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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 03/04/2025
Date Signed: 03/04/2025 05:52:44 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
02/24/2025 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20250224150148
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: 73DATE:
03/04/2025
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Fabiola MarcianoTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee does not maintain facility in good repair
INVESTIGATION FINDINGS:
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On 03/04/2025 at 8:37AM, Licensing Program Analyst (LPA), Wendy Gibbs, conducted and unannounced complaint visit to the facility listed above. LPA met with Executive Director, Fabiola Marciano, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

Investigation consisted of the following: On 03/04/2025, LPA toured the facility, interviewed Staff S1-S8, interviewed Residents R1-R6, and received documents pertinent to the investigation. The following documents were received and reviewed: Staff Roster, Resident Roster, Resident Physician’s Report, Resident Physician’s Order, Resident Medication Administration Record (MAR), RPLB Work Order Management, and Med Tech In-Service log.

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
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-20250224150148
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: 03/04/2025
NARRATIVE
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Allegation: Licensee does not maintain facility in good repair.
The details of the complaint alleges the main elevator in the facility, the washer and dryer, and the refrigerator is currently not working.

During LPA’s visit on 03/04/2025, LPA measured the following temperatures of the refrigerators and freezer on each floor, on the 8th floor the temperatures were 38-degrees and -1-degrees, on the 7th floor the temperatures were 35-degrees and 0-degrees, on the 6th floor the temperatures were 40-degrees and -3-degrees, on the 5th floor the temperatures were 34-degrees, and -4-degrees, on the 4th floor the temperatures were 35-degrees and -1-degree, on the 3rd floor the temperatures were 36-degrees and -2-degrees, and on the 2nd floor the temperatures were 36-degrees and -1-degree Fahrenheit. LPA observed both elevators operational, a technician from Lift Tech Elevator Services was at the facility to inspect a sound that was reported in the main elevator, and said it is fully functional and operational.


During file review, LPA received and reviewed the RPLB Work Order Management and observed on 02/22/2025, a work order was submitted for the third (3rd) floor refrigerator that was not keeping cool and showing a temperature of 60-degrees Fahrenheit. LPA observed the status update of the work order was “Done.” LPA was notified the refrigerator was replaced with another. Additionally, The facility was unable to get the invoices for elevator maintenance and repairs from the main office, but the LPA was able to conduct an interview with the technician from elevator service company.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 11-AS-20250224150148
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: 03/04/2025
NARRATIVE
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During the visit, LPA met with a technician from Lift Tech Elevator Service, who stated they come out monthly to conduct maintenance to the elevators. Additionally, the technician stated that there have been some instances that when the elevator has gone down they had to wait for parts before they could repair it.
During interviews, on 03/04/2025 between 9AM and 2PM, with Staff S1-S8, were asked if there was anything not working properly in the facility, eight (8) out of eight (8) stated the elevator does go down, but is currently working, the washer and dryers work but the dryers take a while to dry items, and refrigerators are currently working.
During interviews, on 03/04/2025 at 11AM till 1:30PM, with Residents R1-R6, were asked if there was anything in the facility that is currently not operational, four (4) out of six (6) stated the main elevator goes down once in a while and the water takes a long time to get warm.

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.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4