198602134-4-24-2026-11-AS-EMAZ-DW8N8P-20260722101437

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 04/24/2026
Date Signed: 04/24/2026 03:57:31 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
03/25/2026 and conducted by Evaluator Perry Scott

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260325144642

FACILITY NAME:	GLEN PARK AT LONG BEACH		FACILITY NUMBER:	198602134
ADMINISTRATOR:	CATHERINE BRINAS DACARA		FACILITY TYPE:	740
ADDRESS:	1046 E 4TH ST		TELEPHONE:	(562) 432-7468
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90802
CAPACITY:	208	CENSUS: 108	DATE:	04/24/2026
		UNANNOUNCED	TIME BEGAN:	11:04 AM
MET WITH:	Ace Huynh		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not provide adequate supervision, resulting in resident sustaining multiple unwitnessed falls.
Staff does not ensure resident's hygienic care needs are met.
Staff does not ensure resident's incontinence care needs are met.
Staff did not allow resident back to facility after hospital stay.

INVESTIGATION FINDINGS:

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On 04/24/2026, at 11:00am, the department conducted a subsequent complaint visit to the facility and was greeted by Ace Huynh, Executive Director, and Cathrine Dacara, Assistant Administrator. The department explained the purpose of this visit was to gather information about the complaint, interview staff and residents, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: On 04/01/2026, the department conducted an initial complaint visit to gather facility files. On 04/24/2026 from 11:00am-2:00pm, the department investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S4) and residents (R1-R10). The department received the following documents: Staff Roster (Dated: 03/19/2026), Resident Roster (Dated: 03/25/2026), Identification & Emergency Information (Dated: 02/02/2026), Physician Report (Dated: 12/08/2025), Preplacement Appraisal Information (Dated 02/02/2026), Needs & Service Appraisal (Dated: 04/01/2026), Admission Agreement (Dated 02/02/2026), Shower Schedule (Last Updated 03/06/2026), Shower Log (for March 2026) and Internal Resident Incident Reports (Dated: 03/12/2026, 03/23/2026 & 03/25/2026)....

Report Continued On LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

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-20260325144642

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: 04/24/2026

NARRATIVE

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On 4/24/2026, from 11:00am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff did not allow resident back to facility after hospital stay. Staff (S1) stated that the family member of the resident came on 03/24/2026 to take the resident to the hospital for evaluation and never brought the resident back to the facility. S1 also stated on that day, the family member removed all of the residents’ belongings from the facility. S1 further stated that there wasn’t a valid reason that the resident could not return to the facility, and no one said otherwise. S2-S4 stated that they had no knowledge of a reason that the resident would not be allowed to return to the facility.

Based on interviews conducted, there is insufficient evidence to support the allegation that Staff did not allow resident back to facility after hospital stay. 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 for this complaint investigation.

An exit interview was conducted with Ace Huynh, Executive Director, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260325144642

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: 04/24/2026

NARRATIVE

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The department interviewed residents (R1-R10) about the allegation and 9 of 10 residents that were interviewed stated that the facility staff does ensure that their hygiene needs are met but added that they are primarily independent and care for their own needs.

The department reviewed the Needs & Service Appraisal (Dated: 04/01/2026), Physician Report (Dated: 12/08/2025), and Shower Log (for March 2026) and observed that the resident was able to bathe, dress, groom, and care for their toileting needs by themselves without assistance.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegation that Staff does not ensure resident's hygienic care needs are met. 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 #3- Staff does not ensure resident's incontinence care needs are met.

The details of the complaint alleged that the facility staff did not ensure the residents’ incontinent care needs were met. On 4/24/2026, from 11:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R10) regarding the allegation. 4 of 4 staff denied the allegation that Staff does not ensure resident's incontinence care needs are met. All staff stated that the residents’ needs were being met. 3 of 4 staff denied the resident needed incontinence care while 1 staff said they needed some assistance sometime but could generally care for their own toileting needs.

The department interviewed residents (R1-R10) about the allegation and 9 of 10 residents that were interviewed stated that the staff does ensure that their care needs are being met.

The department reviewed the Needs & Service Appraisal (Dated: 04/01/2026), and Physician Report (Dated: 12/08/2025) and observed that the resident was able to care for their toileting needs by themselves without assistance.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegation that Staff does not ensure resident's incontinence care needs are met. 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 #4- Staff did not allow resident back to facility after hospital stay.

The details of the complaint alleged that the facility did not allow resident back after hospital stay. It was reported that the family member of the resident did not want to return the resident to the facility because they didn’t think the resident was properly cared for.

Report Continued On LIC9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260325144642

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: 04/24/2026

NARRATIVE

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and Medication Administration Record (Dated: February 2026 - March 2026) from the facility.

The investigation revealed the following: Allegation #1- Staff did not provide adequate supervision, resulting in resident sustaining multiple unwitnessed falls.

The details of the complaint alleged that the resident had two unwitnessed falls, with no injuries in the facility. It was reported that the staff did not provide adequate supervision for the resident. On 4/24/2026, from 11:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R10) regarding the allegation. 4 of 4 staff denied the allegation that Staff did not provide adequate supervision, resulting in resident sustaining multiple unwitnessed falls. All staff stated that they do provide adequate supervision for the residents in the facility. Staff also stated that there is a call button in each resident’s room that they can push if they need assistance or are having trouble walking. They further stated that the residents are checked on frequently throughout the day and night.

The department interviewed residents (R1-R10) about the allegation and 8 of 10 residents that were interviewed stated that they believe the staff does provide adequate care and supervision for the residents in the facility. Those residents further stated that they are satisfied with the care and supervision and feel safe living in the facility.

The department reviewed Internal Resident Incident Reports (Dated: 03/12/2026, 03/23/2026 & 03/25/2026) and Staff Roster (Dated: 03/19/2026) and observed that the incidents were documented and reported and that the facility has sufficient staff to provide adequate supervision to the residents. The department also reviewed the Physician Report (Dated: 12/08/2025) and observed the resident had no motor impairments or paralysis.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegation that Staff did not provide adequate supervision, resulting in resident sustaining multiple unwitnessed falls. 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 ensure resident's hygienic care needs are met.

The details of the complaint alleged that the facility staff did not ensure the residents’ hygiene care needs were met. On 4/24/2026, from 11:00am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R10) regarding the allegation. 3 of 4 staff denied the allegation that Staff does not ensure resident's hygienic care needs are met. The majority of the staff stated that the residents’ hygienic care needs were being met. Staff further stated that the resident was able to care for their own hygiene needs with little assistance from the staff. While 1 staff stated that the resident did require some assistance and would often refuse and get agitated if they tried to assist them.

Report Continued On LIC9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

LIC9099 (FAS) - (06/04)

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