<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 07/15/2026
Date Signed: 07/15/2026 06:42:27 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2026 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20260424164701
FACILITY NAME:GLEN PARK AT LONG BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:ACE HUYNHFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:208CENSUS: 105DATE:
07/15/2026
UNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Ace HuynhTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is in disrepair
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/14/2026, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced subsequent Complaint Visit to the facility listed above. LPA met with Ace Huynh, Administrator, and the purpose of today’s visit was explained. LPA was granted entry into the facility.
The investigation consisted of the following:
During today's visit, LPA interviewed Staff S6 and S7.
During the initial visit conducted on 04/30/2026, LPA inspected the facility, interviewed Staff S1, interviewed Resident R1-R12, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Physician’s Report (dated 08/04/2025), Appraisal/Needs and Service Plan (dated 04/17/2026), Internal Resident Incident Report (various dates), After Visit Summary (dated 11/19/2025 and 07/08/2025), Medication Administration Records (March 2026 and April 2026), Memory Care Communication Log (04/17/2026 through 04/29/2026), Maintenance Request (01/28/2025 through 04/30/2026), and Maintenance & Equipment Request Form (various dates).
The investigation revealed the following:
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
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-20260424164701
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: GLEN PARK AT LONG BEACH
FACILITY NUMBER: 198602134
VISIT DATE: 07/15/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Facility is in disrepair.
The allegation alleges that in a resident’s room the shower head is not in working condition and spays outside of the shower getting the floor wet and the handle on the closet in the room is broken.
During the facility inspection LPA observed the handle on the closet door in room 245 was broken with the broken piece lying on the window ledge next to the closet. Additionally, LPA and Staff turned on the shower in room 245 and it sprayed outside of the shower.
During record review, LPA received and reviewed the Maintenance and Equipment Request Forms for repairs dated 04/19/2026 for room 101, 02/26/2026 for room 104, 02/23/2026 for room 118, 02/02/2026 for room 227, and 01/24/2026 room 101. Additionally, LPA received and reviewed Maintenance Request that lists the following repair description and repairs dated 01/03/2026 for window screens in the memory care, 01/23/2026 for the AC in memory care, 04/28/2026 for new blinds in room 120, and 04/30/2026 new room key for new resident move in.
During interviews with Staff S1-S7, were asked if any part of the facility is in disrepair, five (5) out of seven (7) stated no, the facility is not in disrepair. Two (2) out of seven (7) stated there are items that need repaired including the closet handle and shower in room 245 and a ceiling tile that came down in the activity room.
During interviews with Residents R1-R12, were asked if they felt the facility is in disrepair, twelve (12) out of twelve (12) stated no, the facility is not in disrepair

During the course of the investigation, LPA was able to find evidence to support the allegation. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulation, (Tittle 22, Division 6 & Chapter number 8), are being cited on the attached LIC 9099D.

An exit interview was conducted with Ace Huyhn, Executive Director, and a copy of this report and the Appeals Rights were provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20260424164701
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: GLEN PARK AT LONG BEACH
FACILITY NUMBER: 198602134
VISIT DATE: 07/15/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Staff are falsifying resident records
The allegation alleges that a resident’s family was given an incident report indicating staff observed a resident eating feces and when speaking to the Primary Care Physician they were notified it was reported that it was observed in the resident’s teeth during oral care.
During record review, LPA received and reviewed two Internal Resident Incident Reports, one is dated 04/13/2026 at 3:20am that indicates R1 was observed with feces in their mouth. Staff attempted to assist R1 and R1 was combative and went back to sleep. Staff attempted to assist R1 again 10 minutes later and R1 was still combative and went back to sleep. When AM shift arrived, Staff tried to assist with brushing teeth and R1 was combative. There was no indication on the report if the residents Physician or Responsible Party were notified. The second Internal Resident Incident Report is dated 04/13/2026 at 3:15am, S2 was informed R1 was observed with feces in their mouth and if R1 should be sent out. S2 informed Staff that R1 could be sent out for altered mental status but may be returned right away if R1 has a diagnosis of dementia. Under Action Taken indicates S2 to follow up with Primary Care Physician (PCP) and family. LPA observed in the Contact Made section there was no indication if the Physician or Responsible Party were notified.
During interviews with Staff S1-S7, were asked if they have observed staff falsify resident’s records, seven (7) out of seven (7) stated no, they have not observed staff falsify records.
During interviews with Residents R1-R12, were asked if they have any concerns regarding staff falsifying records, twelve (12) out of twelve (12) stated no, they have no concerns regarding staff falsifying records.

During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is/are unsubstantiated.

An exit interview was conducted with Ace Huyhn, Executive Director, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2026 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20260424164701

FACILITY NAME:GLEN PARK AT LONG BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:ACE HUYNHFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE:CAZIP CODE:
90802
CAPACITY:208CENSUS: 105DATE:
07/15/2026
UNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Ace HuynhTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are falsifying resident records
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/14/2026, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced subsequent Complaint Visit to the facility listed above. LPA met with Ace Huynh, Administrator, and the purpose of today’s visit was explained. LPA was granted entry into the facility.
The investigation consisted of the following:
During today's visit, LPA interviewed Staff S6 and S7.
During the initial visit conducted on 04/30/2026, LPA inspected the facility, interviewed Staff S1, interviewed Resident R1-R12, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Physician’s Report (dated 08/04/2025), Appraisal/Needs and Service Plan (dated 04/17/2026), Internal Resident Incident Report (various dates), After Visit Summary (dated 11/19/2025 and 07/08/2025), Medication Administration Records (March 2026 and April 2026), Memory Care Communication Log (04/17/2026 through 04/29/2026), Maintenance Request (01/28/2025 through 04/30/2026), and Maintenance & Equipment Request Form (various dates).
The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20260424164701
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: GLEN PARK AT LONG BEACH
FACILITY NUMBER: 198602134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/29/2026
Section Cited
HSC
87303(a)
1
2
3
4
5
6
7
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times.
Maintenance shall include provision of maintenance services and procedures for the safety and well-being of
residents, employees and visitors.
1
2
3
4
5
6
7
During a visit on 06/02/2026, LPA observed the handle and shower head were replaced. Administrator
8
9
10
11
12
13
14
This requirement was not met based on interviews and observations, LPA observed on 04/30/2026, in room 245 the handle on the closet door was broken and the shower head spayed outside the shower, which poses a health and safety risk
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5