198602567-3-12-2026-11-AS-JHAD-DT5TUS-20260414150245

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 03/12/2026
Date Signed: 03/12/2026 06:12:27 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
03/05/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260305124925

FACILITY NAME:	REGENCY PALMS LONG BEACH		FACILITY NUMBER:	198602567
ADMINISTRATOR:	ROBERT JAKINI		FACILITY TYPE:	740
ADDRESS:	117 E 8TH STREET		TELEPHONE:	(562) 432-9260
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	91	CENSUS: 74	DATE:	03/12/2026
		UNANNOUNCED	TIME BEGAN:	09:18 AM
MET WITH:	Robert Janiki		TIME COMPLETED:	04:47 PM

ALLEGATION(S):

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Staff did not notify resident's responsible party of a change in resident's condition.

INVESTIGATION FINDINGS:

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On March 12, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial unannounced complaint visit. Robert Janiki Executive Director greeted the LPA. LPA explained that the purpose of the visit is to investigate the allegation mentioned above.

The investigation included a collection of records, interviews and collateral visit to Bixby Towers Post Acute Rehab. The Department collected service records for Resident #1 (R1), Medical Assessment for Residential Care Facilities for the Elderly LIC 602A (dated 08/01/25), Identification and Emergency Information LIC 601 (dated 12/20/24), Resident Assessment (dated 12/31/25), Unusual Incident Report LIC 624 (dated 03/03/26), and Durable Power of Attorney for Management of Property and Personal Affairs (dated 06/15/24) for and other documents pertinent or associated with this complaint. Interviews conducted with Resident #1 and Staff #1-#4 and Witness #1.
(Evaluation Report continues LIC 9099--C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260305124925

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: 03/12/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Staff did not notify resident's responsible party of a change in resident's condition.

It is alleged that the facility failed to notify the party responsible of Resident #1 (R1) regarding a change in the resident’s condition. Reports indicate that (R1) began exhibiting symptoms of a stroke on Saturday, February 28, 2026, yet the facility did not inform the responsible party. While it is unclear whether (R1) had a stroke on February 28, 2026, there was a noticeable change in condition, and no responsible party was notified.

The following day, March 1, 2026, (R1) fell; however, the party responsible was not informed of the severity of the fall. The reports indicate that the fall occurred when (R1) reached for a television remote. No additional information has been provided regarding this incident.

On March 12, 2026, between 10:45 AM and 11:10 AM, the Department interviewed a resident member identified as Resident #1. (R1) remembered feeling unwell on February 28, 2026, and then experiencing a fall. R1 said that (R1) didn't know exactly how (R1) felt but was sure (R1) did not feel well. After going to the hospital, doctors diagnosed (R1) with a mild stroke based on an MRI scan, which showed it affected the left side of (R1's) body. (R1) explained that when (R1) felt unwell, the facility staff responded immediately and called for medical assistance; however, Emergency Medical Services (EMS) did not arrive promptly.

During the interview, (R1) confirmed that the person responsible for (R1) was informed about (R1's) health change. (R1) also said this person was allowed to talk with (R1). (R1) described the fall as happening when (R1) reached for the television remote, lost balance, and slipped. (R1) agreed to go to the hospital for treatment.

Overall, R1 reported that the facility staff treated (R1) well, responded quickly to (R1's) needs, and always provided (R1) with medical help.

On March 12, 2026, between 11:30 AM and 1:00 PM, the Department interviewed staff members identified as Staff #1 through Staff #4 (S1-S4). Three (3) out of the four (4) staff members could not corroborate this claim. All staff members confirmed that the family representative was notified. They explained that on the evening of February 28, 2026, the resident (R1) did not feel well, but staff did not consider it a significant change in the resident's condition as (R1) was fine the day before.

(Evaluation Report continues)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260305124925

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: 03/12/2026

NARRATIVE

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Staff members (S2-S4) stated they are not trained medical professionals and indicated they could not determine if (R1) was experiencing a stroke. This was only verified after (R1) was hospitalized and had a (MRI). Prior to the (MRI) the hospital contacted the facility and made the medical assessment that (R1) did not have a stroke. Even the hospital was uncertain.

During the assessment at the facility, (R1) reported feeling unwell but did not want to request medical attention. The following morning, (R1) experienced a fall and even then (R1) refused medical attention Staff assisted (R1), who claimed to have no injuries that would require calling 9-1-1. During this time, facility staff attempted to contact the family representative several times by phone and text, but there was no response.

(S2-S4) explained that the proper procedure for care staff is to notify the medication technician if they observe a change in a resident's condition, who will then report to the Wellness Nurse. However, (S2-S4) clarified that the facility took proactive measures by contacting 9-1-1 after (R1) fell, and non-emergency paramedics and EMTs determined that the situation was non-emergency.

The Department reviewed Resident #1 (R1’s) Medical Assessment for Residential Care Facilities for the Elderly LIC 602A (dated 08/01/25), Identification and Emergency Information LIC 601 (dated 12/20/24), Resident Assessment (dated 12/31/25), Unusual Incident Report LIC 624 (dated 03/03/26), St. Mary’s Hospital Medical Records, Email Communications (dated 03/06/26) and Durable Power of Attorney for Management of Property and Personal Affairs (dated 06/15/24). Further review of Communication Logs (dated 03/01/2026 & 03/03/2025), Alert Report for Care Predict (03/01/2026), Staff Schedule (dated 02/22/2026 - 03/07/2026) and Notice of Employee as to Change in Relationship (03/05/2026) verified that (R1’s) was notified multiple times on March 1, 2026, between 05:27 AM and 11:41 AM with phone calls and messages. The Community Care Licensing Unusual Incident Report LIC 624 revealed the family representative was notified.

Based on the information gathered, there is not enough evidence to support the allegation mentioned above.

Based on the information gathered from the facility, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

An exit interview was conducted with Robert Jakini, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2026

LIC9099 (FAS) - (06/04)

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