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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 08/14/2024
Date Signed: 08/14/2024 04:37:06 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, 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
08/08/2024 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20240808145624
FACILITY NAME:REGENCY PALMS LONG BEACHFACILITY NUMBER:
198602567
ADMINISTRATOR:KENIA SANCHEZ PADILLAFACILITY TYPE:
740
ADDRESS:117 E 8TH STREETTELEPHONE:
(562) 432-9260
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:91CENSUS: 64DATE:
08/14/2024
UNANNOUNCEDTIME BEGAN:
09:12 AM
MET WITH:Fabiola MarcianoTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff do not treat residents with respect
Staff handel residents roughly
INVESTIGATION FINDINGS:
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On 08/14/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced 10-day complaint visit to the facility listed above. LPA met with Administrator, Fabiola Marciano, and the purpose of today’s visit was explained.

During today’s visit LPA toured the facility, interviewed Staff S1-S12, interviewed Residents R1-R10, and received documents pertinent to the investigation. The following documents were received and reviewed, Staff Roster, Resident Roster, staffs signed Mandated Reporting, staff training logs regarding resident care, Staff Expectations and Handbook, resident Physician’s Report, and resident Needs and Service Plans.

The investigation revealed the following:
Continued On LIC9099-C

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy GibbsTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
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 4
Control Number 11-AS-20240808145624
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: 08/14/2024
NARRATIVE
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Allegation: Staff do not treat residents with respect
The complaint allegation alleges that staff are cussing at residents.
During record review, LPA received and reviewed staffs signed Statement Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders. Additionally, LPA received and reviewed staff training and in-services regarding care for residents, including talking to residents, resident care plans, caring for residents with dementia, and abuse reporting. LPA reviewed and received a copy of the facility’s Employee Handbook, that states under Resident Relations on page 23, Employees must be always be courteous and respectful to Residents and fellow employees. During the facility tour LPA observed interactions between caregivers and residents.
During interviews with Staff S1-S12, were asked if they have or have heard a staff cussing at residents, twelve (12) out of twelve (12) stated they have not heard staff cussing or speaking inappropriately to residents. Additionally, Staff S1-S12 were asked if residents are treated and spoken to respectfully, twelve (12) out of twelve (12) stated residents are treated and spoken to respectfully. During interviews with Staff S1 and S2, stated they have not heard staff speaking to residents inappropriately, but have observed or heard of staff speaking inappropriately and cussing to each other while working on the floor. S1 and S2 stated they remind the staff this is not their home and there are residents present and to be mindful about what you say and please speak appropriately while at work. Additionally, staff were asked what they would do if they heard staff cussing at a resident, twelve (12) out of twelve (12) stated they would report it.


(2) Continued on LIC9099-C
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy GibbsTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20240808145624
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: 08/14/2024
NARRATIVE
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During interviews with Residents R1-R10, were asked if they have heard or have had staff cuss or speak to them inappropriately, ten (10) out of ten (10) stated they have not heard, nor have they had staff cuss or speak inappropriately.

Unsubstantiated During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.



Allegation: Staff handle residents in a rough manner
The complaint allegation alleges that staff grab residents roughly and handle them roughly.
During record review, LPA received and reviewed staffs signed Statement Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders. Additionally, LPA received and reviewed staff training and in-services regarding care for residents, including talking to residents, transferring resident safely, resident care plans, caring for residents with dementia, and abuse reporting. LPA received and reviewed a copy of the Employee Handbook and Job Description, that states on page 23, residents are to be treated courteously and always given proper attention. During the facility tour, LPA observed caregivers assisting residents with transferring.
During interviews with Staff S1-S12, were asked if they have or if they have observed staff handling residents in a rough manner, twelve (12) out of twelve (12) stated they have not observed a staff handling a resident in a rough manner.

(3) Continued on LIC9099-C
SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy GibbsTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20240808145624
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: 08/14/2024
NARRATIVE
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Additionally, staff were asked what they would do if they observed staff handling residents in a rough manner, twelve (12) out of twelve (12) stated they would report it to management.
During interviews with Residents R1-R10, were asked if they have been or have observed staff handle a resident in a rough manner, ten (10) out of ten (10) stated they have not observed, nor have they been handled in a rough manner by staff.

Unsubstantiated During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.



During today’s visit, no deficiencies were observed or cited.

And exit interview was conducted with Administrator, Fabiola Marciano, and a copy of this report was provided.


SUPERVISOR'S NAME: Eva M AlvarezTELEPHONE: (323) 981-1755
LICENSING EVALUATOR NAME: Wendy GibbsTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4