198602567-8-28-2026-11-AS-PMAA-DXSKEK-20260910075028

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 08/28/2026
Date Signed: 08/28/2026 03:28:58 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
08/23/2026 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20260823102415

FACILITY NAME:	REGENCY PALMS LONG BEACH		FACILITY NUMBER:	198602567
ADMINISTRATOR:	ROBERT JAKINI		FACILITY TYPE:	740
ADDRESS:	117 E 8TH STREET		TELEPHONE:	(562) 432-9260
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	91	CENSUS: 68	DATE:	08/28/2026
		UNANNOUNCED	TIME BEGAN:	09:02 AM
MET WITH:	Executive Director Robert Jakini		TIME COMPLETED:	03:34 PM

ALLEGATION(S):

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Staff do not ensure a resident is provided a safe and comfortable environment.
Staff mismanage residents medication.
Staff do not prevent resident from yelling at another resident.

INVESTIGATION FINDINGS:

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On 08/28/26 at 9:00 am Licensing Program Analyst (LPA) Villegas conducted an initial complaint visit regarding the allegation(s) above. LPA met with Executive Director Robert Jakini (staff #1/S1) as the purpose of today’s visit was explained.

The investigation consisted of the following: On 08/28/26 LPA Villegas obtained copies of the staff and resident roster, house rules, and copies of the following documents for Resident #1 (R1) Emergency ID form, Assessment dated: 06/24/26, Physicians report dated: 04/28/26, Service plan dated: 08/2026, medication list, medication administration records (MAR) for July 2026-August 2026, controlled drug record, and facility notes from May 2026-August 2026. On 08/28/26 from 10:00 am- 11:20 am LPA conducted Interviews with Resident # 1-7 (R1-R7), LPA attempted to interview R2 but could not due to communication barriors. LPA conducted interviews with Staff #1-5 (S1-S5) from 1pm- 2pm. LPA conducted a tour of R1's bedroom, and conducted a review of MARs.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026

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-20260823102415

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 08/28/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff do not ensure a resident is provided a safe and comfortable environment.

it is alleged that a resident in care is being offered to move a to a room that has insufficient space to accommodate (2) residents, the resident's belongings, and mobility needs. On 08/28/26 from 10:00 am- 11:20 am LPA conducted Interviews with R1-R7 regarding the allegation above. 5 of the 7 residents interviewed denied the allegation above and reported that they have enough space for their belongings and enough space to move easily throughout the bedroom. 1 of the 7 residents confirmed the allegation above and reported that they do not have enough space for their belongings nor mobility needs in the proposed bedroom. However, 1 of 7 residents interviewed stated that in their current bedroom they have enough space. 1 of the 7 residents could not be interviewed due to communication barriers. LPA conducted interviews with S1-S5 regarding the allegation above. 5 of the 5 staff interviewed denied the allegation above and reported that shared bedrooms are large enough to accommodate (2) residents. Per staff, residents in shared rooms each have a closet and a dresser, and rooms are large enough to accommodate residents who have walkers, and/or wheelchairs. Additionally, 2 of 5 staff interviewed stated that if a resident is on a program that assist with rent, then resident is automatically placed in a shared room as programs do not pay for private bedrooms. On 08/28/26 LPA conducted tour of shared bedroom and observed that shared bedroom to have to closets, 2 night stands, a dresser, and bedrooms were observed to have wider hallways, and doors to accommodate mobility needs.

Allegation: Staff mismanage residents medication.

It is alleged that resident in care is not receiving Narcotic PRN when requested. On 08/28/26 from 10:00 am- 11:20 am LPA conducted Interviews with R1-R7 regarding the allegation above. 5 of the 7 residents interviewed denied the allegation above and reported they are receiving their medications. Additionally, 5 of 7 residents reported that they do not have any concerns about how their medications are handled. 1 of the 7 residents confirmed the allegation above and reported that when narcotic PRN is requested, staff is not providing it. 1 of the 7 residents could not be interviewed due to communication barriers. LPA conducted interviews with S1-S5 regarding the allegation above. 3 of the 5 staff interviewed denied the allegation above, and reported that all medications and PRNs are being administered per Doctors orders. 2 of the 5 staff interviewed did not have knowledge of the allegation as they do not assist with medication

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260823102415

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 08/28/2026

NARRATIVE

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administration. On 08/28/26 LPA conducted a review of MAR for July 2026-August 2026, and controlled drug record. Upon review, it was observed that resident in care is receiving narcotic PRN daily.

Allegation: Staff do not prevent resident from yelling at another resident.

It is alleged that a resident in care has significant stress due to another residents ongoing yelling behavior. On 08/28/26 from 10:00 am- 11:20 am LPA conducted Interviews with R1-R7 regarding the allegation above. 4 of the 7 residents interviewed denied the allegation above and reported not having any issues with other residents in care. 1 of 7 residents reported having a discussion with another resident and that staff had to remind the other resident to be respectful. 1 of the 7 residents confirmed the allegation above and reported that staff has been made aware of the stress caused by another resident but staff have not done anything about it as staff favors the other resident in care. 1 of the 7 residents could not be interviewed due to communication barriers. LPA conducted interviews with S1-S5 regarding the allegation above. 5 of the 5 staff interviewed denied the allegation above and reported that residents are separated, spoken to, and reminded of the house rules when residents are observed in a confrontation. LPA reviewed house rules, per house rule bullet point #7, residents are to be thoughtful and considerate of others in the Community with appropriate language, comments, or remarks. Please refrain from any aggressive or disrespectful communication or behaviors.

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 is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026

LIC9099 (FAS) - (06/04)

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