198602567-4-23-2025-11-AS-RORN-DHJN3N-20250611100636

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 04/23/2025
Date Signed: 04/23/2025 04:55:32 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
04/17/2025 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 11-AS-20250417101102

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: 72	DATE:	04/23/2025
		UNANNOUNCED	TIME BEGAN:	09:48 AM
MET WITH:	Fabiona Maciano		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee initiated eviction process in retaliation against resident.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 04/23/25, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced complaint investigation regarding the allegation listed above. LPA met with Executive Director Fabiola Marciano, and the purpose of the visit was explained. A tour of the facility was conducted.

The investigation consisted of the following:
On 04/23/2025, LPA Richard received facility records which consisted of Staff Roster, Client Roster, House Rules, Resident #1 (R1) records, including Physician’s Report, Admission Agreement, Identification and Emergency Information (LIC 601), Resident Appraisal (LIC603), Unusual Incident Reports, and a copy of the Eviction Notice (dated 04/14/25). Reassessment and Needs of Service Plan (dated 04/01/25). Concise Care Group Placement emails (dated 02/14/25 to 04/18/25). Interviews were conducted with three (3) staff (S1-S3), including the Executive Director, and two residents (R1-R2).

Continued LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025

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 2

Control Number 11-AS-20250417101102

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: 04/23/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Regarding the allegation: Licensee initiated the eviction process in retaliation against the resident.

It is being alleged that the client received an eviction letter on 04/15/25, to move out of the facility effective date of 05/14/25. On 04/23/25, between 11:00 am to 12:00 pm, LPA Records reviewed of resident #1 R1 indicated that on 04/01/25, the Wellness Director (WD) conducted a reassessment and a needs of service plan that concluded R1 needed a higher level of care and supervision. The Wellness Director indicated that the Power of Attorney (POA) and the family members were aware of the findings of the reassessment and scheduled to meet with the facility on 04/25/25. On 04/23/25, interviewed with the Executive Director, indicated that the facility does not feel they can meet the resident's R1 higher level of care needs; therefore, A 30-day Eviction Notice and supporting documents were faxed to Community Care Licensing on 04/15/25, following the California Code of Regulations, Title 22.

Based on interviews and records reviewed, there was not sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is unsubstantiated.

There were no deficiencies cited. An exit interview was conducted a copy of the report was provided to the Executive Director, Fabiola Marciano.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2