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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 08/06/2025
Date Signed: 08/06/2025 09:59:33 AM

Substantiated


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
05/06/2025 and conducted by Evaluator Zina Brown
COMPLAINT CONTROL NUMBER: 11-AS-20250506162009
FACILITY NAME:GLEN PARK AT LONG BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:MICHAEL MENDOZAFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:208CENSUS: 90DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Christopher Redmond, In-Training Executive DirectorTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Facility staff not providing adequate food service
INVESTIGATION FINDINGS:
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This report supersedes report dated 07/10/2025

On 08/06/2025 at 8:45 AM, Licensing Program Analyst (LPA) Zina Brown conducted a subsequent visit at this facility to deliver the complaint findings. During today's visit, LPA met with Christopher Redmond (In-Training Executive Director), and explained the purpose of the visit.

An initial complaint visit was completed on 05/12/2025. During the initial visit the department conducted interviews with Assistant Administrator (A1), Staff #1 - Staff #9 (S1 - S9), and Resident #1 - #11 (R1 – R11). LPA requested copies of the staff roster (dated 04/17/2025), resident roster (dated 05/08/2025), LIC 601: Identification and Emergency Form (for R1), LIC 602: Physician Report (for R1), Admission Agreement (for R1), LIC 603: Preplacement Appraisal Information (for R1), LIC 625: Appraisal Needs and Service Plan (for R1), Reappraisal (for R1), Medication Administration Record for R1 (March 2025 – May 2025), and LIC 624: Unusual Incident/Injury Report for R1 (March 2025).
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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-20250506162009
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: 08/06/2025
NARRATIVE
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The investigation revealed the following:

Allegation 1: Facility staff not providing adequate food service
It was alleged that for the past months facility staff were not providing vegan meals. The resident often received only a slice of bread and some canned vegetable.

On 05/12/2025 at 10:30 AM, LPA interviewed Assistant Administrator (A1), who denied the allegation, stating that "If a resident has a special diet, we follow the doctor's orders. It is posted in the kitchen and on the table. If they’re still hungry, snacks and an alternative menu are available.” On 05/12/2025, between 10:30 AM – 1:55 PM, and on 07/10/2025 between the hours, 9:55am - 9:57am, LPA interviewed 9 staff regarding the allegation: 9 of 9 staff denied the allegation. 1 out of 9 staff stated Resident 1 (R1) is the only is the only vegan resident and upon all resident admission, they request for dietary restrictions.  Also Staff 9 stated that the vegan resident is offered salad, tuna, sugar-free jello, sugar-free pudding, cottage yogurt. And further stated if the resident would like more food or alternative option available are chicken, vegetables, and green salad. Between 9:48 AM – 2:37 PM, LPA interviewed 11 residents: 1 of 11 residents confirmed the allegation, 4 of 11 residents denied the allegation and 7 of 11 residents were aware of the allegation.
 
On 06/24/2025, LPA conducted a records review and observed the following: 
For Resident's 1 (R1) LIC 603 Replacement Appraisal Information, under the Social Factor section it states vegetarian and under the service needed, its check yes for special diet/observation of food intake is vegetarian, rice upsets stomach. For Resident's 1 (R1) LIC 625 Appraisal/Needs & Service Plan on page 1 of 4 it states under the background information section "Now she's on vegan diet, no rice. Rice upsets her stomach.

On 07/10/2025, LPA conducted a tour of the kitchen and dining room and observed the following: Resident 1's dietary instructions and name tags are not post on the table of the dining room nor in the kitchen.

Based on LPAs observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED under California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D and a copy of this report was provided with appeal rights.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20250506162009
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2025
Section Cited
CCR
87464(d)
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Basic Services. . .However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal . . .
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The licensee will honor the dietary needs of all the residents as specified in Pre-Admission, Replacement Appraisal and Appraisal Needs & Service Plan. The licensee will ensure the dietary need for all residents are posted in the kitchen and on all the tables of the dining room.
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Based on conducted interviews and records review the licensee failed provide the dietary needs as specified in Replacement Appraisal and Appraisal/Needs & Service Plan for Resident (R1).This poses a potential Health, Safety, or Personal Rights risk to persons in care.
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The facility will submit the proof of correction to the CCLD/El Segundo ASC Office via fax at 424-544-1016 Attn: Zina Brown or via email
at zina.brown@dss.ca.gov by the POC due date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 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, 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
05/06/2025 and conducted by Evaluator Zina Brown
COMPLAINT CONTROL NUMBER: 11-AS-20250506162009

FACILITY NAME:GLEN PARK AT LONG BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:MICHAEL MENDOZAFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:208CENSUS: 90DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Christopher Redmond, In-Training Executive DirectorTIME COMPLETED:
10:20 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Facility staff are unable to communicate effectively with the residents.
INVESTIGATION FINDINGS:
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This report supersedes report dated 07/10/2025

On 08/06/2025 at 8:45 AM, Licensing Program Analyst (LPA) Zina Brown conducted a subsequent visit at this facility to deliver the complaint findings. During today's visit, LPA met with Christopher Redmand (In-Training Executive Director), and explained the purpose of the visit.

The investigation consisted of the following:
An initial complaint visit was completed on 05/12/2025. During the initial visit the department conducted interviews with Assistant Administrator (A1), Staff #1 - Staff #9 (S1 - S9), and Resident #1 - #11 (R1 – R11). LPA requested copies of the staff roster (dated 04/17/2025), resident roster (dated 05/08/2025), LIC 601: Identification and Emergency Form (for R1), LIC 602: Physician Report (for R1), Admission Agreement (for R1), LIC 603: Preplacement Appraisal Information (for R1), LIC 625: Appraisal Needs and Service Plan (for R1), Reappraisal (for R1), Medication Administration Record for R1 (March 2025 – May 2025), and LIC 624: Unusual Incident/Injury Report for R1 (March 2025).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20250506162009
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: 08/06/2025
NARRATIVE
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The investigation revealed the following:

Allegation 2: Facility staff are unable to communicate effectively with the residents
It was alleged that the resident attempted to communicate with the kitchen staff, but they do not understand her because they only speak Spanish.

On 05/12/2025 at 10:30 AM, LPA interviewed Assistant Administrator (A1), who denied the allegation, stating “Most residents here speak two to three languages. We have bilingual staff, and I also use Google Translate if needed. If there’s a barrier, we call the family or public guardian to assist.”
Between 10:30 AM – 1:40 PM, LPA interviewed 9 staff regarding the allegation: 9 of 9 staff denied the allegation and stated that staff will collaboration with bilingual coworkers to overcome language barriers and or use of translation tools such google translator to communicate with the residents as needed.

Between 9:48 AM – 2:37 PM, LPA interviewed 11 residents: 2 of 11 residents confirmed the allegation of which one of the residents expressed that staff ignored them, didn’t understand them, or failed to assist them when communication challenges arose. 8 of 11 residents denied the allegation stated that staff were helpful and compassionate, and communication was not an issue and 2 of 11 residents did not confirm or deny.

Based on information gathered, interviews, and record reviews, there is not enough 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 for the allegations above. An exit interview was conducted, and a copy of this report was provided to Christopher Redmond (In-Training Executive Director).
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5