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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197800131
Report Date: 08/10/2026
Date Signed: 08/10/2026 12:30:16 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
08/04/2026 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 11-AS-20260804133308
FACILITY NAME:CHATEAU LONG BEACHFACILITY NUMBER:
197800131
ADMINISTRATOR:OLIVIA ALVARADOFACILITY TYPE:
740
ADDRESS:3100 E. ARTESIA BLVD.TELEPHONE:
(562) 428-5371
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:184; 184CENSUS: 104DATE:
08/10/2026
UNANNOUNCEDTIME BEGAN:
08:41 AM
MET WITH:Olivia AlvaradoTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff did not administer medication to a resident in care.
INVESTIGATION FINDINGS:
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On August 10, 2026, the Department of Social Services (DSS) staff conducted an initial unannounced complaint visit at the facility to investigate the above allegation and to deliver the findings. The department was greeted by Administrator Olivia Alvarado, and the purpose of the visit was explained.

The investigation consisted of the following:
On August 10, 2026, the Department obtained the following documents: Staff roster (dated 7/30/26), Resident roster (dated 8/10/26), MAR for (July and August 2026), Admission Agreement (11/7/24), SIR (dated 8/2/26), Physicians report (9/13/25), Daily log/notes (dated 8/1/26), Medication training certificates (dated 7/1/26, 6/26/26).

On August 10, 2026, the department interviewed: Administrator (A1), and 2 staff (S1-S2).

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026
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-20260804133308
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: CHATEAU LONG BEACH
FACILITY NUMBER: 197800131
VISIT DATE: 08/10/2026
NARRATIVE
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The investigation revealed the following:

Allegation: Staff did not administer medication to a resident in care.

The detail of the complaint alleges staff did not administer R1 Parkinson’s medication and did not provide a reason why.

On August 10, 2026, at 9:40am, the Department interviewed Administrator (A1), who denied allegation stating that there have been no reports of R1 missing R1 Parkinson's medication. A1 further stated that the MedTechs are certified in giving the medication. Lastly, A1 stated that she ensures that medication is given properly and as prescribed by doing a monthly audit of the medication and the MAR in addition to the Wellness Director’s medication audit.

On August 10, 2026, between 10:00am and 11:00am, the Department interviewed 2 staff (S1-S2) both staff are responsible for passing medication to the residents. Of those interviewed, 2 out of 2 stated that they have given R1's Parkinson's medication as prescribed and have not missed medication due to error or a refusal from R1. 2 out of 2 staff interviewed stated that they are certified in medication administration and documentation.

R1 was not interviewed as R1 was hospitalized as of 8/1/26 and has not yet been discharged.

On August 10, 2026, the Department reviewed and evaluated the following documents: MAR for (July and August 2026), Admission Agreement (11/7/24), SIR (dated 8/2/26), Physicians report (9/13/25), Daily log/notes (dated 8/1/26), Medication training certificates (dated 7/1/26, 6/26/26)

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260804133308
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: CHATEAU LONG BEACH
FACILITY NUMBER: 197800131
VISIT DATE: 08/10/2026
NARRATIVE
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The review of the MARs showed no discrepancies found. The SIR confirmed that R1 was sent to hospital on 8/1/26, the certificate of completion showed that staff received training in medication administration and documentation.

Based on the information gathered, there is insufficient 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.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3