198602134-12-27-2024-11-AS-EMAZ-DEYVDY-20250321162130

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 12/27/2024
Date Signed: 12/27/2024 03:25:39 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO 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
12/24/2024 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 11-AS-20241224140519

FACILITY NAME:	GLEN PARK AT LONG BEACH		FACILITY NUMBER:	198602134
ADMINISTRATOR:	MICHAEL MENDOZA		FACILITY TYPE:	740
ADDRESS:	1046 E 4TH ST		TELEPHONE:	(562) 432-7468
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90802
CAPACITY:	208	CENSUS: 100	DATE:	12/27/2024
		UNANNOUNCED	TIME BEGAN:	08:01 AM
MET WITH:	Melissa Flores		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff are not properly following general food service requirements

INVESTIGATION FINDINGS:

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On December 27, 2024 Department of Social Service staff conducted an unannounced complaint visit to address the allegation listed above. The department was greeted by receptionist and granted access to the facility. Subsequently,the department was joined by the Executive Director Melissa Flores and the reason for today's visit was explained.

The complaint alleges the following: housekeeping staff serving in the dining and helping in the kitchen is "cross contamination," staff serving and working in the kitchen does not have safe serve and/or food handlers certification, main cook and managers does not have food handlers certificate.

The investigation consisted of the following:
On 12/27/2024, the department toured the facility and observed food serve during meal time. The department reviewed and requested, staff roster resident's roster copies of food handlers certitificates for all kitchen staff and staff training on infectious control practices.The department interviewed 5 staff (S1-S5) and Executive Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2024

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-20241224140519

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: 12/27/2024

NARRATIVE

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On 12/27/24, The department toured and observed food service area during lunchtime (12:30p). The department observed that all staff wore gloves, hairnets and masks while serving the residents. The department also observed a clearly marked hand sanitizing dispenser mounted on the wall. Lastly, the department observed the following postings in the kitchen area: food handler certificates, food temperature guides, infectious disease and emergency/safety information.

On 12/27/24, the department obtained and reviewed staff roster (dated 12/27/24), Resident roster (dated 12/23/24), Food Handler certificates for the 4 kitchen staff (good for 3 years of issue date), copy of Housekeeper job description, copy of caregiver/housekeeper training and job skills proficiency checklist.

On 12/27/24, the department conducted an interview with Executive Director who stated that all kitchen staff currently have food handler's certification. She informed department that Housekeeping staff assists with serving meals at mealtimes is as part of their job duties which is outlined in the job description. However, the housekeeping staff do not participate in any aspects of preparing the food; therefore a food handler's certificate is not required. Lastly, the Executive Director informed the department that training on infectious disease practices is required for all staff including Housekeeping and is a part of their job skills training and proficiency checklist.

On 12/27/24, the department conducted interviews with staff 1-5 (S1-S5), and asked the following questions: Do you have a food handlers certificate? How long is it good for? Do you practice proper hand hygiene and infectious disease control practices while working in the kitchen/dining? Do those who work with you use proper hand hygiene and infectious disease practices.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2024

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20241224140519

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: 12/27/2024

NARRATIVE

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2 of 5 staff stated that they have a food handlers certification and it is good for 3 years. 3 of 5 staff stated that they do not have a food handlers certificate as they only assist with serving meals and not prepare them. 5 out of 5 staff stated that they always use proper hand hygiene, and infection control procedures. 5 out of 5 stated that those they work with use proper infection disease control practices and good hand hygiene.

Based on the information provided, observations made, interviews conducted, and analysis of service records, The department found no evidence to support the allegation mentioned above.

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 deficiencies were cited. Exit interview was conducted. A copy of this report was provided to Melissa Flores, Executive Director.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2024

LIC9099 (FAS) - (06/04)

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