198602134-9-4-2025-11-AS-UCOL-DM2S49-20251001133220

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 09/04/2025
Date Signed: 09/04/2025 12:20:52 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
07/15/2025 and conducted by Evaluator Regina Cloyd

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250715135007

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: 86	DATE:	09/04/2025
		UNANNOUNCED	TIME BEGAN:	09:53 AM
MET WITH:	Christopher Redmond		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Staff did not safeguard resident’s personal belongings.
Staff did not protect resident from financial abuse.

INVESTIGATION FINDINGS:

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On 07/23/2025, Licensing Program Analyst (LPA) Lizeth Villegas conducted an initial visit to gather information regarding the above allegations. LPA met with Assistant Administrator Cathrine Dacara and the purpose of the visit was explained. On 07/31/25, LPA Regina Cloyd conducted a subsequent visit, met with Office Manager Shenick Jackson, and explained the purpose of the visit. LPA spoke with Assistant Administrator Catherine Dacara over the phone. On 08/22/25, LPA met with Assistant Administrator Dacara. On 09/04/25, LPA met with Executive Director Christopher Redmond.

Investigation consisted of the following: On 07/23/2025, LPA Villegas obtained Resident Roster, Staff Roster, and theft policy. On 07/31/25, LPA Cloyd obtained Resident Roster (as of 07/23/2025), Staff Roster (as of 07/25/2025), Personal Property Inventory for three residents, and a summary of Trust Accounts (as of 07/21/2025). LPA interviewed seven residents (R2 – R8) and five staff members (S2 – S6). On 08/22/2025, LPA retrieved in R1’s inventory Sheet (08/14/25), Inventory Pick Up Notice (04/14/25). Continue to LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025

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-20250715135007

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: 09/04/2025

NARRATIVE

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Identification and Emergency Information (08/15/24), Physician’s Report (05/16/24), Bank Statement (06/19/24 – 07/22/24), Internal Incident Report (11/12/24), interviewed two staff members and one resident, and observed room 261. On 08/25/25, LPA received R1’s bank statements (12/20/24 – 05/20/25, 06/16/25 – 07/11/25). On 09/04/25, LPA interviewed the Maintenance Director and Executive Director.

The investigation revealed the following:

Regarding the allegation, “Staff did not safeguard resident’s personal belongings,” it is being alleged that the staff did not safekeep resident’s personal belongings, such as television and purse, during hospitalization.

Record review of R1’s personal property inventory (08/15/24) revealed R1 had clothes, five pairs of shoes, two purses, one mirror, and a 32” Sony television (Model #W830K) upon admission. The form does not indicate that it was revisited upon discharge due to missing signatures. Record review of notice (04/14/25) revealed Witness #1 picked up four boxes of personal property for R1. Interview with Maintenance Director indicated that R1’s television was broken because R1 requested maintenance to look at it. LPA observed the broken television (Model #W830K) and there was no visual. Maintenance Director indicated that he doesn’t see the personal property inventory sheet but packs up the resident’s belongings. The Maintenance Director indicated that the clerical staff will complete the inventory sheet. The Executive Director indicated that the inventory sheet is completed unless a resident moves out prior. Three out of five resident interviews (R2, R4 - R5, R7 - R8) indicated that their personal items are safeguarded.

Regarding the allegation, “Staff did not safeguard resident’s personal belongings,” based on observations, record reviews and interviews, 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, as a result, the allegation is Unsubstantiated.

Continue to LIC9099-C.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20250715135007

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: 09/04/2025

NARRATIVE

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Regarding the allegation, “Staff did not protect resident from financial abuse,” it is being alleged that R1 left purse with the cards on R1’s bed during hospitalization. On 07/14/2025, R1’s bank informed R1 that there were multiple fraudulent charges made to R1’s debit card totaling $8,240.33. Record review of bank statement revealed R1's balance was $8,583.23 as of 07/22/24. Internal incident report (11/12/24) revealed R1 might go to a nursing home for short-term. Interview with Witness #2 indicated that R1 was admitted into the nursing home on 11/13/24 and was discharged on 03/04/25. Record review of bank statement revealed R1's balance was $1,054.17 as of 12/20/24. Theft and Loss Prevention Program revealed if a resident has to temporarily leave the community for various reasons such as medical care in a hospital, skilled nursing facility, or vacationing, the resident will have a double lock placed on their door to their unit so that no individuals can enter their room. However, R1 had a roommate. Interview with the Executive Director indicated that the facility will place valuables in a locked cabinet at the resident’s request. Six out of six staff interviews (S2 – S6) indicated that the residents have a key to their bedroom door. Four staff indicated (S2, S4 - S6) residents keep their debit cards. Five out of five staff interviews (S2 – S6) indicated that the facility investigates when items are reported lost or stolen. Three out of five resident interviews (R2, R4 - R5, R7 - R8) indicated that their personal items are safeguarded.

Regarding the allegation, “Staff did not protect resident from financial abuse,” based on record reviews and interviews, 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, as a result, the allegation is Unsubstantiated.

An exit interview was conducted and a copy of this report was provided to the Assistant Administrator Catherine Dacara.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025

LIC9099 (FAS) - (06/04)

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