198602134-3-13-2023-11-AS-MVAO-CTHU39-20230707151311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 03/13/2023
Date Signed: 03/13/2023 04:29:39 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
03/07/2023 and conducted by Evaluator Mario Leon

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20230307120033

FACILITY NAME:	GLEN PARK AT LONG BEACH		FACILITY NUMBER:	198602134
ADMINISTRATOR:	CAMILLE CRENSHAW		FACILITY TYPE:	740
ADDRESS:	1046 E 4TH ST		TELEPHONE:	(562) 432-7468
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90802
CAPACITY:	208	CENSUS: 78	DATE:	03/13/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Michael Mendoza, Executive Director		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff member is stealing resident's money.

INVESTIGATION FINDINGS:

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On 03/07/23 Licensing Program Analyst (LPA) Mario Leon conducted an initial 10-day visit regarding the allegation above. LPA was met by Executive Director, Michael Mendoza and Annika Robertson, Assistant Manager. The purpose of the visit was explained.

Investigation Consisted of the following: Staff member is stealing resident's money.
LPA toured the facility. The following documents were requested and obtained: Admissions agreement, Plan of operations, resident cash resources ledger, resident and staff roster. LPA conducted interviews with staff and residents.

The investigation revealed the following: Allegation - Staff member is stealing resident's money.

On 03/13/23 LPA Mario Leon interviewed Executive Director, Michael Mendoza about the allegation. LPA asked if there was any current issues with the relationship between staff and residents, in that it was alleged that a staff member is stealing resident's money.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Mario Leon	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023

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-20230307120033

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: 03/13/2023

NARRATIVE

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He stated, that as far as he knows there is not any issues surrounding that allegation. He has just begun working here and has not witnessed nor heard of any staff member doing anything like that.

On 03/13/23 LPA interviewed residents R1-R8 about the allegation, five (5) of which names are listed on the ledger whom the above named facility is handling their money, and 8 of 8 denied the allegation and R3 stated, "I haven't heard anything about it.".

On 03/13/23, LPA interviewed staff S1-S6 about the allegation; and 5 of 6 denied the allegation. The staff stated, by a majority, that all staff do not steal their residents' money.

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: Ulysses Coronel	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Mario Leon	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023

LIC9099 (FAS) - (06/04)

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