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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 11/08/2024
Date Signed: 11/08/2024 03:19:16 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2024 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20241003141025

FACILITY NAME:GLEN PARK AT LONG BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:MICHAEL MENDOZAFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:208CENSUS: 95DATE:
11/08/2024
UNANNOUNCEDTIME BEGAN:
08:32 AM
MET WITH:Co-Executive Director Jonathan BarriosTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Facility staff speak inappropriately to residents in care.
Facility staff handle residents in a rough manner.
INVESTIGATION FINDINGS:
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The investigation consisted of the following:

On 10/11/2024, Community Care Licensing Division (CCLD) Staff conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff conducted staff and resident interviews and reviewed staff and facility records. On 11/08/2024, CCLD Staff met with Co-Executive Director Jonathan Barrios and explained the purpose of the visit. CCLD Staff reviewed medication and interviewed residents.

Regarding the allegation "Facility staff speak inappropriately to residents in care," it is being alleged that Staff #9 and #10 curse at the residents. Eight out of eight resident interviews indicated that S9 and S10 do not speak to residents without dignity or respect, or they have not met them. Two out of two staff interviews indicated they have not received residents’ complaints concerning disrespectful speech from S9 and S10.

Continue to LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20241003141025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: GLEN PARK AT LONG BEACH
FACILITY NUMBER: 198602134
VISIT DATE: 11/08/2024
NARRATIVE
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Two staff members were unavailable. Interview with the Executive Director indicated S10 has not been in the building since COVID 2020 and S9 since August 2019.

Regarding the allegation “Facility staff speak inappropriately to residents in care," based on interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

Regarding the allegation "Facility staff handle residents in a rough manner," it is being alleged that Staff #9 and #10 are rough when checking residents for bed injuries.

Three out of three staff interviews indicated they are not sure if S9 and S10 visit the facility and perform body checks. One out of one staff interviews indicated they have not received resident’s complaint concerning S9 and S10 handling of residents. Interview with the Executive Director indicated S10 has not been in the building since COVID 2020 and S9 since August 2019. Six out of six resident interviews indicated S9 nor S10 has been physically rough with them or been involved with body checks.

Regarding the allegation “Facility staff handle residents in a rough manner," based on interviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

This report was discussed and a hard copy was left with Co-Executive Director Jonathan Barrios.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC9099 (FAS) - (06/04)
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