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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602567
Report Date: 09/17/2025
Date Signed: 09/17/2025 03:16:26 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
09/11/2025 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250911232048
FACILITY NAME:REGENCY PALMS LONG BEACHFACILITY NUMBER:
198602567
ADMINISTRATOR:ROBERT JAKINIFACILITY TYPE:
740
ADDRESS:117 E 8TH STREETTELEPHONE:
(562) 432-9260
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:91CENSUS: 75DATE:
09/17/2025
UNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Robert JakiniTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff does not provide adequate supervision resulting in resident physically abusing another resident(s).
Staff is wrongfully evicting resident.
INVESTIGATION FINDINGS:
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On 09/17/25, at 9:16am, Licensing Program Analyst (LPA) Perry Scott conducted an initial complaint visit to the facility and was greeted by Robert Jakini, Executive Director. LPA explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff and residents, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: The department investigated the allegations mentioned in this complaint; and conducted interviews with staff (S1-S4) and residents (R1-R8). The department received the following facility documents: Resident Roster (Date: No Date) and Staff Roster (Dated: No Date). The department also received documents for resident’s (R1 and R2): Physician Report (Dated: 8/19/2024 & 9/9/2024), ID/Emergency Information (Dated: 09/17/2025 & 8/24/2024), Resident Lease Agreement (Dated: 08/24/2024 & 10/29/2024), Resident Assessment (Dated: 07/29/25 & 4/24/2025), Preplacement Appraisal Information (Dated: 9/16/2024 & 8/24/2024), Incident Reports (Dated: 3/13/2025 & 4/13/2025)...

Report Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
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-20250911232048
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: 09/17/2025
NARRATIVE
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Unauthorized Use Of Cameras Warning Notice (Dated: 05/08/2025), and Eviction Notice (Dated: 05/21/2025) were obtained from the facility.

The investigation revealed the following: Allegation #1- Staff does not provide adequate supervision resulting in resident physically abusing another resident(s).
The details of the complaint alleged that the facility does not provide adequate supervision leading to conflicts and altercations with the residents. On 09/17/25, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R8) regarding the allegation. 4 of 4 staff denied the allegation that Staff does not provide adequate supervision resulting in resident physically abusing another resident(s). All staff (S1-S4) stated the facility has more than enough staff to provide adequate care and supervision for the residents. They also state that on occasion some residents do have behavior problems and arguments with other residents and staff. They state that when these situations occur, there are staff present and available to counsel, coach, and redirect the resident’s behavior and to prevent things from going any further. They further state that when a resident makes contact with staff or another resident, it is documented and reported to the Community Care Licensing Division (CCLD), the resident’s physician, ombudsman, family, and any other parties that may have power of attorney over the resident.

The department interviewed residents (R1-R8) about the allegation and 8 of 8 residents that were interviewed stated that there is enough staff to adequately care for and supervise the residents in the facility. They also stated that they feel safe living in the community among the staff and the other residents.

The department reviewed the Staff Roster (Dated: No Date), Incident Reports (Dated: 3/13/2025 & 4/13/2025), Resident Assessment (Dated: 07/29/25 & 4/24/2025), and Preplacement Appraisal Information (Dated: 9/16/2024 & 8/24/2024) and observed that the facility has enough staff to meet the needs of the residents served and observed that the facility is appropriately documenting any incidents that occur and reporting them to CCLD and all other parties concerned in the residents care. The department did not find any evidence that the facility failed to have proper staffing causing the residents to be unsupervised.

Based on observation, interviews, and records reviewed, there is insufficient evidence to support the allegation that Staff does not provide adequate supervision resulting in resident physically abusing another resident(s). 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.

Report Continued on LIC9099-C

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250911232048
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: 09/17/2025
NARRATIVE
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Allegation #2- Staff is wrongfully evicting resident.

The details of the complaint alleged that the facility is wrongfully evicting the resident (R1) because of cameras in the resident’s room and violating general policies. On 09/17/25, from 9:30am-2:00pm, the department interviewed staff (S1-S4) and residents (R1-R8) regarding the allegation. 4 of 4 staff denied the allegation that Staff is wrongfully evicting resident. Staff (S1) stated that the resident (R1) was not wrongfully evicted. S1 stated that an eviction notice was issued to R1 on 05/21/2025, due to violating the facilities admission agreement. S1 stated that use of unauthorized video surveillance devices with an audio component, was a contributing factor to the eviction notice, which is not allowed at the facility as stated in the admission agreement which was signed by R1s responsible party on 08/24/2024. S1 further stated that the resident violated other general policies of the facility, such as violent behavior towards staff and other residents.

The department interviewed residents (R1-R8) about the allegation and 7 of 8 residents that were interviewed stated that they have not been issued an eviction notice or are being wrongfully evicted. They state that they are happy living at the facility and feel safe in their community.

The department reviewed the Eviction Notice (Dated: 05/21/2025), Unauthorized Use of Cameras Warning Notice (Dated: 05/08/2025), and the Resident Lease Agreement (Dated:08/24/2024) and observed that the resident was in violation of the general policies of the facility as outlined in section 10.9 of the resident’s lease agreement and for violating Title 22 regulations section 87224(a)(3) Eviction Procedures, “Failure of the resident to comply with general policies of the facility”. Additionally, another general policy of the facility was violated by the resident, which are the House Rules section 7.7 of the resident’s lease agreement that states, “residents should be respectful to all staff and residents, and further states that failure to comply with this rule may result in the issuance of a 30-day notice”. The facility staff (S1) stated the resident was violent towards staff and residents.

The department has confirmed that the eviction notice was sent to Community Care Licensing Division within 5 days of issuance and based on the review of the notice, it appears to be in compliance with Title 22 regulations.

Based on observations, interviews, and records reviewed, there is insufficient evidence to support the allegation that Staff is wrongfully evicting resident. 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 because of neglect, therefore the allegation is Unsubstantiated.

No citations were issued.

An exit interview was conducted with Robert Jakini, Executive Director, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3