198602039-7-16-2026-11-AS-EMAZ-DW8W3K-20260722165605

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602039
Report Date: 07/16/2026
Date Signed: 07/16/2026 02:32:33 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
07/08/2026 and conducted by Evaluator Perry Scott

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260708090818

FACILITY NAME:	REGENT VILLA RETIREMENT HOME		FACILITY NUMBER:	198602039
ADMINISTRATOR:	GORDON, JENNI		FACILITY TYPE:	740
ADDRESS:	201 W WARDLOW RD		TELEPHONE:	(562) 595-6529
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90807
CAPACITY:	188	CENSUS: 149	DATE:	07/16/2026
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Jenni Gordon		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff do not safeguard resident's cash resources

INVESTIGATION FINDINGS:

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On 7/16/26, at 9:10am, the department conducted an initial complaint visit to the facility and was greeted by Jenni Gordon, Administrator. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview staff and residents, and deliver findings for the allegation mentioned above.

The investigation consisted of the following: The department investigated the allegation mentioned in this complaint and conducted interviews with staff (S1-S3) and residents (R1-R10). The department received the following documents: Resident Roster (Date: 07/16/2026), Personnel Report (Dated: 07/16/2026), Tenant Ledger (Dated: 03/01/2024-07/13/2026), Resident Fund Management System Statement (Dated: 07/16/2026), Social Security Income Statement (Dated: 05/25/2026), Regent Villa Fax Notes to Social Security (Dated: 05/04/2026), Identification and Emergency Information (Dated: 02/29/2024), Admission Agreement (Dated: 02/29/2024), Transfer Discharge Report Lakewood Healthcare Center (Dated: 04/06/2026), Resident Service Plan (Dated: 01/08/2025), Preplacement Appraisal Information (Dated: 01/08/2025).....

Report Continued On LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

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-20260708090818

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: REGENT VILLA RETIREMENT HOME	FACILITY NUMBER: 198602039
	VISIT DATE: 07/16/2026

NARRATIVE

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Physicians Report (Dated: 03/27/2025), and Regent Villa Rent Increase Notice (Dated: 01/02/2026) from the facility.

The investigation revealed the following: Allegation- Staff do not safeguard resident's cash resources.
The details of the complaint allege that money was taken from the resident (R1s) account. It was reported that $1,900 was taken from them and deposited into a Citibank account that the resident does not own, now there is an outstanding balance for rent for the month of April. However, it was reported that R1s rent for May, June, and July were paid. On 7/16/2026, from 9:30am-2:30pm, the department interviewed staff (S1-S3) and residents (R1-R10). 3 of 3 staff denied the allegation that Staff do not safeguard resident's cash resources. All staff (S1-S3) stated that the Citibank account in question is the account that the residents get there social security checks deposited into. Staff stated that the formal name of the account is Resident Fund Management Service which is an account through Citibank for which residents have their checks deposited into to pay rent and once deducted; whatever is left over from that, the residents get to keep.

Staff (S1) also stated that the resident went into the hospital for a long period of time and medical reported to social security about the resident being in the hospital, and social security stopped paying rent for R1. Now that the resident has returned, stated (S1) they are working to get (R1) back pay to cover their rent that social security did not pay. S1 stated that the resident has a past due balance for rent which is $1,973.20. S1 stated that resident is getting their current social security check and any Personal and Incidental (P & I) balance due them and their current rent is paid.

The department interviewed residents (R1-R10) ) about the allegation and 10 of 10 residents that were interviewed denied that the facility does not safeguard their cash resources. They stated that they never had a problem with financial theft from the facility and that they deposit any checks they get from social security into the Resident Fund Management Service account. This account they stated deducts their rent and they get whatever is left from the deposit.

Report Continued On LIC9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260708090818

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: REGENT VILLA RETIREMENT HOME	FACILITY NUMBER: 198602039
	VISIT DATE: 07/16/2026

NARRATIVE

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R1 stated that the facility explained that the Citibank account was the same account that they deposited their checks into in prior months. Once the facility explained what was going, R1 stated that they understood and realized that the facility is safeguarding their financial resources. R1 stated that they were confused and did not realize that “Citibank” was the same as what they have come to know as Resident Fund Management Service account that has deducted their rent in the past.

The department reviewed the Resident Fund Management System Statement (Dated: 07/16/2026), Social Security Income Statement (Dated: 05/25/2026), Regent Villa Fax Notes to Social Security (Dated: 05/04/2026), and Tenant Ledger (Dated: 03/01/2024-07/13/2026 and observed that R1s check was being deposited into the Resident Fund Management Service account which is run by Citibank. The department also observed that the resident has an outstanding balance of $1,973.20 for rent that social security has not paid.

The department also observed that R1 has an overpayment of $2,281.84 from social security that they are paying back monthly by a deduction of $162.60 from their base social security payment of $1,626.07. R1s current social security payment is $1,463.47. The department did not find any evidence that the facility was not safeguarding the residents’ cash resources.

Based on interviews conducted, and records reviewed, there is insufficient evidence to support the allegation that Staff do not safeguard resident's cash resources. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

No deficiencies were found and no citations were issued for this complaint investigation.

An exit interview was conducted with Jenni Gordon, Administrator, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

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