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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 05/29/2025
Date Signed: 05/29/2025 10:42:11 AM

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
02/03/2025 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 11-AS-20250203140724
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: 97DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
08:08 AM
MET WITH:Catherine DacaraTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff is stealing residents personal property.
INVESTIGATION FINDINGS:
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This report serves to clarify the Investigation findings and is created to supersede the LIC9099 and LIC9099-C reports created on 04/10/2025. Although this report supersedes the previous report, the complaint investigation findings remain the same. 05/29/2025, Licensing Program Analyst (LPA) Antonine Richard conducted a subsequent complaint regarding the above-mentioned allegation. LPA met with the Administrator, Catherine Dacara, and explained the purpose of today's visit.

The investigation consisted of the following: On February 5, 2025, LPA and staff toured the facility, visiting rooms #225 and #228. LPA Richard reviewed and requested, staff and residents' roster. Individual Services Plan (ISP), Physician's Report for Residential Care for the Elderly (RCFE). Admission Agreement, Theft/Loss Policy, Resident Safeguard of Valuables/Property. LPA Richard interviewed six (6) residents (R2-R7), four (4) staff (S1-S4), and other documents.

Report continued LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
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-20250203140724
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: GLEN PARK AT LONG BEACH
FACILITY NUMBER: 198602134
VISIT DATE: 05/29/2025
NARRATIVE
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Allegation: Staff are stealing residents' personal belongings.

The complaint alleges that staff at Glen Park in Long Beach have stolen residents' jewelry and paintings and have stolen other residents' belongings.

On February 5, 2025, between 11:00 AM and 12:00 PM, LPA Richard conducted interviews with four staff members #1-4 (S1-S4). All four staff members denied the allegation. They explained that each resident has a key, and if a resident is not in their room, the staff are not permitted to enter, except to clean the resident's room. Additionally, they emphasized that the facility ensures the protection of all residents' belongings, and no residents have ever complained to them about missing jewelry or other items from their rooms.

On February 5, 2025, between 12:00 PM and 2:00 PM, LPA Richard interviewed seven residents #1-7 (R1-R7). 6 out of 7 residents denied that any staff member had ever stolen their personal belongings. They indicated that each resident has a key to their room and can lock it when they are not present. Additionally, they mentioned that staff typically knocked before entering their rooms.

On April 9, 2025, the Licensing Program Analyst (LPA) interviewed Witness 1 (W1). W1 reported that Resident #1 (R1) mentioned to them that some items were missing from R1's room three years ago, during the tenure of a different Executive Director. However, W1 could not specify what items were missing, who among the staff might have taken them, or the exact date of the incident.

Reports continued LIC9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250203140724
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: GLEN PARK AT LONG BEACH
FACILITY NUMBER: 198602134
VISIT DATE: 05/29/2025
NARRATIVE
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W1 also indicated that a resident was responsible for the theft and returned the items to R1 when confronted.

On February 5, 2025, LPA Richard reviewed various documents related to R1, including the Safeguard of Valuables/Property form dated April 25, 2017. This document indicated that all items listed as missing were found in R1's room. LPA also reviewed the Theft/Loss Policy, which states that any lost or stolen property valued at $25 or more must be documented on an Unusual Incident Form within 72 hours of discovery. Any property valued at $100 or more must be reported to the Police. LPA did not find any Theft/Loss documents filed in the facility by R1.

Based on the information gathered, interviews, and record reviews, there is not enough 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, therefore, the allegation is unsubstantiated.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3