198320280-5-30-2025-11-AS-EMAZ-DHPW5P-20250616165928

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320280
Report Date: 05/30/2025
Date Signed: 05/30/2025 01:07:00 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, 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
05/21/2025 and conducted by Evaluator Wendy Gibbs

COMPLAINT CONTROL NUMBER: 11-AS-20250521152845

FACILITY NAME:	TORRANCE REGENCY SENIOR LIVING II		FACILITY NUMBER:	198320280
ADMINISTRATOR:	TAPORCO, ROBIN S.		FACILITY TYPE:	740
ADDRESS:	22549 S. VAN DEENE AVE.		TELEPHONE:	(408) 916-7347
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90502
CAPACITY:	6	CENSUS: 4	DATE:	05/30/2025
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Jerissa Bucu		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff are harassing resident.
Licensee is not ensuring that resident's care needs are being met.
Staff do not ensure that resident is accorded privacy.
Staff do not ensure that resident is attending their medical appointments as necessary.
Staff do not ensure that resident is provided with an adequate amount of food.

INVESTIGATION FINDINGS:

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On 05/30/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced subsequent Complaint Visit to the facility listed above. LPA met with Administrator, Jerissa Bucu, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The investigation consisted of:
During the initial visit, LPA interviewed Staff S1-S3, interviewed residents R1-R4, interviewed Residents’ Responsible Party W1 and W2, and received documents pertinent to the investigation. The following documents were received and reviewed Resident Roster, Staff Roster, Sample Monthly Menu, Weekly Menu, resident Admission Agreement, resident Physician’s Report, Appraisal, Personal Rights, and Advanced Health Care Directive.

The investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

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 5

Control Number 11-AS-20250521152845

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: TORRANCE REGENCY SENIOR LIVING II	FACILITY NUMBER: 198320280
	VISIT DATE: 05/30/2025

NARRATIVE

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Allegation: Staff are harassing resident.
The allegation alleges that staff are harassing a resident.
During file review, LPA observed in resident’s files is a signed copy of the Personal Rights of Residents in Privately Operated Residential Care Facilities for the Elderly that states on page 2 “To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.”
During the facility visit, LPA observed staff speaking with residents and offering assistance to them. LPA did not hear the staff speak inappropriately to any of the residents.
During interviews with Staff S1-S3, were asked if they have observed or heard of any staff harassing any residents, three (3) out of three (3) stated they have not seen nor heard of staff harassing the residents.
During interviews with Residents R1-R4, were asked if they have heard or have had staff harass them, three (3) out of four (4) stated they have not been harassed or heard staff harass the residents.
During interviews with Residents Responsible Party W1 and W2, were asked if they have any concerns of staff harassing residents, two (2) out of two (2) stated they have no concerns of staff harassing residents.

During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Allegation: Licensee is not ensuring resident’s care needs are being met.

The allegation alleges that residents are unable to care for personal care needs.
During the facility visit, LPA observed residents assisted to the restroom, with incontinent needs, with showering, with shaving, escorting to meals and activities, and assisting with eating. LPA observed all residents to be clean, shaven, free of odor, and in clean clothes.
During record review, LPA received and reviewed residents Appraisal and observed the level of assistance residents require. Additionally, LPA received and reviewed residents Admission Agreement, under Basic Services, that states on page 10, number 9. “Assistance with personal activities of daily living as follows: a. Dressing. b. Eating. c. toileting. d. bathing. e. assistance with taking prescribed and over-the-counter medications in accordance with physician's instructions unless prohibited by law or regulation. f. Grooming. g. Mobility; and h. other personal care needs: housework, meals, laundry, taking medication, appropriate transportation, correspondence, telephoning, and related tasks.”
During interviews with Staff S1-S3, were asked if residents are assisted with care needs, three (3) out of three (3) stated residents are assisted with care needs. They are assisted with showering, toileting, incontinence, grooming, shaving, dressing, escorting, cooking, and eating if needed.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 11-AS-20250521152845

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: TORRANCE REGENCY SENIOR LIVING II	FACILITY NUMBER: 198320280
	VISIT DATE: 05/30/2025

NARRATIVE

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During interviews with Residents R1-R4, were asked if staff ensure their personal care needs are met, three (3) out of four (4) stated staff ensure their care needs are met. Additionally, one (1) resident stated they are able to care for their own care needs.
During interviews with Residents Responsible Party W1 and W2, were asked if their residents care needs are met, two (2) out of two (2) their residents care needs are met.

Allegation: Staff do not ensure that resident is accorded privacy.

The allegation alleges that residents are not provided with privacy to properly care for themselves.
During the facility inspection, LPA observed that shared rooms have a curtain that separates the sides of the bedroom providing privacy. LPA observed showers have curtains to provide privacy and all bathroom doors close and lock to provide privacy.
Additionally, during the facility visit, LPA observed caregivers provide assistance to incontinent residents and the caregivers closed the curtains in shared rooms and closed the doors to provide privacy for residents.
During record review, LPA received and reviewed the Personal Rights of Residents in Privately Operated Residential Care Facilities for the Elderly that states on page 2, residents have the right “to have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communication, telephone conversations, use of the internet, and meeting of resident and family groups.”
During interviews with Staff S1-S3, were asked how residents are provided privacy when care needs are being provided, three (3) out of three (3) stated when assisting with care needs, they ensure the bathroom door is closed during showering and toileting and when in the bedrooms they ensure the privacy curtain is pulled and bedrooms doors are closed while changing clothing and assisting with incontinence.
During interviews with Residents R1-R4, were asked if they are provided with privacy when being assisted with care needs, three (3) out of four (4) stated they are provided privacy during care needs and staff close the door and ensure the curtain is closed.
During interviews with Residents Responsible Party W1 and W2, were asked if residents are provided with privacy to care for care needs, two (2) out of two (2) stated yes, residents are provided with privacy. Additionally, one (1) out of two (2) stated their resident does not like being in a shared room.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 11-AS-20250521152845

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: TORRANCE REGENCY SENIOR LIVING II	FACILITY NUMBER: 198320280
	VISIT DATE: 05/30/2025

NARRATIVE

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During the course of the investigation, LPA was unable to find evidence to support the allegation. Although
the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Allegation: Staff do not ensure that resident is attending their medical appointments as necessary.

The allegation alleges that a resident has been unable to have a treatment that the doctor has ordered.
During the facility visit, LPA observed resident R1 had a visit from the Palliative doctor. During file review, LPA observed resident R2-R4’s Physicians Visit Reports indicating if there are any changes to the Physician Orders or new orders. Staff S1 informed LPA Resident R1 is independent, manages their own doctors’ appointments and visits, and no information is provided to the staff regarding Physicians Orders.
Additionally, LPA received and reviewed resident’s Admission Agreement, that states on page 9, under Basic Services, number “6. Helping gain access to supportive services, which may include medical, dental, and other health care services.” Number 7 states “Plan, arrange and/or provide for transportation to medical and dental appointments. Facility will assist with arranging for transportation to and from medical and dental services.
During interviews with Staff S1-S3, were asked if residents attend doctor appointments and/or dental appointments, three (3) out of three (3) stated residents attend medical appointments. Additionally, S1 stated resident’s families usually take them to their appointments and come back and provide staff with any changes to the Physician’s Orders.
During interviews with Residents R1-R4, were asked if they attend medical and/or dental appointments, four (4) out of four (4) stated they see the doctor regularly. Additionally, R1 stated they take care of their own medical appointments and transportation.
During interviews with Resident’s Responsible Party W1 and W2, were asked if their resident sees a doctor regularly and when needed, two (2) out of two (2) stated their resident goes to their doctors’ appointments and some doctors come to the facility.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 11-AS-20250521152845

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: TORRANCE REGENCY SENIOR LIVING II	FACILITY NUMBER: 198320280
	VISIT DATE: 05/30/2025

NARRATIVE

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Allegation: Staff do not ensure that resident is provided an adequate amount of food.
The allegation alleges that not much food is provided, and resident is left feeling hungry.
During the facility visit, LPA observed resident’s offered snacks and fluids multiple times. LPA observed lunch being served to residents during the visit, residents were provided an ample amount of chicken with vegetables, fruit, and rice. Resident’s R1 and R3 stated they did not want to eat lunch, when lunch was offered. LPA observed dinner being served to residents during the visit, residents were provided with a large bowl of soup with vegetables and chicken, a grilled sandwich, and fresh fruit.
During the facility inspection, LPA observed a sample Monthly Menu, and a Weekly Menu posted on the refrigerator. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods.
During record review, LPA received and reviewed a copy of residents Admission Agreement, that states on page 9 under Basic Services, number 5. Food Services: a. Three (3) nutritious meals per day and between meal snacks, are provided.
During interviews with Staff S1-S3, were asked if residents are provided with three (3) meals a day and snacks, three (3) out of three (3) stated residents are provided three (3) meals and snacks throughout the day. Additionally, Staff S1-S3 were asked if residents are provided adequate amount of food during meals, three (3) out of three (3) stated they are provided an adequate amount of food and seconds are always available.
During interviews with Residents R1-R4, were asked if they are provided three (3) meals a day and snacks, four (4) out of four (4) stated they are provided three (3) meals a day and snacks. One (1) resident stated they do not always eat the meals provided because that is not what they want to eat. Additionally, Residents R1-R4 were asked if they are provided an adequate amount of food, four (4) out of four (4) stated there is an adequate amount of food.
During interviews with Residents Responsible Party W1 and W2, were asked if they have any concerns regarding the amount of food residents are provided, two (2) out of two (2) stated they have no concerns.

During today's visit, LPA did not observe or cite any deficiencies.

An exit interview was conducted with Administrator, Jerissa Bucu, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

LIC9099 (FAS) - (06/04)

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