198602134-7-8-2026-11-AS-PMAA-DW7U76-20260721151926

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 07/08/2026
Date Signed: 07/08/2026 06:51:17 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
06/30/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260630170230

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: 114	DATE:	07/08/2026
		UNANNOUNCED	TIME BEGAN:	09:02 AM
MET WITH:	Ace Hyynh - Executive Director		TIME COMPLETED:	04:50 PM

ALLEGATION(S):

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Resident call light is in disrepair.

INVESTIGATION FINDINGS:

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On July 08, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Ernand Dabuet, conducted an initial unannounced complaint visit. Ace Huynh, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegation mentioned above.

The investigation, a collection of documents, and a tour of the facility. A review of Personnel Report LIC 500 (dated 06/02/26), Resident Roster (dated 007/02/26), Faciltiy Visitor Log (dated 06/01/26 - 06/30/26), Maintenance Request Report (dated 03/1/26 - 07/07/26), Resident #1 (R1's) Medical Assessment for Residential Care Facilities LIC 602A (dated 05/01/26), Appraisal/Needs and Services Plan LiC 625 (dated 06/03/26), Incident Report LIC 624 (dated 06/02/26 & 06/04/26) and other pertinent records associated with this complaint. Interviews conducted with Resident #1-5, Staff #1-#3 and Witness #1.

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

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-20260630170230

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: 07/08/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

ALLEGATION: Resident call light is in disrepair.

It is alleged that the call light for Resident #1 (R1) is in disrepair. For the past month, the call light has not been functioning properly on weekends. Although it has been fixed each week, it continues to work inconsistently. It is important to note that (R1) is at high risk of falling and requires a functioning call light for safety. No further details have been provided.

On July 8, 2026, between 09:50 AM and 11:30 AM, the Department interviewed resident members identified as Resident #1 through Resident #5 (R1-R5). Four (4) out of five (5) could not support this claim. (R2-R5) reported no issues or concerns regarding their call lights. They stated that when maintenance is needed, the response and repair time is timely.

(R1) stated that the call light is operational. Although it was down a couple of times, it has been repaired and is now working. (R1) mentioned that it has been functioning well for over a week and a half. (R2), who shares a room with (R1), stated that (R2) has never experienced any issues with (R2’s) call light system and that it served as a useful option for (R1) when (R1’s) call light was inoperable. However, (R2) noted that (R1) tends to pull the cord horizontally, which can cause the entire call box system to come off the wall. (R2) explained that the proper way to use the system is to pull the cord downward to avoid dislodging it.

On July 08, 2026, between 09:30 AM and 3:35 PM, the Department interviewed staff members identified as Staff #1 through Staff #3 (S1-S3). Three (3) out of three (3) staff members could not support this claim. (S1–S3) all asserted that Resident #1 (R1) has a functional call light system. (S1) indicated that (S1) became aware of the issue on July 2, 2026, when (S2) received a call about (R1's) call light system being dislodged from the wall and inoperable. (S2) reported that (S2) performed minor repairs on June 19, 2026, to (R1's) call light system, followed by a subsequent service on June 30, 2026, when the call light was found broken. There might have been one time before June 19, 2026, when it was dispatched on the walkie talkie as an urgent request and might have not been logged on the Maintenance Request Report. Services were completed on the same day. Additionally, (S2) claimed that no other service orders were placed apart from those two occasions.

(S3) was on duty on June 7, 14, 21, and 28, 2026, when concerns were raised about (R1's) call light system functioning properly.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260630170230

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: 07/08/2026

NARRATIVE

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Although it was being tested only, it was never reported as non-operational, and no maintenance order for repairs was required. If the situation calls for it, (S3) will promptly place an order for repairs to ensure everything is in top condition.

On July 6, 2026, between 8:14 AM and 8:40 AM, the Department conducted an interview with witness #1 (W1). (W1) noticed that the call box was malfunctioning around June 3-4, 2026, after (R1) had pulled it off the wall while seeking assistance. On June 7,2026, (W1) found the call box hanging off the wall again and reported it to the front desk, which informed them that repairs were in progress. (W1) repeatedly observed the call box hanging off the wall and reported it each time. By June 28, 2026, the call mechanism had been tampered with and was no longer usable.

The Department inspected room #132 (R1's room) and evaluated the call light system. The wall-mounted system was found to be functioning properly. A care staff member responded within 2 minutes after the call light was activated.

Further inspection of the call light system in room #132 (R2) confirmed it was operable as well. In addition, the call light systems in the following rooms were inspected and tested: #101, #104, #134, #137, #139, #141, #142, #206, #208, #213, #217, #228, and #229. All 30 call light systems were found to be in working condition.

A review of the Facility Visitor Log Report (dated 06/01/26 to 06/30/26), revealed inaccuracies in the reporting of visit dates from (W1). Additionally, a review of the Facility Maintenance Request Report for the same period confirmed that services were performed on (R1's) call light system on June 19, 2026, and June 30, 2026. The analysis showed that of (68) work orders, (60) were completed within 24 hours, resulting in an 88.24% completion rate.

Based on the information gathered, there is insufficient 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.

No deficiencies cited.

An exit interview was conducted with Ace Huynh, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026

LIC9099 (FAS) - (06/04)

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