198602134-5-13-2026-11-AS-PMAA-DU7NU8-20260518104556

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 05/12/2026
Date Signed: 05/13/2026 09:22:09 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
05/07/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260507123904

FACILITY NAME:	GLEN PARK AT LONG BEACH		FACILITY NUMBER:	198602134
ADMINISTRATOR:	ACE HUYNH		FACILITY TYPE:	740
ADDRESS:	1046 E 4TH ST		TELEPHONE:	(562) 432-7468
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90802
CAPACITY:	208	CENSUS: 112	DATE:	05/12/2026
		UNANNOUNCED	TIME BEGAN:	01:27 PM
MET WITH:	Anita Csukardi		TIME COMPLETED:	03:09 PM

ALLEGATION(S):

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Staff withheld resident's funds.

INVESTIGATION FINDINGS:

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On May 12, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Ernand Dabuet, conducted a subsequent unannounced complaint visit. Anita Csukardi, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegation mentioned above.

The investigation included interviews, inspection of the facility, and a collection of documents. A review of Personnel Report LIC 500 (dated 05/01/26), Register of Faciltiy Residents Roster (dated 04/06/26), Admission Agreement, (dated 06/30/26), Identification and Emergency Information (dated 02/17/26), Medical Assessment LIC 602A (dated 12/30/25), Resident Appraisal LIC 603A (dated 12/31/25) and other pertinent records associated with this complaint. Interviews conducted with Resident#1 through #10 (R1-R10), Staff #1 through Staff #3 (S1-S3) and Witness #1 (W1).
(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

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-20260507123904

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: GLEN PARK AT LONG BEACH	FACILITY NUMBER: 198602134
	VISIT DATE: 05/12/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Staff withheld resident's funds.

The complaint alleges that the staff is withholding funds from Resident #1 (R1). It is reported that (R1) has a trust fund account intended for a family member, but the administrator has denied (R1) access to those funds. No additional details regarding this matter are provided.

Resident #1 (R1) was admitted to Glen Park in Long Beach on January 22, 2026, based on the facility’s Admissions Agreement (dated 01/23/26). (R1) is responsible for self-admission to this facility.

On May 11, 2026, between 11:20 AM and 01:00 PM, the Department interviewed resident members identified as Resident #1 through Resident #10 (R1-R10). Nine (9) out of the ten (10) residents could not support this claim. Four (4) of the ten (10) are independent and can manage their own finances. Three (3) of the ten (10) have other family members handling their finances, while two (2) out of the ten (10) cannot manage their finances themselves.

(R1) claimed to have an $11,000 trust fund that the facility is withholding. However, (R1) had no information or documentation regarding this trust fund. (R1) was unaware of the trust fund's origin and could not provide further details. The only information (R1) had was that there was a trust fund, and (R1) wanted to grant access to these funds to a family member. (R1) did not have legal documentation arranged that holds and manages assets—such as money, stocks, or real estate—for a beneficiary on behalf of a grantor, managed by a trustee.

On May 11, 2026, between 09:45 AM and 01:30 PM, the Department interviewed staff members identified as Staff #1 through Staff #3 (S1-S3). Two (2) out of (3) three staff members reported that (R1) has personal funds being managed by the facility. (S1) indicated that Glen Park serves as the payee for (R1’s) Supplemental Security Income (SSI). Basic services are paid directly to Glen Park, and any remaining funds are deposited into (R1’s) resident's account. Both (S1) and (S2) stated that since (R1) is self-responsible and does not have the power of attorney or conservator managing (R1’s) finances, Glen Park functions as the payee for (R1’s) (SSI). (S1) and (S2) stated that they informed (R1) that (R1) needed to complete a facility form to withdraw funds and for accounting tracking. This information may have led to (R1's) current misunderstanding of the situation. However, (S1-S3) were unaware of any issues regarding (R1's) lack of understanding of the process.
(Evaluation Report continue LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260507123904

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: GLEN PARK AT LONG BEACH	FACILITY NUMBER: 198602134
	VISIT DATE: 05/12/2026

NARRATIVE

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(S1) stated that the facility is not being defiant or refusing to provide (R1) with access to personal funds. The funds established by the facility are for any leftover money from (R1’s) (SSI) and Personal and Incidental (P&I) expenses, a term that (R1) does not understand. The management informed (R1) that a process exists: the Check Request form and the Payable Distribution Letter must be completed to distribute funds.

On May 11, 2026, between 12:00 PM and 12:15 PM, the Department interviewed a family member identified as Witness #1 (W1). (W1) stated that (W1) was not aware of any trust account in the name of (R1). Furthermore, W1 mentioned that when family members passed away over 30 years ago, there was no trust account for (R1) that (W1) was aware of.

A review of (R1’s) Admission Agreement (dated June 30, 2026), Identification and Emergency Information (dated 02/17/26), Medical Assessment LIC 602A (dated 12/30/25), and Resident Appraisal LIC 603A (dated 12/31/25) revealed that (R1) is self responsible but cannot manage their own financial resources. A copy of (R1’s) Record of Resident’s Safeguarded Cash Resources LIC 405 (dated 05/12/26) detailed the date, description, initial deposit, withdrawal, balance, signature, and transaction number, confirming that (R1) has a trust account with a positive balance. Further review of the facility's Check Request form (dated 05/12/26) and Payable Distribution Letter confirmed that the facility has a process in place that must be followed to access (R1's) finances.

Based on the information gathered, there is not enough evidence to support the allegation mentioned above.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

An exit interview was conducted with Anita Csukardi, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

LIC9099 (FAS) - (06/04)

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