198602567-6-15-2026-11-AS-PMAA-DVHNV6-20260629104726

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 06/15/2026
Date Signed: 06/15/2026 09:41:34 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
06/08/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260608100401

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: 69	DATE:	06/15/2026
		UNANNOUNCED	TIME BEGAN:	10:53 AM
MET WITH:	Robert Jakini		TIME COMPLETED:	04:29 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff hit resident.

INVESTIGATION FINDINGS:

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

On June 15, 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 Jakini, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegation mentioned above.

The investigation, a collection of documents, and a tour of the facility. A review of Personnel Report LIC 500 (dated 06/01/26), Resident Roster (dated 06/11/26), Resident #1 (R1's) Resident Lease Agreement (date10/22/24), Identification and Emergency Information (dated 07/29/25), Physician's Report for for Residential Care Facilities LIC 602A (dated 10/09/24), Service Plan (dated 05/04/26), Personal Rights (dated 10/22/24) Resident Notes & Incidents (dated 05/21/25-04/15/26), Preplacedment Appraisal LIC 603A (dated 10/21/25), Preplacement Appraisal LIC 603A (dated 10/22/24), Incident Report LIC 624 (dated 05/27/26 and other pertinent records associated with this complaint. Interviews conducted with Resident #1-7 and Staff #1-#3.
(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

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 3

Control Number 11-AS-20260608100401

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: 06/15/2026

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

INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Staff hit resident.

It is alleged that staff members physically assaulted Resident #1 (R1). Reports indicate that a female medication technician, who worked between 10 PM and 6 AM, was involved in the incident. The assault resulted in injuries to (R1's) head and shoulder. No further details regarding this matter have been provided.

On June 11, 2026, and June 15, 2026, between 01:21 PM and 04:29 PM, the Department interviewed staff members identified as Staff #1 through Staff #3. Three (3) out of the three (3) staff members were not able to corroborate this claim, with each of them denying that any physical assault on Resident #1 (R1) and stating that this allegation is false and misleading. At approximately 10:37 PM on May 26, 2026, staff members (S1-S3) reported that (S2 and S3) responded to a call button alert initiated by (R1). (S2) asked if assistance was needed to reset the call button and inquired about (R1)'s specific needs. (R1) displayed agitation and exhibited physical aggression towards the staff, including actions such as exerting pressure and physical interactions that may be perceived as confrontational. No injuries were reported, and there was no involvement of law enforcement or medical personnel. Neither (S2) nor (S3) had any physical contact with (R1) that resulted in injuries to the head or shoulder. (S1) claimed the incident was reported to Community Care Licensing with an Incident Report LIC 624, Long Term Ombudsman and Report of Suspected Dependent Adult Elder Abuse SOC 341 was completed and filed in reference to this incident.

On June 11, 2026, and June 15, 2026, between 11:00 AM and 03:30 PM, the Department interviewed resident members identified as Resident # 1 through Resident #7 (R1-R7). Six (6) out of the seven (7) residents could not support this claim. (R2-R7) affirmed that they have been treated professionally by the staff and have never observed or experienced any physical aggression by them. Each resident expressed a belief that the facility is dedicated to fostering a safe and secure environment for all in care. (R2), who occupies a shared room with (R1), reports that (R2) has not observed any instances of conflict between the staff and (R1), nor has (R2) witnessed any physical altercations.

(R1) reported being physically assaulted by a staff member but could not recall the date and time of the incident. During the altercation, (R1) was hit twice in the head and once on the shoulder. (R1) confirmed there were no bruises or marks and did not seek medical treatment. There were no witnesses. The incident was not reported to law enforcement, and (R1) was unable to provide further details.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260608100401

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: 06/15/2026

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

A review of Personnel Report LIC 500 (dated 06/01/26), Resident Roster (dated 06/11/26), Resident #1 (R1's) Resident Lease Agreement (date10/22/24), Identification and Emergency Information (dated 07/29/25), Physician's Report for Residential Care Facilities LIC 602A (dated 10/09/24), Service Plan (dated 05/04/26), Personal Rights (dated 10/22/24) Resident Notes & Incidents (dated 05/21/25-04/15/26), Preplacement Appraisal LIC 603A (dated 10/21/25), Preplacement Appraisal LIC 603A (dated 10/22/24), Incident Report LIC 624 (dated 05/27/26) and Report of Suspected Dependent Adult/Elder Abuse SOC 341 (dated 06/08/26).

An additional review of staff training records verified staff had completed Workplace Sensitivity Training Courses, including ADLs and Behaviors, Psychosocial Needs, Challenging Behaviors, Basic Essentials, Person Center Care and Medication Management.

During the visit on June 11, 2026, and June 15, 2026, the Department identified that the facility promotes the rights of its residents. Posters outlining Resident Rights, Personal Rights, and the California Residential Care Facilities for the Elderly Complaint Poster were displayed prominently throughout the facility. The Department also observed no surveillance cameras available in the common areas.

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

Based on the information collected from the facility inspection, 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.

No deficiencies cited.

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: 06/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3