198602567-7-10-2025-11-AS-JHAD-DK4RC2-20250731125336

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 07/10/2025
Date Signed: 07/10/2025 03:47:33 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
07/01/2025 and conducted by Evaluator Zina Brown

COMPLAINT CONTROL NUMBER: 11-AS-20250701095115

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:	07/10/2025
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Robert Jakini (Executive Director)		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility elevators are in disrepair.

INVESTIGATION FINDINGS:

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On 07/10/2025, at 11:45 am, Licensing Program Analyst (LPA) Zina Brown conducted a subsequent complaint visit at this facility to deliver findings. During today’s visit, LPA met with Robert Jakini (Executive Director) & explained the purpose of the visit.

The investigation consisted of the following: On 07/01/2025, an initial complaint visit was conducted by the Department. On that day, LPAs Brown and Iniguez conducted a health and safety check of the facility. LPAs obtained and reviewed the following documents: Resident Roster dated: 7/1/25, Staff Roster dated: 6/17/25.

On 07/10/2025, between the hours of 2:05pm - 2:51pm interviews were conducted with Regional Director (A1), Staff (S1-S6) & Residents (R1-R6).

Report continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
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 3

Control Number 11-AS-20250701095115

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: 07/10/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Facility elevators are in disrepair.
It is alleged that the facility elevators was in despair and residents are unable to use facility elevators.
On 07/10/2025, between the hours of 2:50pm - 2:51pm, LPA interviewed A1 who denied the allegation and stated that on 07/01/2025, the elevator company was notified immediately once the facility discovered that the elevators were not working. A1 stated the former Administrator notified the Department about the small passenger elevator no longer moving on both floors and the elevator company came out to the facility to fix the elevator. A1 also mentioned that the former Administrator come into the facility at approximately 5am on 07/01/2025 to assist staff with serving breakfast to the residents. The staff used the stairs to get to and from each floor to attend to the residents as needed.

On 07/10/2025, between 2:11pm - 2:51pm, LPA interviewed 6 staff: 6 out of 6 denied the allegation. 3 of the 6 staff stated that the elevator was repaired the same day on on 07/10/2025 and 5 out the 6 staff confirmed that the residents and the families of the resident were notified.

On 07/10/2025, between 2:05pm - 2:44pm, LPA interviewed 7 residents: 2 out of 7 denied the allegation and 5 out of 7 were unaware of the allegation. The residents stated they and their families were informed about the elevator not working on 07/01/2025, while other residents had no idea, couldn't answer and or were not affected because they don't leave the floor were they resided so therefore they don't use the elevator.

On 07/01/2025, LPAs Brown & Inguiez conducted a health and safety visit and observed on the elevator was repaired at approximately around 1pm. LPAs used the facility elevator conducted interviews with the staff and the residents.

On 07/01/2025, LPA conducted a records review and observed the following: the Department received the LIC 624: Unusual Incident/Injury Report via fax which stated the small passenger elevator was no longer moving on both floors.

Report continues on LIC 9099-C.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
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)

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Control Number 11-AS-20250701095115

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: 07/10/2025

NARRATIVE

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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.

No deficiencies were cited for the allegations above.

An exit interview was conducted, and a copy of this report was provided to Robert Jakini (Executive Director).

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
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)

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