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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000059
Report Date: 12/18/2025
Date Signed: 12/18/2025 04:45:22 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/07/2021 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-NP-20211007121841
FACILITY NAME:PARK REGENCY RETIREMENT CENTERFACILITY NUMBER:
306000059
ADMINISTRATOR:JENNIFER TURGEONFACILITY TYPE:
740
ADDRESS:1750 W. LA HABRA BLVD.TELEPHONE:
(714) 441-1164
CITY:LA HABRASTATE: ZIP CODE:
90631
CAPACITY:168CENSUS: 106DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Annaliza YemTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility is not providing enough staff to meet the needs of residents in care.
INVESTIGATION FINDINGS:
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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegation. LPA met with Staff #1 (S1) Annaliza Yem and explained the reason for today’s inspection.

The investigation into the allegation that facility is not providing enough staff to meet the needs of residents in care revealed the following: During the course of the investigation, LPA inspected the facility, interviewed staff and residents, and obtained and reviewed copies of the resident roster, staff roster, the facility’s labor hour reports, staffing agency invoices, and the facility’s termination report.

It was alleged that, due to staff turnover, the facility was short staffed in September 2021, instead of four staff covering assisted living and memory care only one staff was observed covering memory care, and residents had to wait a long time to be assisted with personal needs like incontinence care resulting in residents being left in soaked diapers, especially in memory care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 22-NP-20211007121841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: PARK REGENCY RETIREMENT CENTER
FACILITY NUMBER: 306000059
VISIT DATE: 12/18/2025
NARRATIVE
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LPA inspected the facility in October 2021 and noted that there were not enough staff to readily assist LPA with the inspection, as all care staff were occupied providing care, the only office staff present had to cover reception until they were relieved, and the administrator at the time did not arrive until much later in the day. LPA also observed unpleasant odors from one memory care room, an unpleasant odor in the hallway possibly coming from one of the residents, and one memory care room had stains, crumbs, and debris on the floor as well as stains on the walls. When interviewed, the administrator at the time confirmed that the memory care recently had staffing issues, confirmed there was a lot of recent staff turnover, but otherwise denied the allegation, stating the facility was meeting its own staffing ratio with its staff and was also using a staffing agency to supplement staff. LPA reviewed the facility’s labor hour reports which indicate the number of caregiver hours were consistent from June through September 2021. LPA reviewed staffing agency invoices showing a small amount of staffing agency coverage during this time. LPA reviewed the facility’s termination report which shows that from June 2021 to the end of September 2021, 22 staff quit or were terminated. LPA interviewed five staff who corroborated that around September 2021, the facility had severe staffing issues due to staff turnover, there were fewer staff than there were supposed to be, especially in memory care, which negatively affected resident care, increased wait times for care, and increased the workload which caused more staff to leave. Staff interviewed also confirmed that there were instances where there was only one caregiver in memory care, that memory care would pull staff from the assisted living section leaving that section understaffed, and that the overnight shift was unable to meet the needs of the residents and left them all wet in the morning without changes. LPA interviewed six residents, five of whom corroborated that the facility had lost a lot of staff recently and three of whom confirmed residents were impacted by the staffing issues, including with longer wait times. Regardless of whether the facility was meeting its own staffing ratio, interviews with multiple residents and staff confirmed that the facility’s staffing level was insufficient to meet residents’ needs, including incontinence care.

During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegation mentioned above. The preponderance of evidence standard has been met; therefore, the above allegation is Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-NP-20211007121841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: PARK REGENCY RETIREMENT CENTER
FACILITY NUMBER: 306000059
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/19/2025
Section Cited
CCR
87411(a)
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87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs… This requirement was not met as evidenced by:
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The licensee stated they have since increased their staffing levels, will create a plan to address future staffing shortages, and will submit proof to LPA by POC due date.
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Based on documents and interviews, the licensee did not ensure there were sufficient staff to meet residents’ needs, resulting in residents being left in soiled diapers, which poses an immediate personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3