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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 03/20/2025
Date Signed: 03/20/2025 01:40:03 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
03/07/2025 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20250307142022
FACILITY NAME:CHATEAU LONG BEACHFACILITY NUMBER:
197800131
ADMINISTRATOR:ESPERANZA NAAKTGEBORENFACILITY TYPE:
740
ADDRESS:3100 E. ARTESIA BLVD.TELEPHONE:
(562) 428-5371
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:184CENSUS: 93DATE:
03/20/2025
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Administrator Esperanza Naaktgeboren TIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff does not ensure the facility is kept clean and sanitary for residents in care
Licensee does not ensure staff are in good physical health to perform assigned tasks
Staff do not ensure residents receive adequate incontinence care in a timely manner
INVESTIGATION FINDINGS:
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On 03/20/25 Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Administrator Esperanza Naaktgeboren as the purpose of the visit was explained.

The investigation consisted of the following: On 03/14/25 LPA obtained copies of the following: staff and resident roster, cleaning schedule, room checklist, list of what staff are assigned to each resident, in-service sign in sheets for August 2024-December 2024, in services for January 2025-February 2025, copies of reliase training topics, and documentation on procedures for Day of admission, personal rights, and death of resident. On 03/14/25 LPA requested copies of incontinent logs, list of incontinent residents, and call button response report to be emailed to LPA by 03/17/25. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with residents #1-7 (R1-R7), and between 12:45pm-1:40 pm LPA conducted interviews with staff #1-3(S1-S3). On 03/14/25 LPA conducted a tour of the facility and conducted a call button test. On
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
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 11-AS-20250307142022
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: CHATEAU LONG BEACH
FACILITY NUMBER: 197800131
VISIT DATE: 03/20/2025
NARRATIVE
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03/20/25 at 10am LPA conducted interviews with staff #4-5 (S4-S5).
The investigation revealed the following:

Allegation: Staff does not ensure the facility is kept clean and sanitary for residents in care

It is being alleged that the facility is unsanitary, and feces left on the ground has been observed. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7 regarding the allegation above, 7 of 7 residents denied the allegation above. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff denied the allegation above and reported house keeping cleans the facility daily and attends to any accidents right away when reported. On 03/14/25 LPA conducted a tour of the facility and observed the facility to be clean and sanitary. On 03/20/25 LPA conducted review of cleaning schedule, LPA observed there are 4 janitors scheduled daily.

Allegation: Licensee does not ensure staff are in good physical health to perform assigned tasks

It is being alleged that the facility has staff on light duty and are left alone to care for residents. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7 regarding the allegation above, 7 of 7 residents denied the allegation above and reported feeling safe when assisted by staff. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff interviewed denied the allegation above and reported there is no staff with work restrictions. On 03/14/20 during facility tour LPA observed staff to be in good health. On 03/20/25 LPA reviewed staff schedule and did not observe any staff to be on light duty, LPA also observed that there are 3 caregivers per shift, 2 med techs per shift, and a administrator, assistant administrator, wellness coordinator, and an ALW nurse that are at the facility from 8am-5pm.

Allegation: Staff do not ensure residents receive adequate incontinence care in a timely manner

It is being alleged that residents’ incontinence needs are not being met. On 03/14/25 from 9:30am- 12:25pm LPA conducted Interviews with R1-R7 regarding the allegation above, 5 of 7 residents denied the allegation above, 2 of 7 residents reported they do not need incontinence care. On 03/14/25 LPA conducted a tour of the facility and conducted a call button/pull string test, LPA observed staff responded to call within 5 minutes. On 03/14/25 and 03/20/25 LPA conducted interviews with S1-S5 regarding the allegation above, 5 of 5 staff interviewed denied the allegation above and reported residents are changed as needed, and are checked every 2 hours.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.


Exit interview conducted with Executive Director, and a copy of this report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3