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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602039
Report Date: 03/12/2025
Date Signed: 03/12/2025 02:16:09 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
03/05/2025 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250305094429
FACILITY NAME:REGENT VILLA RETIREMENT HOMEFACILITY NUMBER:
198602039
ADMINISTRATOR:GORDON, JENNIFACILITY TYPE:
740
ADDRESS:201 W WARDLOW RDTELEPHONE:
(562) 595-6529
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:188CENSUS: 149DATE:
03/12/2025
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Jenni GordonTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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9
Staff does not award resident privacy.
Staff does not treat resident with respect.
INVESTIGATION FINDINGS:
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On 3/12/25, at 9:25am, the department conducted an initial complaint visit to the facility and was greeted by Jenni Gordan, Administrator. The department explained the purpose of this visit is to gather information about the complaint, gather facility files, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: The Department investigated the allegations mentioned in this complaint; and conducted interviews with staff (S1-S4) and residents (R1-R10) from 10:00am-2:00pm. The department received the following: Resident Roster (Dated: 03/12/2025), Staff Roster (Dated: No Date) for the facility. Physicians Reports (Dated: 4/30/24, 4/16/24, 9/12/24, 1/16/24, & 8/13/24), In-Service Staff Trainings (Dated: 9/14/21-12/23/24), Personal Rights (Dated: 3/20/12, 5/22/23, 10/16/24, 8/18/16, & 8/20/18), Pre-Placement Appraisal (Dated: 2/4/20, 4/16/24, 9/12/24, 8/20/18), Admission Agreement (Dated: 3/1/23, 5/22/23, 10/16/24, 8/18/16, & 8/13/24) and Identification and Emergency Information (Dated: 7/24/20, 5/22/23, 10/16/24, 8/18/16, & 2/7/21) for residents from the facility.

Page 1 of 3
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
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 3
Control Number 11-AS-20250305094429
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: 03/12/2025
NARRATIVE
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The investigation revealed the following: Allegation #1-Staff does not award resident privacy.
The details of the complaint alleged that the facility staff keeps unlocking the residents’ room when they are not present to get the resident upset. On 3/12/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R10) regarding the allegation. Staff (S1-S4) denied the allegation that the Staff does not award resident privacy. Staff (S1-S4) stated that they do not violate the residents right to privacy. They state that all residents have a right to their privacy and are made aware of their rights once they move into the facility.
The Department interviewed residents (R1-R10) about the allegation and 9 of 10 residents that were interviewed denied the allegation that the Staff does not award resident privacy. The majority of the residents interviewed (9 of 10) stated that the staff does give them their privacy and does not have an issue with their personal rights being violated because of a lack of privacy. 9 of 10 residents further state that they have not had a problem with staff leaving their bedroom doors unlocked.

The Department reviewed In-Service Staff Training (Dated: 9/14/21-12/23/24) and observed that the staff has training in Personal Rights, Abuse, Neglect of Residents, Ethics and Caring, Skills for Effective Communication, and Cultural Diversity. Additionally, the department reviewed a sampling of residents’ files and observed that each file reviewed contained Personal Rights (Dated: 3/20/12, 5/22/23, 10/16/24, 8/18/16, & 8/20/18) documents signed and acknowledged by the residents.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff does not award resident privacy. 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.

Allegation #2- Staff does not treat resident with respect.

The details of the complaint alleged that the facility staff does not treat the resident with dignity and respect because of concerns the resident raised and that are still on-going without resolution. On 3/12/25, from 10:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R10) regarding the allegation. Staff (S1-S4) denied the allegation that the Staff does not treat resident with respect. All staff (S1-S4) stated that the facility does treats all their residents with dignity and respect and try to foster an atmosphere of respect and inclusion. They further state that the personal rights and well-being of their residents is a high priority.

The Department interviewed residents (R1-R10) about the allegation and 9 of 10 residents that were interviewed denied the allegation that Staff does not treat resident with respect. The majority of residents that were interviewed (9 of 10) stated that the facility does treat them with dignity and respect and are happy living at the facility.

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SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250305094429
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: 03/12/2025
NARRATIVE
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The Department reviewed In-Service Staff Training (Dated: 9/14/21-12/23/24) and observed that the staff has training in Personal Rights, Abuse, Neglect of Residents, Ethics and Caring, Skills for Effective Communication, and Cultural Diversity. Additionally, the department reviewed a sampling of residents’ files and observed that each file reviewed contained Personal Rights (Dated: 3/20/12, 5/22/23, 10/16/24, 8/18/16, & 8/20/18) documents signed and acknowledged by the residents. The department further observed during the interview process, that the residents are aware of their personal rights and a majority stated that their rights have not been violated because of a lack of respect given to them by the staff.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff does not treat resident with respect. 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 citations were issued.

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

Page 3 of 3 Complaint Investigation Report

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3