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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 03/01/2023
Date Signed: 03/01/2023 01:36:53 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 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
02/27/2023 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20230227123409
FACILITY NAME:GLEN PARK AT LONG BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:CAMILLE CRENSHAWFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:208CENSUS: 74DATE:
03/01/2023
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Michael MendozaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not treat residents with dignity or respect.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/01/23 Licensing Program Analyst (LPA) Perry Scott conducted an initial 10-day visit regarding the allegation above. LPA was met by Executive Director, Michael Mendoza. The purpose of the visit was explained.

Investigation Consisted of the following:

LPA toured the facility. The following documents were requested and obtained: resident and staff roster. LPA conducted interviews with staff and residents.

The investigation revealed the following: Allegation- Staff do not treat residents with dignity or respect.

On 03/01/23 LPA interviewed Executive Director, Michael Mendoza about the allegation. LPA asked if there was an issue with the staff and residents. In that it was alleged that the staff do not treat residents with dignity and respect. He stated, that as far as he knows there is not any issues with the staff treating the residents in a disrespectful manner. And there are no records of staff being disciplined prior to his being here. He has not witnessed nor heard of any staff member doing anything like that.
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Janae HammondTELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
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 2
Control Number 11-AS-20230227123409
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: GLEN PARK AT LONG BEACH
FACILITY NUMBER: 198602134
VISIT DATE: 03/01/2023
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
On 03/01/23 LPA interviewed residents R1-R5 about the allegations and 5 of 5 denied the allegation and stated they were not treated with disrespect and a lack of dignity. All of the residents stated that they feel safe in the facility and get along with all of the staff. And were not aware of any issues of this nature.

On 03/01/23, LPA interviewed staff S1-S6 about the allegation, staff do not treat residents with dignity and respect; and 5 of 6 denied the allegation. The staff stated by a majority that everyone speaks to all the residents in a respectful and dignified way.

Based on interviews and records reviewed there was insufficient evidence to support the allegation. Although the allegations 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.

An exit interview was conducted with Michael Mendoza, Executive Director, and a copy of the report was provided.

SUPERVISOR'S NAME: Janae HammondTELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2