198602134-5-13-2026-11-AS-PMAA-DUFM5K-20260526091829

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 05/13/2026
Date Signed: 05/13/2026 09:29:24 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
05/04/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260504125345

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:	05/13/2026
		UNANNOUNCED	TIME BEGAN:	01:04 PM
MET WITH:	Catherine Dacara		TIME COMPLETED:	04:57 PM

ALLEGATION(S):

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Staff does not treat resident with dignity or respect.
Staff does not accord resident privacy in the restroom.

INVESTIGATION FINDINGS:

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On May 13, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Ernand Dabuet, conducted an initial unannounced complaint visit. Catherine Dacara, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegations 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 08/01/24), Identification and Emergency Information (dated 09/18/24), Physicians Report LIC 602A (dated 04/10/26), Resident Appraisal LIC 603A (dated 05/30/22) and other pertinent records associated with this complaint. Interviews conducted with Resident #1 - #10 (R1-R10), and Staff #1- #7 (S1-S7) and an inspection of (R1's) room #220.
(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

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-20260504125345

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: 05/13/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Staff does not treat resident with dignity or respect.

Allegation #2: Staff does not accord resident privacy in the restroom.

The complaint alleges that the staff does not treat Resident #1 (R1) with the dignity, respect, and privacy (R1) deserve while in care. Reports indicate that staff members, specifically Staff #5 (S5) and Staff #6 (S6), harassed (R1) by yelling profanities at them in front of other residents during an incident. Furthermore, there are concerns about (R1's) privacy being violated by Staff #7 (S7), who entered (R1's) room while (R1) was in the bathroom, failing to provide adequate privacy. It has also been reported that (S7) spoke harshly about (R1) in (S7's) native language. These concerns have been brought to the management's attention, but no action has been taken to address the behavior. No additional details regarding this matter are provided.

Resident #1 (R1) was admitted to Glen Park in Long Beach on October 25, 2022, based on the facility’s Admissions Agreement (dated 08/01/24). (R1) is responsible for self-admission to this facility.

On May 11, 2026, and May 12, 2026, between 11:20 AM and 03:40 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 both claims. (R2-R10) were complimentary of all staff, including Staff #5 (S5), Staff #6 (S6), and Staff #7 (S7). All of them stated that they are treated with dignity and respect; no employee has ever addressed them disrespectfully. Furthermore, the staff honors residents' privacy by announcing their arrival before entering a resident's room and will only enter with the resident's permission.

(R1) had concerns about how (S5), (S6), and (S7) addressed (R1) during recent incidents on March 28, 2026, and April 15, 2026. In both occurrences, (R1)’s rights were breached when (S5), (S6), and (S7) displayed disrespectful behavior and used offensive language while making derogatory remarks about (R1). (R1) claims that these concerns were raised with management, but notes that no action has been taken.

On May 11, 2026, May 12, 2026, and May 13, 2026, between 09:45 AM and 3:59 PM, the Department interviewed staff members identified as Staff #1 through Staff #7 (S1-S7). Seven (7) out of seven (7) staff members could not validate this claim. Staff #5 (S5), Staff #6 (S6), and Staff #7(S7) all denied the allegations of violating (R1’s) rights, asserting that they never made any derogatory remarks to (R1).

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260504125345

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: 05/13/2026

NARRATIVE

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They indicated that (R1) has exceptionally high expectations and is resistant to receiving guidance from any staff. This often leads to a shift from positive interactions to negative ones. Staff #7 (S7) specifically stated that the claim regarding (R1) intruding on privacy rights is false; the incident never occurred.

Staff #3 (S3) indicated that management has implemented proactive steps regarding the incidents that occurred on March 28, 2026, and April 15, 2026. An internal inquiry was conducted, including analysis of surveillance footage from March 28, 2026. The inquiry found insufficient evidence to ascertain whether the staff had infringed on (R1’s) rights.

A review of (R1’s) Admission Agreement (dated 08/01/24), Physicians Report LIC 602A (dated 07/27/23), and Resident Appraisal LIC 603A (dated 03/10/26), and Personal Rights LIC 613 (dated 08/01/24) revealed (R1's) medical diagnosis profoundly impacts (R1’s) thought processes and belief system, intricately shaping (R1) perspective and understanding. Further review of Internal Staff Incident Report (dated 03/30/26), Internal Resident Incident Repot (dated 03/28/26 and 04/15/26) confirmed that the facility had conduced internal investigation on both incidents.

Additional review of (R1’s) Medication Orders (dated 05/12/26) (R1) is prescribed (18) medications and (9) out of the (18) have side effects of inducing manic symptoms, depression, fatigue, and disturbance (ref National Institute of Health).

During the visit on May 11, 2026 through May 13, 2026, the Department identified that the facility promotes the rights and safety of its residents. Posters outlining Resident Rights, Personal Rights, and the California Residential Care Facilities for the Elderly Complaint Poster were displayed prominently throughout the facility.

Based on the information gathered, there is not enough evidence to support the allegations 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 allegations. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are Unsubstantiated.

Exit interview conducted with Executive Director CATHERINE DACARA, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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