Inspector’s narrative
What the inspector wrote
Furthermore, the department conducted a tour of the facility and observed the residents to identify any signs of neglect, abuse or other immediate health and safety threats. On 12/12/24, the department conducted interviews with W1. On 12/13/24, the department conducted interviews with witness #2 (W2), S1. On 12/14/24, the department conducted interviews with W2. On 12/16/24, the department received Hospice Records from Valley Oaks Hospice, Inc. (dated: 12/01/24-12/16/24) for R1. On 12/19/24, the department received EMS records and 911 recording from Long Beach Fire Department. On 12/20/24, the department received the Death Certificate from R1 from Long Beach Department of Health and Human Services. On 12/24/24, the department conducted interviews with W2, and witness #3 (W3). On 12/26/24, the department conducted interviews with staff #2-#5 (S2-S5). On 12/17/24, the department conducted interviews with W1. On 12/31/24, the department conducted interviews with staff #6-S7 (S6-S7). On 01/06/25, the department conducted interviews with witness #4 (W4). On 01/07/25, the department conducted interviews with staff #8-#9 (S8-S9). On 01/09/25, the department conducted interviews with staff #10 (S10). On 01/13/25, the department received Home Health Records for R1 from Royal Majesty Home Care, Inc. On 01/14/25, the department conducted interviews with W1. On 01/15/25, the department received Medical Records from R1’s Gastroenterologist, SoCal Gastroenterology, Hospital Records from St. Mary Medical Center, and Medical Records from Provider 1st R1’s Primary Care Physician. On 01/28/25, the department conducted interviews with witness #5 (W5). On 01/31/25, the department conducted interviews with staff #11 (S11). On 02/03/25, the department conducted interviews with witness #6 (W6). On 02/04/25, the department conducted interviews with witness #7 (W7). On 02/06/25, the department conducted interviews with witness #8 (W8). On 02/10/25, the department conducted interviews with witness #9 (W9) and staff #12 (S12). On 02/11/25, the department conducted interviews with witness #10 (W10). On 02/12/25, the department conducted interviews with witness #11 (W11). On 02/14/25, the department conducted interviews with witness #12 (W12). On 02/19/25, the department conducted interviews with staff #13 (S13). On 02/21/25, the department conducted interviews with S1 and S4. On 02/25/25, the department conducted interviews with W1. On 02/28/25, the department conducted interviews with staff #14-#15 (S14-S15). On 03/07/25, the department received Imaging Records for R1 from St. Mary Medical Center. On 03/14/25, the department conducted interviews with W2. On 03/20/25, the department conducted interviews with witness #13 (W13). On 03/21/25, the department conducted interviews with witness #14-#15 (W14-W15).
Continued on LIC9099-
On 10/15/25, the department requested a copy of the staff roster, resident roster, and the facility menu. The department conducted interviews with staff #2 (S2), staff #16-#20 (S16-S20), and residents #2-#7 (R2- R7). The department was unable to interview R1, as R1 passed away. On 10/17/25, the department conducted a tour of the facility and inspected r
ooms #306, and #303.
Allegation:
Facility is in disrepair.
It is being alleged that the facility has no hot water on the 3rd floor, including the kitchen, laundry and a residents room. On 10/15/25, the department conducted interview with S2 and staff #16-#20 (S16-S20)). Of those interviewed, 6 out of 6 staff denied the allegation. 6 out of 6 staff said they have not taken a resident to shower in another residents bathroom because there was no hot water in their bathroom. 5 out of 6 staff said they did not know if R1 was ever taken to another residents bathroom because there was no hot water in their bathroom, and 1 out of 6 staff said R1 was never taken to another residents bathroom because there was no hot water in their bathroom.
On 10/15/25, the department interviewed R2-R7, and were unable to interview R1, as they passed away. Of those interviewed, 6 out 6 residents denied the allegation. 6 out of 6 residents said there is hot water running in their bathroom and through the whole facility. 6 out of 6 residents said they have never been taken to another residents bathroom to shower due to no hot water running in their bathroom. 6 out of 6 residents said they did not know of a resident being taken to another residents bathroom to shower due to no hot water running in their bathroom.
On 12/10/24, the department conducted a tour of the facility, and inspected rooms #306, #305, #303, #308, laundry room, and the kitchen. During the tour and inspection, the department observed the facility to be clean and sanitary. The water temperature properly measured between 105. F and 120. F in all rooms inspected, including the laundry room, and kitchen. The department observed the facility to be in good repair.
On 10/17/25, the department conducted another tour of the facility, and inspected rooms #306, and #303. During the tour and inspection, the department observed the facility to be clean and sanitary. The water temperature properly measured between 105. F and 120. F in all rooms inspected. The department observed the facility to be in good repair.
Continued on LIC9099-C
Based on the information gathered, interviews conducted, and records reviewed, the Department found no 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.
An exit interview was conducted, and a copy of the report was provided to Robert Jakini, Executive Director.