198602069-4-9-2026-11-AS-SCIS-DUFV4G-20260526160610

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602069
Report Date: 04/09/2026
Date Signed: 04/09/2026 04:08:47 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
11/04/2025 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20251104161938

FACILITY NAME:	PALMCREST GRAND RESIDENCE		FACILITY NUMBER:	198602069
ADMINISTRATOR:	GOMEZ, VERONICA		FACILITY TYPE:	740
ADDRESS:	3503 CEDAR AVENUE		TELEPHONE:	(562) 595-4551
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90807
CAPACITY:	262	CENSUS:	DATE:	04/09/2026
		UNANNOUNCED	TIME BEGAN:	02:44 PM
MET WITH:	Veronica Gomez-Administrator		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff did not keep facility free of insects.

INVESTIGATION FINDINGS:

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On 4/9/2026 at 1:07 PM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to deliver the findings for the alleged allegations. LPA identified herself and met with Veronica Gomez, who was informed of the purpose of the visit.The investigation consisted of the following:

On 11/10/2025, the Department toured the facility’s kitchen, dining area, and the 1st and 3rd floors. During the kitchen tour, LPA did not observe any crawling or flying insects. The kitchen appeared clean and maintained in a sanitary condition.

The Department conducted interviews with Staff 1 through Staff 3 (S1–S3) and Residents 1 and 2 (R1–R2), and obtained pertinent documents for review. On 4/9/2026 at 1:00 PM, the Department conducted additional interviews with Staff 4 through Staff 8 (S4–S8) and Residents 3 through 9 (R3–R9).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

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-20251104161938

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: PALMCREST GRAND RESIDENCE	FACILITY NUMBER: 198602069
	VISIT DATE: 04/09/2026

NARRATIVE

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The investigation revealed the following:
Allegation 2: Staff did not keep facility free of insects.

On 11/10/2025, LPA attempted to interview Residents 1 and 2 (R1–R2); however, both residents were unable to engage in a clear conversation.

On 4/9/2026 at 2:00 PM, LPA conducted interviews with Residents 3 through 9 (R3–R9). All seven residents interviewed stated that staff keep the facility free of insects by cleaning daily, and that when insect concerns arise, Innovative Pest Control is contacted. A copy of the pest control service receipt dated 12/5/2024 was provided for review.

The Department also conducted interviews with Staff 1 through Staff 8 (S1–S8). All eight staff interviewed stated that they ensure the facility remains free from insects and reported that they have not observed or received reports of insects in residents’ food.

During the visit, LPA did not observe any crawling or flying insects.

Based on the interviews, records reviewed, and observations, the Department found no evidence to support the allegation. While the allegation may be valid or may have occurred, there is insufficient evidence to determine whether the alleged violation did or did not take place. Therefore, the allegation is determined to be Unsubstantiated.

An exit interview was conducted, and this report was discussed with and provided to Veronica Gomez, Administrator, at the conclusion of the visit, along with appeal rights.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

LIC9099 (FAS) - (06/04)

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