Follow-up·April 22, 2025

On April 22, 2025, Licensing Program Analyst (LPA) Ernand Dabuet initiated an unannounced Case Management visit at this facility. LPA met with Administrator #2 (A2) Peggy Clark. LPA explained the purpose of this visit is reference with complaint #11-AS-20240215081652 and the Case Management visit on August 30, 2024, with Palmcrest Grand Residence. During the investigation conducted by California Department of Social Services (CDSS) Investigation Bureau (IB) investigator Sonia Sandoval, it revealed that (A1) withheld information. (A1) stated that resident #2 (R2) was never evicted from the facility and informed that (R2’s) family representative (R2) was able to return to the facility. Information was provided to (IB) Investigator Sandoval, who claimed (R2) was not able to return to the facility due to (R2’s) failure to follow instructions when redirected on the incident of 02/02/24. In addition, (A1) stated resident #1 (R1’s) family representative was immediately notified of the condition (R1) was found in abdominal pain. Nonetheless, (R1’s) family representative claimed notification of (R1’s) condition was received after 1300 hours (R1) was discovered by staff of abdominal pain at 0700 hours. (R1’s) family representative was not informed of the additional symptoms (R1) exhibited, which included vomiting, diarrhea, and bloody discharge. (A1) provided wrongful removal of resident #2 (R2). (A1) indicated (R2) exhibited aggressive behavioral outbursts and was deemed a safety concern no reports of aggressive behavior by any staff present during the incident on 02/02/24. In addition, (R2’s) family representative was notified after (R2) had been transported to the VA hospital that (R2) was not welcome to return to the facility and was not provided an Eviction Notice. (Evaluation Report continues LIC 809-C) The investigation revealed that (A1) obstructed it. Facility staff disclosed fear of retaliation from (A1) and stated that (A1) treated them differently for cooperating with IB Investigators. Information gathered indicated when law enforcement went to the facility, (A1) alerted the staff and instructed the staff not to say anything as there was no proof anything had occurred on the incident 02/02/24. (A1) stated to have not reported the incident to law enforcement because (A1) did not observe any signs of an assault. Despite this, (A1) stated to the Long Beach Police Department (LBPD) Detective (R2) had been removed and was not allowed back into the facility due to the incident. Based on observations, interviews, and record reviews, a preponderance of evidence standard has been met. (A1) failed to carry out the responsibilities and duties of an administrator by withholding information, wrongful removal of residents, and obstruction of an investigation. California Code of Regulations, Title 22, Division 6, and Chapter 8 are being cited on the attached LIC 809-D. An exit interview was conducted with Peggy Clark, Administrator, and a hard copy of the report along with appeal rights. This Complaint Investigation Report LIC 809 and LIC 809C&D dated 04/22/25 superseded the original LIC 809 LIC 809C&D reports dated 08/30/24 ***