198602567-5-7-2025-11-AS-RORN-DHJPLG-20250611112444

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 05/07/2025
Date Signed: 05/07/2025 05:05:13 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
04/28/2025 and conducted by Evaluator Wendy Gibbs

COMPLAINT CONTROL NUMBER: 11-AS-20250428122830

FACILITY NAME:	REGENCY PALMS LONG BEACH		FACILITY NUMBER:	198602567
ADMINISTRATOR:	KENIA SANCHEZ PADILLA		FACILITY TYPE:	740
ADDRESS:	117 E 8TH STREET		TELEPHONE:	(562) 432-9260
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY:	91	CENSUS: 74	DATE:	05/07/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Fabiola Marciano		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not assist resident with care needs in a timely manner.

INVESTIGATION FINDINGS:

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On 05/07/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced complaint visit to the facility listed above. LPA met with Executive Director, Fabiola Marciano, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

The investigation consisted of the following:
LPA inspected the facility, interviewed Staff S1-S11, interviewed Residents R1-R8, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster (dated 04/20/25), Resident Roster (dated 05/02/2025), residentsIdentification and Emergency Information form, Admission Agreement (dated 09/26/2024), Assessments (dated 08/30/2024, 10/05/2024, and 05/07/2025), Physician’s Report (dated 09/09/2024), and Care Plan (dated 09/27/2024, 10/05/2024, and 05/07/2025).
The investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

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-20250428122830

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 05/07/2025

NARRATIVE

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Allegation: Staff did not assist resident with care needs in a timely manner.
The allegation alleges staff did not assist a resident with putting bottoms on while they were in bed and was not assisted till early morning, hours later.

During the facility inspection, LPA observed Caregivers assisting residents in care. LPA observed caregivers assisting residents to the restroom, assisting with incontinence, changing clothing due to spills or accidents, escorting, grooming, and bathing.

During record review, LPA received and reviewed Resident R1’s Care Plan dated 10/05/2024, that indicates R1 requires complete assistance with choice of clothing, dressing, and undressing 2 times per day, every day. Resident is unable to self-perform dressing/undressing. Additionally, LPA received and reviewed R1’s 90-Day Assessment dated 10/05/2024 and a Regency Palms Long Beach General Questions Assessment dated 05/07/2025. Both documents indicate Resident R1 “Requires completed assistance with choice of clothing, dressing, and undressing 2 times daily at 7:00 AM and 7:00 PM.
During interviews with Staff S1-S11, were asked if residents who require assistance are assisted in a timely manner, eleven (11) out of eleven (11) state residents are assisted in a timely manner.
During interviews with Residents R1-R8, were asked if they receive assistance in a timely manner, five (5) out of eight (8) stated staff come right away to assist. Additionally, one (1) out of eight (8) residents stated today was the first time they had to wait for an extended period of time for assistance due to a low battery in the

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 11-AS-20250428122830

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 05/07/2025

NARRATIVE

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pendant.

During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

LPA did not observe or cite any deficiencies during today's visit.

An exit interview was conducted with Executive Director, Fabiola Marciano, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025

LIC9099 (FAS) - (06/04)

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