198602567-4-22-2026-11-AS-JHAD-DTNQCE-20260501120302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 04/22/2026
Date Signed: 04/22/2026 02:45:59 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
03/03/2026 and conducted by Evaluator Zina Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260303091726

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: 68	DATE:	04/22/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Robert Jakini (Administrator)		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility staff did not seek timely medical attention for resident

INVESTIGATION FINDINGS:

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**The report supersedes the delivered reported on 04/13/2026 to include additional information to the findings**

On 04/22/2026 at 8:30 am, the department conducted an subsequent visit at this facility to deliver the complaint investigation findings for the allegation above. During today’s visit, the department met with Robert Jakini (Administrator) and explained the purpose of the visit.

The investigation consisted of the following: On 03/11/2026 at 8:45am the department conducted interviews with Administrator (A1), Staff (S1-S6) & Residents (R2- R11), between the hours of 8:45am - 3:06pm and with R1 on 03/12/2026 between the hours 1045am -11:10am. The department also requested the following documentation: Staff Roster (received 03/11/2026), Resident Roster (received 03/11/2026) , Resident 1's (R1), records such as Admission Agreement (dated 12/2024) LIC 601: Identification & Emergency Information (dated 12/20/2024) . . . Report continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026

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-20260303091726

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: 04/22/2026

NARRATIVE

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LIC 602: Physician Report for Residential Care Facilities for the Elderly (RCFE) (dated 08/01/2025) , , LIC 621 Resident Personal Property & Valuables (dated 12/20/2024) LIC 613 Personal Rights (dated 12/20/2024) Resident Assessment (dated 12/31/2025), Service Plan (dated 07/29/2025), Medication Administration Record (January - March 2026), 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).

The investigation revealed the following:

Allegation: Facility staff did not seek timely medical attention for resident.
It was alleged that facility staff did not obtain urgent medical assistance for a resident after the resident experienced a fall and later reported feeling ill with numbness on one side of the body. It was further alleged that staff delayed contacting emergency services and instead arranged non-emergency transport several hours after the resident’s symptoms were reported. The resident was subsequently transported to a hospital, where diagnostic testing determined the resident had suffered a stroke

On 03/11/2026 between the hours of 10:52am - 11:49am, the Department conducted an interview with the Administrator (A1) regarding the allegation. A1 denied the allegation. A1 stated the resident showed no signs of injury after the fall and initially denied pain. A1 reported that later in the morning the resident complained of soreness on the left side, and the Medtech on duty contacted non-emergency medical transport because the resident did not appear to be in immediate distress. A1 explained that staff made this decision rather than wait for the R1's family member who was called multiple times and did not answer to transport the resident, as staff had previously received pushback from the fire department for calling 911 for situations they considered non-emergencies. A1 stated that staff were instructed that moving forward, 911 should be contacted when a resident shows any concerning symptoms, and if the fire department has concerns, they are to contact the Administrator directly. A1 reported that staff assessed the resident, notified the resident power of attorney, and arranged transport consistent with their understanding of protocol at the time.

Report continues on LIC 9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260303091726

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: 04/22/2026

NARRATIVE

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On 03/11/2026 between the hours of 8:45am - 3:06pm, the Department conducted six (6) staff (S1–S6) interviews regarding the allegation. 4 of 6 staff denied the allegation. 2 of 6 staff were aware of the incident but did not confirm nor deny the allegation. Staff reported that the resident fell during the overnight shift, initially with resident denying pain, and appeared stable. Staff stated that the next day in the morning the resident reported left-side discomfort, and initial contacted non-emergency dispatch and Premier transport was contacted. Some staff reported attempts to contact the resident family member multiples times, while other staff stated that 911 was not called immediately after the fall because the resident initially felt no pain. Staff described following internal communication procedures and notifying supervisors.

On 03/11/2026 between the hours 11:20am - 11:47am and 03/12/2026 between the hours of 10:45am - 11:10am, the department conducted 11 resident interviews. 11 of 11 residents denied the allegation. Residents generally reported that staff respond to their needs in a timely manner, feel safe in the facility, and did not report concerns about delays in medical care. One resident who experienced the incident stated staff assisted and medical help was obtained, though transport which took time. The residents had no knowledge of the incident or reported no issues with staff responsiveness.

On 04/10/2026, between 2:32 pm - 4:00pm, the Department conducted a record review and observed the following: on 03/01/2026 at 3:39 am, the facility’s wearable monitoring system detected a fall involving the resident. According to incident notes created on 03/03/2026, the resident reported falling while reaching for a remote and landing on their buttocks, which was also documented in a facility group text message at 5:53am on the same date. The notes further indicated that at 10:24 am, the resident reported difficulty moving the left side of their body, and non-emergency medical transport was contacted for evaluation. Staff documented multiple attempts to contact the resident’s responsible party at 5:36 am, 11:30 am, and 11:41 am, with voicemail inbox full, and a text message was sent notifying the responsible party that the resident was being transported for evaluation. Staff documented that the resident was assessed with no visible injuries such as bumps or bruising. Records also showed that the resident later complained of left-side pain at 1:45 p.m. and was transported to the hospital. A progress note dated 03/02/2026 at 1:57pm indicated that the hospital initially reported no stroke on CT scan, but an MRI later confirmed a stroke.

Report continues on LIC 9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260303091726

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: 04/22/2026

NARRATIVE

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Hospital records from 03/01/2026 - 03/05/2026 documented that the resident was admitted with left-sided weakness. A CT scan initially showed no acute findings. An MRI performed on 03/01/2026 revealed an “acute/recent patchy infarct in the posterior right frontal lobe/precentral gyrus,” confirming an acute ischemic stroke. The resident remained hospitalized through 03/05/2026, receiving dual anti platelet therapy, statin therapy, neurological monitoring, and rehabilitative services. Upon further review, according to the National Institutes of Health (NIH), common symptoms of an acute stroke include sudden weakness or numbness on one side of the body, difficulty speaking, facial drooping, or loss of coordination, which are consistent with the left sided weakness documented in the hospital record.

Based on information gathered through interviews and record reviews, there is not enough evidence to support allegation that staff knowingly delayed emergency medical care or failed to respond when symptoms were reported. 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.

Exit interview conducted with Robert Jakini (Administrator) and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026

LIC9099 (FAS) - (06/04)

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