198602567-3-12-2024-11-AS-EMAZ-D3SVEU-20240328162254

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 03/11/2024
Date Signed: 03/12/2024 07:52:57 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 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
08/28/2023 and conducted by Evaluator Wendy Gibbs

COMPLAINT CONTROL NUMBER: 11-AS-20230828133526

FACILITY NAME:	REGENCY PALMS LONG BEACH		FACILITY NUMBER:	198602567
ADMINISTRATOR:	KENIA SANCHEZ PADILLA		FACILITY TYPE:	740
ADDRESS:	117 E 8TH STREET		TELEPHONE:	(562) 432-9260
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	91	CENSUS: 58	DATE:	03/11/2024
		UNANNOUNCED	TIME BEGAN:	11:19 AM
MET WITH:	Kenia Padilla-Sanchez		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility staff failed to safe guard resident's belonging.

INVESTIGATION FINDINGS:

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On 03/11/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced visit to the facility listed above to deliver finding for the allegation listed above. LPA met with Executive Director, Kenia Padilla-Sanchez, and explained the purpose of today’s visit.

On a previous visit conducted on 09/06/23, LPA Iniguez conducted the initial 10-day visit. During that visit LPA conducted a facility tour, and received copies of the Resident’s (R1) Admission Agreement, Resident Personal Property and Valuables (LIC621), Theft and Loss Policy, and Resident Handbook. LPA Gibbs conducted staff( S1-S4) and Residents (R2-R6).

The investigation revealed the following

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy Gibbs	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

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-20230828133526

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 03/11/2024

NARRATIVE

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Allegation: Facility staff failed to safeguard resident’s belongings.

It is alleged that Resident R1’s jewelry and other personal items remain unaccounted for after the death of R1.

During the course of the investigation, LPA received and reviewed the Resident’s (R1) Admission Agreement and Resident Personal Property and Valuables form (LIC621). Upon review of the Resident Personal Property and Valuables sheet, there was no jewelry of any kind listed or documented coming into the facility with R1. Upon review of the Residents (R1) Admission Agreement, it states to “Keep expensive jewelry or other priceless heirlooms at home” and is “recommended that valuable items not be brought into the facility.” During interviews with Staff (S1- S4) four (4) out of four (4) stated they had not observed R1 wearing jewelry or in possession of jewelry while residing at the facility. During an interview with Executive Director S1, was asked what the procedure was after R1 passed, S1 stated once the remains are removed the doors are locked till the Responsible Party is able to come pick up the belongings. S1 stated that R1's Conservator came on 08/25/23 to pack up the personal items of R1 and send them to R1's daughter and that R1's son came to pick up remaining items left in R1's room. During interviews with Residents (R2-R6) they were asked if they have had any items go missing from their room, five (5) out of five (5) stated they have had not items go missing and if they did, they usually find them either in their room, laundry, or somewhere in the facility.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy Gibbs	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 11-AS-20230828133526

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 03/11/2024

NARRATIVE

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During the course of the investigation, LPA was unable to find any evidence supporting the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the above allegation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were observed or cited during today’s visit.

LPA conducted an exit interview with Executive Director, Kenia Padilla, and a copy of this report was emailed due to technical issues with LPA's printer.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy Gibbs	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

LIC9099 (FAS) - (06/04)

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