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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 06/25/2025
Date Signed: 06/25/2025 03:40:34 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
06/03/2025 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20250603104702
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: 74DATE:
06/25/2025
UNANNOUNCEDTIME BEGAN:
12:47 PM
MET WITH:Wellness Director Monique AvilaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are not taking universal precautions to ensure COVID is not spread.
INVESTIGATION FINDINGS:
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On 06/24/25 at 12:50 pm Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Wellness Director Monique Avila as the purpose of today’s visit was explained.

The investigation consisted of the following: On 06/04/25 LPA Villegas obtained copies of the staff and resident roster, facility infection control plan, emergency disaster plan,Covid-19 mitigation plan, unusual incident reports submitted to CCLD regarding covid-19 cases, email communication with Long Beach Health Department, email communication with residents and families dated 5/28/25, 5/30/25, and 6/2/25 and copy of in-service held on 5/28/25 for covid response and infection control. LPA obtained copies of the following documents for Resident #1 (R1) face sheet dated 2/18/24, physicians report dated 4/23/25, pre-appraisal dated 2/20/24, resident assessment dated 2/10/24, and documented communication with POA. On 06/04/24 from 10:15am- 11:22am LPA conducted interviews with resident#2-7 (R2-R7), LPA unable to interview R1 as R1 is on isolation. On 06/04/25 and 06/13/25 LPA conducted interviews with staff #1-5 (S1-S5).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
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-20250603104702
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: 06/25/2025
NARRATIVE
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During interviews LPA observed staff and residents to be wearing face mask. On 06/4/25 from 12:55pm-1:45pm. On 06/4/25 from 12:55pm-1:45pm LPA conducted a records review.

The investigation revealed the following:

Allegation: Staff are not taking universal precautions to ensure COVID is not spread.

It is being alleged that Covid protocols are not being followed. On 06/04/24 from 10:15am- 11:22am LPA conducted interviews with R2-R7 regarding the allegation above, 6 of 7 residents interviewed denied the allegation above, per 6 of 7 residents interviewed reported being informed of positive covid cases and have been tested daily. On 06/04/25 and 06/13/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff interviewed denied the allegation above and reported that staff and residents are tested daily, staff received infection control training, and that families and Primary Care Physicians were made aware of covid positive cases via email. On 06/4/25 from 12:55pm-1:45pm LPA conducted a records review, during the records review, LPA observed the Facility’s Residential infection control plan and the Emergency and disaster plan for residential care facilities for the elderly; both plans are current and updated. LPA observed guidelines regarding how to prevent infection by COVID-19. In addition, LPA reviewed the In-services conducted on topics including, Universal precautions for infection control, COVID-19 plan, COVID-19 testing sites and kits, Use of PPE (Personal Protective Equipment) when handling COVID-19-positive residents, and PPE. LPA confirmed and observed unusual incident reports dated 06/03/25 were sent from facility to CCLD reporting the Covid- 19 positive staff and residents, LPA observed emails dated 05/28/25, 05/30/25, and 06/02/25 that were sent out to residents, families and friends notifying them and providing them of covid cases and updates, and documented communication between facility and the Long Beach Health Department dated 05/30/25 and 06/03/25. LPA observed staff and residents wearing mask while at the facility during visits. On 06/25/25 LPA conducted a tour of the facility and observed sanitation stations, and cleaning taking place. On 06/25/25 LPA was unable to interview R1 as R1 was sleeping at the time of visit.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.



Exit interview conducted, and a copy of this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2