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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602134
Report Date: 03/18/2026
Date Signed: 03/18/2026 04:28:22 PM

Substantiated


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
03/11/2026 and conducted by Evaluator Jose Anguiano
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260311163742
FACILITY NAME:GLEN PARK AT LONG BEACHFACILITY NUMBER:
198602134
ADMINISTRATOR:CATHERINE BRINAS DACARAFACILITY TYPE:
740
ADDRESS:1046 E 4TH STTELEPHONE:
(562) 432-7468
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:208CENSUS: 115DATE:
03/18/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Catherine DacaraTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Facility did not maintain a safe and healthful environment for the resident.
INVESTIGATION FINDINGS:
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On 03/18/2026, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced complaint visit. LPA met with Administrator Catherine Dacara.
The investigation consisted of the following: On 03/18/2026, LPA Anguiano interviewed 14 residents (R1–R14) and 5 staff (S1–S5), conducted observations, and collected records. Records obtained included internal incident reports for R1 and R2, an LIC 500 dated 03/12/2026, staff roster, resident roster dated 03/05/2026, and an internal resident incident report for R5 with documentation of a house rules reminder provided. LPA also reviewed four resident files (S1–S4), including admission agreements, physician’s reports, and appraisal/reappraisal documents.
The investigation revealed the following: Observations revealed that residents were observed in their rooms and common areas, and the facility appeared calm, with most residents engaging appropriately.

Please see (LIC9099-C) for report continuation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
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 4
Control Number 11-AS-20260311163742
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/01/2026
Section Cited
CCR
87307(d)(2)
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87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.
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PLAN OF CORRECTION (POC): Licensee agrees to submit a Plan of Correction to LPA Jose Anguiano by due date and emailed to: Jose.Anguiano@dss.ca.gov
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This requirement is not met as evidenced by: Based on interviews, observations, and records review, the licensee failed to ensure a safe and healthful environment for R1, as the resident was subjected to ongoing roommate conflict, including noise disturbances and disruption of sleep, despite having a medical condition requiring dialysis and rest. Staff were aware of the issue for several months and completed incident reports; however, the facility failed to implement timely and effective corrective action to resolve the situation. This violation poses a potential health, safety, or 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: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20260311163742
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: 03/18/2026
NARRATIVE
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No active conflict was observed at the time of the visit. Records review revealed the following: Records for R1 indicate a diagnosis of end-stage renal failure requiring ongoing dialysis treatment and that R1 requires assistance with activities of daily living and supervision, including night supervision. Records for R2 indicate physical impairment requiring assistance with activities of daily living. LPA reviewed internal incident reports dated 03/12/2026 and 03/13/2026 documenting complaints regarding loud television use and roommate conflict between R1 and R2. Documentation indicates that R1 reported an inability to sleep due to the volume of the television, and staff provided reminders to R2 regarding house rules, including lowering the volume and using headphones at night. However, the facility did not provide additional requested documentation, including behavior logs, complaint logs, or records demonstrating ongoing monitoring, follow-up actions, or resolution of the roommate conflict. Records reviewed support the allegation, as the documentation confirms the reported concern and demonstrates that interventions were limited to reminders, without evidence of effective resolution, despite the resident’s medical condition requiring adequate rest and supervision. Regarding the allegation, “Facility did not maintain a safe and healthful environment for the resident,” it is being alleged that a resident was subjected to ongoing roommate conflict, including noise disturbances, lack of shared space access, and disruption of sleep, and that staff failed to ensure effective resolution of the situation. Interviews conducted revealed the following: Four residents (R1–R4) reported concerns supporting the allegation, while 10 out of 14 residents reported no concerns. Residents who reported concerns described ongoing roommate conflict involving loud television use at night, lack of respect, and misuse of shared space, as well as feeling unsafe due to roommate conflict and experiencing ongoing issues involving noise, hygiene concerns, and unresolved conflict lasting approximately six months. Interviews with 5 staff (S1–S5) supported the allegation, as staff confirmed that the roommate conflict between R1 and R2 has been ongoing for several months. Staff reported that R1 requires rest due to dialysis treatment, while R2 maintains a conflicting sleep schedule and uses the television at a high volume. Staff further reported that incident reports were completed and the issue was brought to administration, and that staff attempted verbal interventions such as reminders and mediation. S1 reported addressing the concern by counseling the resident, reviewing house rules, and offering a room change; however, both residents declined relocation, and the issue remained ongoing at the time of the investigation. Additional statements indicated that R1 may have difficulty reporting concerns due to language barriers.

Please see (LIC9099-C) for report continuation.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 11-AS-20260311163742
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: 03/18/2026
NARRATIVE
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Based on the evidence gathered, interviews conducted, observations, and records reviewed, the preponderance of evidence standard has been met; therefore, the allegation “Facility did not maintain a safe and healthful environment for the resident” is found to be substantiated. The facility identified the roommate conflict and implemented initial interventions; however, those actions were not effective, and the issue continued to impact the resident’s health and well-being. This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 8, Section 87307(d)(2). A citation is being issued on the attached (LIC 9099D).

An exit interview was conducted, and a copy of this report, along with appeal rights, was provided to the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4