197800131-11-10-2021-11-AS-MVAO-C9JQXE-20211209113322

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 11/10/2021
Date Signed: 11/10/2021 06:23:04 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
11/20/2020 and conducted by Evaluator Don Senaha

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20201120101351

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: 76	DATE:	11/10/2021
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Beatrice Romeo - Administrator		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility has scabies
Resident fell from hoyer lift
Staff does not ensure that resident is taken out of bed

INVESTIGATION FINDINGS:

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On 11/10/2021, Licensing Program Analyst (LPA) Don Senaha and (LPA) Gail Johnson conducted an unannounced subsequent complaint investigation visit and met with Administrator Beatrice Romeo. The purpose of this visit is to interview residents (R1-R11) and staff (S1-S8) and deliver findings for the allegations listed above.

On 11/25/2020 Licensing Program Analyst, LPA/Don Senaha initiated a complaint investigation for the allegations listed above. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted via zoom with Beatrice Romeo/Administrator. The investigation consisted of an interview conducted with the Administrator. LPA Senaha also requested documentation regarding the complaint allegation.

A plant inspection was done on both visits to the facility on 11/25/2020 virtually and 11/10/2021 in person.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don Senaha	TELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

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-20201120101351

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: 11/10/2021

NARRATIVE

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Allegation: Facility has scabies
It is alleged the facility has scabies. On 11/10/2021, (LPA) Gail Johnson interviewed resident (R1-R11) and no resident has ever had scabies living at the facility over the last couple years. (LPA) Don Senaha interviewed staff (S1-S8) and staff (S1-S8) stated no residents has had scabies. There was an in-service training on scabies staff (S7) conducted to all other staff as part of the topics covered on the 12/02/2020 training. LPA also confirmed facility has a pest control agreement with Admiral Pest Control and staff (S1) stated they service the facility every other Tuesday. LPA obtained invoices for last two (2) services.

Based on the interviews conducted, LPA observations and records reviewed LPA was unable to obtain evidence to support the allegation above.

Allegation: Resident fell from hoyer lift
It is alleged a resident fell from hoyer lift. (LPA) Gail Johnson interviewed residents (R1-R7, R9-R11) and they stated they do not require a hoyer lift. Resident (R8) does require a hoyer lift. Resident (R8) stated he slipped and fell from the hoyer lift about 4 or 5 years ago and no injury or emergency services were needed. (LPA) Don Senaha interviewed staff (S1-S8) and they stated only one (1) resident (R8) uses a hoyer lift. Staff (S1-S8) stated they have been trained on how to use the hoyer lift. There was an in-service training on hoyer lift staff (S7) conducted to all other staff as part of the topics covered on the 12/02/2020 training.

Based on the interviews conducted, LPA observations and records reviewed LPA was unable to obtain evidence to support the allegation above.

Allegation: Staff does not ensure that resident is taken out of bed
It is alleged staff does not ensure that resident is taken out of bed. (LPA) Gail Johnson interviewed residents (R1-R11) and they stated they all get out of bed every day. (LPA) Don Senaha interviewed staff (S1-S8) and all residents do get out of their beds specifically for meals. Staff encourage residents to do activities. (LPA) Don Senaha obtained a copy of the activities calendar.

Based on the interviews conducted, LPA observations and records reviewed LPA was unable to obtain evidence to support the allegation above.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don Senaha	TELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20201120101351

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: 11/10/2021

NARRATIVE

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Based on LPA’s observation, 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 Administrator Beatrice Romeo, and a hard copy was provided.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Don Senaha	TELEPHONE: (323) 629-5133
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

LIC9099 (FAS) - (06/04)

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