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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 07/10/2025
Date Signed: 07/10/2025 12:32:00 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
06/19/2025 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20250619171348
FACILITY NAME:REGENCY PALMS LONG BEACHFACILITY NUMBER:
198602567
ADMINISTRATOR:KENIA SANCHEZ PADILLAFACILITY TYPE:
740
ADDRESS:117 E 8TH STREETTELEPHONE:
(562) 432-9260
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:91CENSUS: 74DATE:
07/10/2025
UNANNOUNCEDTIME BEGAN:
08:27 AM
MET WITH:Fabiola MarcianoTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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9
Staff did not safeguard resident's personal belongings.
INVESTIGATION FINDINGS:
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On 07/10/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced subsequent 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:
During the initial visit conducted on 06/26/2025, LPA toured the facility, interviewed Staff S1-S11, interviewed Residents R2 and R3, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Resident Identification and Emergency Information (dated 08/24/2024), Physician’s Report (dated 08/19/2024), Admission Orders (date 08/22/2024), Resident Lease Agreement (dated 08/24/2024), Resident Packet (dated 08/23/2024), Client/Resident Personal Property and Valuables (dated 08/24/2025), Resident’s Copy of Health and Safety Code Sections: 1569.152, 1569.153, and 1569.154 (dated 08/24/2024), and staff In-Service (dated 06/17/2025)
During today’s visit LPA interviewed Residents R1, R4-R8.
The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
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 2
Control Number 11-AS-20250619171348
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: 07/10/2025
NARRATIVE
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Allegation: Staff did not safeguard resident’s personal belongings
The allegation alleges the facility staff lost a resident's belonging.
During record review, LPA received and reviewed the facility’s House Rules, signed and dated by R1’s Responsible Party on 08/23/2024, that states under Administration Department number 7. Management is not responsible for lost or stolen items (refer to Theft and Loss Policy included in the Resident Paperwork). LPA received and reviewed Theft and Loss Policy, signed and dated by R1’s Responsible Party on 08/23/2024, that states “Residents are encouraged to complete a personal property inventory when they move-in. We ask residents to keep this form updated as items are removed or added to the apartment.” Additionally, the Theft and Loss Policy states “Management is not responsible for the loss or theft of valuable from your apartment.” LPA received and reviewed Resident Personal Property and Valuables (LIC621), signed and dated by R1’s Responsible Party on 08/24/2024, declining to track personal property for R1. LPA received and reviewed the Health and Safety Code Section 1569.152, 1569.153, and 1569.154 Residential Care Facilities for the Elderly form, signed and dated by R1’s Responsible Party on 08/24/2025, that states in Sec. 3 Section 1569.153 of the Health and Safety Code “(d) …The facility shall not be liable for items which have not been requested to be included in the inventory or for items which have been deleted from the inventory.”
During interviews with Staff S1-S11, were asked if they were made aware of R1 having a bedrail, eleven (11) out of eleven (11) stated yes they were aware R1 had a bedrail brought in. Additionally, Staff S1-S11 were asked if the family requested to have the bedrail added to the Resident Personal Property and Valuables (LIC621) form, eleven (11) out of eleven (11) stated to their knowledge the bedrail was not requested to be included on the form.
During interviews with Residents R1-R8, were asked if they had any personal items go missing, seven (7) out of eight (8) stated they have had no items missing and if they did have an item missing caregivers help to locate the item

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.

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

An exit interview was conducted with Regional Director, Lisa To, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2