2020
Date Signed: 01/08/2021 01:53:19 PM

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
09/01/2020 and conducted by Evaluator Erik Brown

COMPLAINT CONTROL NUMBER: 11-AS-20200901142252

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: 94	DATE:	09/09/2020
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Beatrice Romeo, Administrator		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff did not keep facility free of pests

INVESTIGATION FINDINGS:

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On this date, Licensing Program Analyst (LPA) Erik Brown conducted an unannounced complaint tele-visit to deliver findings. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically with Beatrice Romeo, the facility Administrator.

During the initial telephonic visit on 9/3/2020, LPA Brown interviewed Administrator (S1), regarding the complaint. LPA Brown also requested documentation regarding the complaint allegation.

During the investigation on 9/4/2020, LPA Brown interviewed Residents #1-4 (R1-4) and Staff #2-5, regarding the complaint. LPA Brown also retrieved pest control documentation regarding the complaint allegation.

Report Continued on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Michael Cava	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Erik Brown	TELEPHONE: (747) 230-2283
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2020

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-20200901142252

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: 09/09/2020

NARRATIVE

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During today’s visit, LPA Brown interviewed Residents #5-9 (R5-9), Staff #6 (S6), and S1.

The investigation revealed the following for allegations:

(Staff did not keep facility free of pests)

Based on interviews, residents and staff stated that they have seen pests ranging from cockroaches and bedbugs. Residents have complained about bites on their bodies that they believe to be from bedbugs. The facility currently has a pest control company that is taking care of the pest issue at the facility. According to the Administrator, Admiral Pest Control company found bed bugs in two of the facility's bedrooms.

Based on LPA Brown’s observations, the records that were reviewed (Invoices from Ecolab Pest Elimination Division, Admiral Pest Control Agreement, and Invoice from Admiral Pest Control) the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated.

A telephonic exit interview was conducted with Administrator Beatrice Romeo, and an electronic copy was provided via email for signature.

SUPERVISOR'S NAME: Michael Cava	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Erik Brown	TELEPHONE: (747) 230-2283
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2020

LIC9099 (FAS) - (06/04)

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