198602567-2-13-2023-11-AS-EMAZ-CZTVRM-20240125154009

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 02/13/2023
Date Signed: 02/13/2023 03:27:47 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
02/06/2023 and conducted by Evaluator Jose Calderon

COMPLAINT CONTROL NUMBER: 11-AS-20230206134252

FACILITY NAME:	REGENCY PALMS LONG BEACH		FACILITY NUMBER:	198602567
ADMINISTRATOR:	CARLA MARIANO		FACILITY TYPE:	740
ADDRESS:	117 E 8TH STREET		TELEPHONE:	(562) 432-9260
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	91	CENSUS: 52	DATE:	02/13/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	STAFF KENIA PADILLA		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility personnel are not sufficient in numbers at all times to prevent residents from falling.
Facility personnel are not sufficient in numbers at all times to answer resident call buttons in a timely manner.
Facility personnel are not sufficient in numbers at all times to meet resident needs for incontinence care.
Facility personnel are not sufficient in numbers at all times to meet resident needs for showering.

INVESTIGATION FINDINGS:

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On 02/13/2023 around 09:00 AM Licensing Program Analyst (LPA) Jose Calderon initiated a complaint investigation for Regency Palms Long Beach facility to deliver the investigation findings for the allegation listed above. Today’s complaint investigation was conducted face to face with Director S1.

The Investigation consisted of the following: On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. On 02/13/2023 LPA Calderon and Director S1 conducted a tour of the physical plant. On 02/13/2023 LPA Calderon obtained copies of Staff and Resident rosters, LIC500. On 02/13/2023 LPA Calderon interviewed S1-S7 regarding complaint and on 02/13/2023 LPA Calderon attempted to interview R1-R6 for complaint.

The investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Jose Calderon	TELEPHONE: (323) 213-1153
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2023

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 3

Control Number 11-AS-20230206134252

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 02/13/2023

NARRATIVE

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Allegation 1: Facility personnel are always not sufficient in numbers to prevent residents from falling.
On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous there was no interview possible. On 02/13/2023 LPA Calderon interviewed S1-S7 who state that the resident to staff ratio is 8 to 1 and that there are 2 staff floaters and 2 staff med-tecks to support the care staff with what is needed, and no resident has fallen due to staffing issues. On 02/13/2023 LPA Calderon attempted to interview R1-R6 due to residents having mental health issues LPA Calderon was not able to ask any questions regarding the allegation. On 02/13/2023 LPA Calderon reviewed the staff roster and LIC 500, which support staffing per day and night shift.
Allegation 2: Facility personnel are always not sufficient in numbers to answer resident call button in a timely manner.
On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous LPA Calderon was not able to ask any questions. On 02/13/2023 LPA Calderon interviewed S1-S7 for complaint. S1-S7 state that the day shift and night shift are different because most residents are sleeping. Staff state that there is a 8 to 1 ratio and 2 floaters and 2 med-tecks that work each day and night shift and any time a call button is pushed staff answers. Staff states that most time the button is pushed at night and not daytime as most residents are out of bed. On 02/13/2023 LPA Calderon attempted to interview R1-R6 but due to residents having mental health issues residents could not answer LPA Calderon questions. On 02/13/2023 LPA Calderon reviewed staff roster and LIC500, roster supports day and night staff and supports resident to staff ratio of 8 to 1.

Allegation 3: Facility personnel are always not sufficient in numbers to meet resident needs for incontinence care.
On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous LPA Calderon could not ask a question regarding the allegation. On 02/13/2023 LPA Calderon interviewed S1-S7 for complaint. S1-S7 state that some of the residents need incontinence care. Staff state that most residents diaper can be changed by one person. Staff state that there are 2 staff floaters and 2 staff med-tecks working every shift. staff state that if they need help, they just call, and help is there to help with resident care or other resident care. On 02/13/2023 LPA Calderon attempted to interview R1-R6 for complaint, but due to residents having mental health issues LPA Calderon was not able to ask any question regarding the allegation. On 02/13/2023 LPA Calderon reviewed staff roster and LIC500 which supports staff floaters and 2 med-tecks that work the am and pm shifts.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Jose Calderon	TELEPHONE: (323) 213-1153
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 11-AS-20230206134252

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 02/13/2023

NARRATIVE

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Allegation 4: Facility personnel are always not sufficient in numbers to meet resident needs for showering.
On 02/07/2023 LPA Calderon attempted to interview W1 for complaint. Due to W1 being anonymous LPA Calderon could not ask any questions regarding the allegation. On 02/13/2023 LPA Calderon interviewed S1-S7 for complaint. Staff state that there are no issues with residents’ showers. Staff state that staffing needs are different from am to pm shift and there are 2 staff floaters and 2 staff med-tecks that work each shift. Staff state that not all residents are given a shower at the same time and that there is always another staff member to support the floor caregiver when needed. Staff state no resident goes without a shower. On 02/13/2023 LPA Calderon attempted to interview R1-R6 for complaint. Due to residents having mental health issues LPA Calderon was not able to ask questions regarding the allegation. On 02/13/2023 LPA Calderon reviewed staff roster and LIC500. Staff roster supports am and pm staff and floaters and med-tecks working.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation “facility personal are not sufficient in numbers at all times to prevent residents from falling” “ facility personnel are not sufficient in numbers at all times to answer resident call button in a timely manner” “facility personnel are not sufficient in numbers at all times to meet resident needs for incontinence care” “facility personnel are not sufficient in numbers at all times to meet resident needs for showering” is unsubstantiated.

A exit interview was conducted with Director S1, and a hard copy was provided by hand.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Jose Calderon	TELEPHONE: (323) 213-1153
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2023

LIC9099 (FAS) - (06/04)

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