198602567-9-14-2026-11-AS-PMAA-DXXSG4-20260915135118

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 09/14/2026
Date Signed: 09/14/2026 01:35:27 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
09/10/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260910082634

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: 70	DATE:	09/14/2026
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Robert Jakini		TIME COMPLETED:	12:59 PM

ALLEGATION(S):

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Illegal eviction

INVESTIGATION FINDINGS:

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On September 14, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Ernand Dabuet, conducted a subsequent unannounced complaint visit. Robert Jakini, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegations mentioned above.

The investigation included collecting documents and conducting a tour of the facility. A review of the Personnel Roster (dated 09/14/26), Resident Roster (dated 09/14/26), Resident #1 (R1's) Resident Lease Agreement, Physician's Report for Residential Care Facilities LIC 602A, Service Plan, Resident Assessment, Resident Notes & Incidents,30-Day Notice to Terminate and other pertinent records associated with this complaint. Interviews were conducted with Resident #1 (R1) and Executive Director (ED).

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026

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-20260910082634

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: 09/14/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Illegal Eviction.

It alleged that Resident #1 (R1) was served with an Illegal Eviction. Reports indicated that (R1) was served with a 30-Day Eviction on August 11, 2026. No further details regarding this matter.

On September 14, 2026, between 9:30 AM and 10 AM, the Department interviewed Executive Director identified as (ED). The Executive Director (ED) confirmed that on August 11, 2026, Regency Palms issued a formal 30-Day Notice to Terminate Resident #1 (R1). This notice outlines the procedure for notifying residents in writing and ensures all official communications are properly delivered. It states the grounds for the eviction and the reasons for this decision. Furthermore, the document indicates the importance of conducting the relocation process in accordance with established regulatory standards to ensure that all legal requirements are fulfilled. The notice states that (R1) must move from or surrender the premises from the community by September 11, 2026, which is the termination date.

On September 14, 2026, at 11:55 AM and 12:20 PM the Department interviewed Resident member identified as Resident #1 (R1). (R1) confirmed receipt of the 30-Day Notice to Terminate on August 11, 2026. (R1) disputes the reason for the decision, stating that the facility cannot meet the dietary recommendations and requirements. (R1) mentioned to have submitted an Appeal in response to the Notice on August 27, 2026.

The Department reviewed the 30-Day Notice to Terminate (dated 08/11/26) and confirmed it complies with Title 22, Section 87244-Eviction Procedures; it outlines the requirements for notifying a resident in writing, serving proper Notice, stating reasons for eviction, and ensuring relocation is conducted in accordance with regulatory requirements. Further review of (R1’s) Physicians Report LIC602A (dated 05/09/24) Service Plan (dated 07/24/25), Resident Assessment (dated 09/11/26 & 06/23/26), DHCS Individual Service Plan (dated 06/26/24), and Facility Notes & Incidents (dated 07/02/25 & 07/22/26) all reports dd not list (R1) “required special diets”. Further review of several physician medical notes (dated 08/21/26, 01/27/26, 08/04/26 & 10/03/25) indicates to only provide recommendations and advised seeking guidance from a nutritionist or dietitian - nowhere it indicates (R1) is on "special diet".

The California Department of Social Services complaint #11-AS-20260730100723 has addressed (R1's) dietary restrictions which determined that the allegation was unsubstantiated.

Interviews with the Executive Director (ED) and the resident (R1) indicated that the facility adhered to established procedures and involved the resident in the discharge process.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260910082634

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: 09/14/2026

NARRATIVE

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The (ED) denied any evictions outside Title 22 requirements. (R1's) statements were consistent with the (ED's), confirming that (R1) received formal notice and understood the reasons for the proposed discharge.

During the investigation, the Department observed (R1) is still resides at the facility and has not been removed from the premises.

Based on file review, interviews, and observations, there was insufficient evidence to support the allegation.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

No deficiencies cited.

An exit interview was conducted with Robert Jakini, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026

LIC9099 (FAS) - (06/04)

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