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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 07/01/2026
Date Signed: 07/01/2026 12:08:33 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 BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:CATHERINE BRINAS DACARAFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:208CENSUS: 108DATE:
07/01/2026
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Ace HuynhTIME COMPLETED:
12:30 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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*This report supersedes the report dated 04/24/2026 to add additional information and interviews.*

On 07/1/2026, at 9:15am, the department conducted a subsequent complaint visit to the facility and was greeted by Ace Huynh, Executive Director. The department explained the purpose of this visit was to amend the prior complaint with additional information and interviews.

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), residents (R2-R10). R1 was not available for interview because they are no longer at the facility and has cognitive issues. On 06/08/2026 the department interviewed witness (W1); resident (R1s) representative. The department received the following documents:

Report Continued on LIC909-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
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 5
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: 07/01/2026
NARRATIVE
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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. 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), residents (R2-R10), and on 06/08/2026 the department interviewed witness (W1) regarding the allegations. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative.


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.

The department did not find any documentation or communication that would have denied the resident from returning to the facility.

R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative. The department interviewed witness (W1), and they stated that the facility did not refuse to allow R1 back. However, they felt that R1 would be safer in a different facility and chose to take R1 elsewhere.

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: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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: 07/01/2026
NARRATIVE
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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 that resident (R1) incontinent care needs were met. It was reported that (R1) had redness in their groin area which they suggested was suggestive of infrequent brief changes. 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), residents (R2-R10), on 06/08/2026 the department interviewed witness (W1) regarding the allegation. On 7/1/26 the department reinterviewed staff about the allegation. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative.



3 of 4 staff denied the allegation that Staff does not ensure resident's incontinence care needs are met. The majority of the staff stated that the residents’ needs were being met. While 1 staff said they needed some assistance sometime but could generally care for their own toileting needs. All staff stated they had no knowledge of any redness in (R1s) groin area. All staff stated that residents who need assistance with incontinence care is conducted every two hours or as needed depending on the resident’s needs. All staff stated that (R1) did not need incontinent care.

The department interviewed residents (R2-R10) about the allegation and 9 of 10 residents that were interviewed stated that the staff does ensure that their care needs are met. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative. The department interviewed witness (W1), and they stated that the facility staff did not make sure that (R1) incontinence care needs were being met. W1 stated that R1 was not changed often and had dried feces in their adult briefs and believed their groin area was red because of infrequent brief changes.

The department reviewed the Needs & Service Appraisal (Dated: 04/01/2026), Physician Report (Dated: 12/08/2025), and Preplacement Appraisal Information (Dated 02/02/2026) 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.

Report Continued on LIC9099-C

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

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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: 07/01/2026
NARRATIVE
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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), 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 resident (R1) 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 04/24/2026 from 11:00am-2:00pm, the department investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S4), residents (R2-R10), and on 06/08/2026 the department interviewed witness (W1) regarding the allegation. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative.

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 and to their knowledge (R1) never had a fall in the facility.

The department interviewed residents (R2-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. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative. The department interviewed witness (W1), and they stated that the staff did not monitor the resident correctly and felt that they wouldn’t have fallen if they were monitored better.

The department reviewed Internal Resident Incident Reports (Dated: 03/12/2026, 03/23/2026 & 03/25/2026) and observed that the incident reports were not fall related. There is no documentation that (R1) had any falls. The department reviewed the Staff Roster (Dated: 03/19/2026) and observed that the facility has sufficient staff to provide adequate supervision for the residents. The department also reviewed the Preplacement Appraisal Information (Dated 02/02/2026) and observed that (R1) was able to walk without any physical assistance and does not utilize assistive devices for mobility, despite having a cane available.



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.

Report Continued on LIC9099-C

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

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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: 07/01/2026
NARRATIVE
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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’ (R1) hygiene care needs were met. It was reported that hygiene requests from the family were not addressed. 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), residents (R2-R10), and on 06/08/2026 the department interviewed witness (W1) regarding the allegations. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative.

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 (R1) was able to care for their own hygiene needs with little assistance from the staff but needed reminders from the staff. Staff stated that they reminded (R1) often and tried to assist (R1) but (R1) would get agitated and scream for them to stop. While 1 staff stated that the resident did require some assistance and would often refuse and get agitated if they tried to assist them.

The department interviewed residents (R2-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. R1 was not available for interview because they are no longer at the facility and has cognitive issues. However, witness (W1) was available to speak on their behalf as their representative. The department interviewed witness (W1), and they stated that the facility staff did not make sure that (R1s) hygiene (shower/grooming) needs were met as requested.



The department reviewed the Needs & Service Appraisal (Dated: 04/01/2026) and observed that (R1) needed assistance with bathing and grooming but was able to care for their toileting needs by themselves without assistance. The department reviewed the Shower Schedule (Last Updated 03/06/2026) and Shower Log (for March 2026) and observed that (R1) was on a schedule but some days it was documented that (R1) refused to shower and refused 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.

Report Continued On LIC9099-C

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

DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5