198602567-5-21-2025-11-AS-RORN-DHJN3M-20250611100635

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 05/21/2025
Date Signed: 05/21/2025 04:54:55 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, 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
04/17/2025 and conducted by Evaluator Antonine Richard

COMPLAINT CONTROL NUMBER: 11-AS-20250417101102

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:	05/21/2025
		UNANNOUNCED	TIME BEGAN:	03:19 PM
MET WITH:	Fabiola Marciano		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Licensee initiated eviction process in retaliation against resident.

INVESTIGATION FINDINGS:

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This report supersedes the previous reports LIC9099 and LIC9099-C, created on April 23, 2025. The findings regarding the complaint remain unchanged. On 05/21,2025, LPA Richard conducted a subsequent visit and met with Executive Director Marciano and explained the visit.
The investigation consisted of the following. On 05/21/1025, LPA obtained facility progress notes (dated March 1,10 and April 10, and 13, 2025).
On 04/23/25, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced complaint investigation regarding the allegation listed above. LPA met with Executive Director Fabiola Marciano, and the purpose of the visit was explained. A tour of the facility was conducted. On 04/23/2025, LPA Richard received facility records which consisted of Staff Roster, Client Roster, House Rules, Resident #1 (R1) records, including Physician’s Report, Admission Agreement, Identification and Emergency Information (LIC 601), Resident Appraisal (LIC603), Unusual Incident Reports, and a copy of the Eviction Notice (dated 04/14/25). Reassessment (dated 04/01/25). Concise Care Group Placement emails (dated 02/14/25 to 04/18/25). Interviews were conducted with three (3) staff (S1-S3), including the Executive Director, and two residents (R1-R2).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

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-20250417101102

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 05/21/2025

NARRATIVE

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Regarding the allegation: Licensee initiated the eviction process in retaliation against the resident.

It is alleged that the client received an eviction letter on April 15, 2025, instructing them to vacate the facility by May 14, 2025. On April 23, 2025, LPA interviewed two residents (R1- R2); both were unable to answer the questions posed fully. Additionally, on the same date, the LPA interviewed three staff members (S1, S2, and S3), all of whom denied the allegation that the Licensee initiated the eviction process in retaliation against the residents. The staff members stated that the eviction was issued following a reassessment that determined the resident required a higher level of care and supervision.

On April 23, 2025, between 11:00 AM and 12:00 PM, LPA conducted a records review of the reassessment for resident #1 (R1), dated April 1, 2025, indicated that R1's condition had changed, necessitating a higher level of care and supervision. On 05/21/2025, the department reviewed the facility's progress notes dated March 1, 10, 2025, and April 10 and 13, 2025, indicating that R1 had been very aggressive towards other residents and staff by punching and scratching them.

On 04/15/2025, LPA confirmed that a 30-day eviction notice and supporting documents were faxed to Community Care Licensing within five days, by the California Code of Regulations, Title 22. It was determined that the facility could not meet R1's needs due to the requirement for a higher level of care.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20250417101102

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: REGENCY PALMS LONG BEACH	FACILITY NUMBER: 198602567
	VISIT DATE: 05/21/2025

NARRATIVE

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Based on interviews and records reviewed, there was not sufficient evidence to support the allegation. 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.

There were no deficiencies cited. An exit interview was conducted a copy of the report was provided to Wellness Director Monique Avila.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025

LIC9099 (FAS) - (06/04)

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