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32 | INVESTIGATION REVEALED THE FOLLOWING:
Allegation #2: Staff did not properly report incidents.
It is alleged that the facility staff did not properly report Resident #1 (R1’s) incident. It is indicated the last fall incident on January 22, 2026, was not reported to Welbe Health until January 26, 2026. It is reported that (R1) fell on January 22, 2026, on voicemail, and no fall notification was provided. No additional details regarding this allegation have been provided.
On February 4, 2026, between 10:00 AM and 01:00 PM, the Department interviewed staff members identified as Staff #1 through Staff #5 (S1-S5). Five (5) out of five (5) staff members could not validate this allegation. All incidents involving (R1) are reported to Community Care Licensing, the primary physician, and the family representative, as indicated by (S1-S2). (S1-S3) confirmed that all fall incidents involving (R1) that occurred in November and December 2025, as well as January 2026, have been reported in accordance with Title 22 regulations.
(S1) noted that (R1) was admitted to Chateau Long Beach on April 17, 2025. (R1) is a client of Welbe Health, which provides the Program of All-Inclusive Care. However, Welbe Health has not partnered with Chateau Long Beach and has not provided protocol guidelines for reporting requirements to the facility. (S1) stated that the facility is licensed under the California Department of Social Services Community Care Licensing (CDSS/CCL) and follows the protocol guidelines outlined in Title 22 regulations. Every incident is documented with a written report using licensing form LIC 624, along with notifications to the primary physician at Welbe Health and the family representative. (S1-S2) asserted that the fall incident on January 22, 2026, was reported to CCL, the primary physician, and the family representative.
On February 04, 2026, between 11:00 AM and 11:50 AM, the Department interviewed resident members identified as Resident #1 and Resident #2 (R1-R2). Two (2) out of two (2) cannot support this claim. Both residents emphasized that the facility communicates with their primary physicians and family representatives about any incidents involving them. This approach ensures that all relevant parties are fully informed and aligned with the necessary reporting requirements.
(Evaluation Report continues LIC 9099-C)
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