198602567-8-5-2026-11-AS-PMAA-DWXP8P-20260814110553

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 08/04/2026
Date Signed: 08/05/2026 03:02:12 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
07/30/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260730151941

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:	08/04/2026
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Robert Jakini		TIME COMPLETED:	12:14 PM

ALLEGATION(S):

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Staff left resident in soiled clothing.
Staff threw a phone at resident.

INVESTIGATION FINDINGS:

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On August 4, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA), Ernand Dabuet, conducted a subsequent unannounced complaint visit. Robert Jakini, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegations mentioned above.

The investigation included collecting documents and conducting a tour of the facility. A review of the Personnel Roster (dated 08/03/26), Resident Roster (dated 08/03/26), Resident #1 (R1's) Resident Lease Agreement, Physician's Report for Residential Care Facilities LIC 602A, Service Plan (dated 05/04/26), Resident Notes & Incidents, and other pertinent records associated with this complaint. Interviews were conducted with Resident #1 through Resident #7, Staff #1,and Staff #2 .

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026

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-20260730151941

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: 08/04/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Staff left resident in soiled clothing.

It has been reported that staff left Resident #1 (R1) in soiled clothing. Reports indicate that (R1) was not assisted with diaper changes and was left in soiled clothing. No additional information has been provided regarding this matter.

On August 3, 2026, between 9:30 AM and 01:20 PM, the Department interviewed staff members identified as Staff #1 and Staff #2 (S1-S2). Two (2) out of the two (2) staff members cannot support this allegation. (S1-S2) stated that residents are routinely checked for their incontinence needs and are promptly assisted when care is required. It has been reported that (R1) receives regular help with activities of daily living (ADLs), such as toileting and changing clothing, and is never left in soiled garments. (R1) medical assessments to determine (R1) ability to manage personal toileting needs. The service plan indicates that (R1) is independent and can self-care; however, if assistance is needed, it is provided.

On August 3, 2026, between 10:15 AM and 12:45 PM, the Department interviewed residents identified as Resident #1 through Resident #7 (R1-R7). Seven (7) out of the seven (7) residents could not support this claim. (R1-R7) claimed to have concerns of neglect or delayed care. (R1) was interviewed and denied making any statements regarding incontinence care.

The Department reviewed (R1’s) Medical Assessment for Resident Care Facilities LIC 602A (dated 04/28/26), Service Plan (dated 05/29/26), Notes & Incidents Resident Summary (dated 05/30/26 through 08/03/26) and did not find entries indicating the resident was left in soiled clothing or not assisted in a timely manner. It also verified that (R1) can self-care with toileting needs.

The Department also conducted observations during the visit. (R1) appeared clean, properly dressed, and no signs of neglect were observed.

Based on interviews, record review, and observations, there was insufficient evidence to support the allegation mentioned above.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260730151941

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: 08/04/2026

NARRATIVE

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Allegation #2: Staff threw a phone at resident.

It is alleged that staff threw a phone at Resident #1 (R1). Reports indicate that on July 30, 2026, when (R1) handed the staff the telephone to speak with a party regarding (R1's) ineligibility, the staff took the phone but did not listen to the conversation. Instead, the staff threw the phone back at (R1). No additional information has been provided regarding this matter.

On August 3, 2026, between 9:30 AM and 01:20 PM, the Department interviewed staff members identified as Staff #1 and Staff #2 (S1-S2). Two (2) out of the two (2) staff cannot validate this claim. (S1-S2) indicated that no staff member recalled any incident involving a phone being thrown at (R1). (S2) who was working on July 30, 2026, and recalled walking in on (R1) telephone conversation. Staff denied behaving aggressively or inappropriately toward (R1). (S1) reported no known incidents of staff physically mishandling objects or acting in a threatening manner toward (R1).

On August 3, 2026, between 10:15 AM and 12:45 PM, the Department interviewed residents identified as Resident #1 through Resident #7 (R1-R7). Seven (7) out of the seven (7) residents could not support this claim. (R1-R7) disclosed that they did not witness staff throwing items at residents or engaging in hostile behavior. No resident stated that they observed or experienced staff acting in a manner consistent with the allegation. (R1) was interviewed and denied making any statements regarding inappropriate behavior by staff.

The Department reviewed the Notes & Incidents Resident Summary for R1, covering the period from May 30, 2026, to August 3, 2026. The review found no reports, notes, or records indicating any physical altercations or misconduct involving staff. Additionally, an examination of the Medical Assessment for Resident Care Facilities (LIC 602A) (dated April 28, 2026), Service Plan (dated May 29, 2026), and observations made during the visit did not reveal any concerns regarding staff behavior. Staff members were observed professionally interacting with residents.

Based on interviews, record review, and observations, there was insufficient 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: 08/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026

LIC9099 (FAS) - (06/04)

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