198602567-4-30-2026-11-AS-PMAA-DU9RET-20260520125806

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 04/30/2026
Date Signed: 04/30/2026 05:19:25 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
04/24/2026 and conducted by Evaluator Regina Cloyd

COMPLAINT CONTROL NUMBER: 11-AS-20260424084827

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: 66	DATE:	04/30/2026
		UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Robert Jakini		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Staff denies residents food.

INVESTIGATION FINDINGS:

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On 04/30/26, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit to gather information regarding the above allegation. LPA met with Executive Director Robert Jakini.

Investigation consisted of the following: On 04/30/26, the Department obtained Personnel Report, Register of Residents, Food Services documents, One Resident Record, and Two Resident Admission Agreements. LPA interviewed Staff #2 - #8, Residents #1 - #7, and Witnesses #1 - #2. LPA observed lunch in memory care and in assisted living.

Investigation revealed the following:
Allegation: Staff denies residents food.
It is alleged staff does not allow residents to have certain snacks, such as peanut butter and jelly sandwiches, when requested nor additional food servings. Continue to LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

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-20260424084827

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: 04/30/2026

NARRATIVE

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Record review of daily menu revealed four salad options, four side options, and seven sandwich/wrap//burger options (including peanut butter and jelly sandwiches) are alternative options to the weekly menu. Review of weekly menu revealed breakfast, lunch, and dinner options with the snack selection (not distinguished). Review of lunch and dinner order sheet includes an order column for peanut butter and jelly and other alternative menu selections. Review of admission agreement revealed three nutritionally well-balanced meals and snacks made available daily as specified in Title 22, Section 87555, General Food Service Requirements. Five out of six staff interviews (S2 – S5, S7 – S8) - indicated the daily menu is an alternative to the weekly menu. Six out of seven staff interviews (S2 – S8) indicated residents are allowed to have additional food servings when requested. Seven out of seven staff interviews (S2 – S8) indicated snacks are available to residents in memory care. Six out of six resident interviews (R1 – R5, R7) - indicated they can receive alternatives, including peanut butter and jelly, from the daily menu. R6 assumes alternatives will be provided. Four out of four resident interviews (R1 – R4) indicated they are allowed to have additional food servings when requested. R5 – R7 indicated additional servings has not been requested. One out of two witnesses/responsible parties do not have any complaints about the food services. LPA observed three small snack (fruit) serving trays and peanut butter and jelly supplies in the kitchen. LPA observed residents eating lunch and alternative meals (fish, and sandwich with chips) being served.

Regarding the allegation, “Staff denies residents food,” based on record review, interviews, and observations, the Department did not find sufficient evidence to support the allegation mentioned above. 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: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

LIC9099 (FAS) - (06/04)

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