Illustration — no photo of this home on file yet

Vernon Cottage

Small home·Licensed for 6·Long Beach, California

Licensed since 2022Licence #198320283
  • Care approvals on fileWheelchair · Dementia · Hospice · BedriddenState licensing record · September 13, 2026
  • Estimated starting rate$5,600 a monthCovelight estimate · likely $4,550–$6,850
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Room at the last state visit5 of 6 beds occupiedJune 24, 2024 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitJuly 11, 2026CDSS inspection record
  • Licence holderPremiere Cottages Inc.Since 2022 · 2 licensed homes

Vernon Cottage is a small care home in Long Beach — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2022.

Built from CDSS public records · September 13, 2026. Every fact below names its source and date.

Quick answers and the state record

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about Vernon Cottage

Is Vernon Cottage licensed?

The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.

How many residents is Vernon Cottage licensed for?

6 residents — a small home, per CDSS records as of September 13, 2026.

Has Vernon Cottage been cited?

0 Type A and 2 Type B citations since 2022, per CDSS records as of September 13, 2026. Those records count 9 state visits over the same years.

Is Vernon Cottage still open?

This license was on the CDSS roster as of September 28, 2026.

What does Vernon Cottage cost?

$5,600 a month to start is a Covelight estimate, likely $4,550–$6,850. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Covelight’s estimate starts from the rates 15 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Among 22 other homes of a similar licensed size in Long Beach that publish a starting rate, the middle half runs $4,000 to $6,500 a month, and the middle figure is $5,500 (n = 22 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.

A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.

Does Vernon Cottage take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by Premiere Cottages Inc., per CDSS records as of September 13, 2026. See the homes licensed to Premiere Cottages Inc. — at least 3 on the state roster.

Is there a hospital nearby?

Memorialcare Long Beach Medical Center is 2.5 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can Vernon Cottage keep a resident on hospice?

Hospice care is approved on this license, per CDSS records as of September 13, 2026.

Vernon Cottage license and inspection record

  • Name on the license: “VERNON COTTAGE”, per the CDSS roster as of May 25, 2025.
  • License #198320283. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 13, 2026.
  • Licensed to Premiere Cottages Inc., per CDSS records as of September 13, 2026.
  • First licensed in 2022, per CDSS records as of September 13, 2026.
  • 9 state inspection visits since 2022, per CDSS records as of September 13, 2026.
  • 0 Type A and 2 Type B citations on file since 2022, per CDSS records as of September 13, 2026. The same records count 9 state visits in that period.
  • 2 complaints and 2 substantiated allegations on file since 2022, per CDSS records as of September 13, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is July 11, 2026, per CDSS records as of September 13, 2026.
Type A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved · covers up to 6 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved by the state
  • BedriddenApproved · covers up to 1 resident

State licensing record · September 13, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording
AGE RANGE TO AND OVER. APPROVED FOR SIX (6) NON-AMBULATORY OF WHICH 1 MAY BE BEDRIDDEN IN ROOM #4. HOSPICE WAIVER APPROVED FOR FOUR (4).

983 - RCFE / DEMENTIA

CDSS record, verbatim · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 13, 2026

  • If memory loss develops

    Dementia-care designation on file

    Ask: “Can we read the dementia care disclosure and discuss how daily support works?”

    State licensing record · September 13, 2026

3 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

What it costs here

Covelight estimate

$5,600a month to start

Likely $4,550–$6,850

From 15 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$5,600a month

Likely $4,550–$7,000

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Room
Daily care
Sharing the room
  • Starting monthly rate$5,600likely $4,550–$6,850

    Covelight’s estimate starts from the rates 15 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

  • Basic help with daily careUsually includedup to $600

    Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $4,550–$7,000
$5,600
First monthWith a one-time move-in fee · likely $5,300–$10,050
$7,600
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
  • Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
  • Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
  • SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
  • VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
  • Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
Avoid surprises on the billWhat changes the price, and what to ask
  • The care level

    Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.

  • What is billed separately

    Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.

  • Move-in costs

    A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.

  • Increases

    California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 15 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

15 homes like this within 3 miles publish starting rates mostly between $4,000–$8,050.

  • Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
  • Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
  • Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
  • Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
  • We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
  • It cannot see this home’s specials, how it assesses care, or which rooms are open.
Show the 15 nearby homes behind this estimate

Where it is

  • 2312 Roswell Ave, Long Beach, CA 90815Address from the public record · September 13, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2022, the state has filed 9 documents for this home, and its records count 9 visits since 2022. The most recent is a facility evaluation report, dated July 11, 2026.

On file since
2022
State visits
9
Most recent visit
July 11, 2026
Occupied · June 24, 2024 visit
5 of 6 bedsa count on that day, not an opening

We hold 3 complaint reports the state published for this home, dated April 10, 2024 to June 24, 2024. 3 of the 3 carry the state's recorded outcome word: “Substantiated” (1), “Unsubstantiated” (2). 3 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 3 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations2typical 0
  • Substantiated allegations2typical 0
  • Total complaints2typical 0

“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2022.

Year by year
YearVisitsDocumentsSubstantiated20261102025110202444120231102022220

The last 36 months — 6 of 9 documents

20261 state visit · 1 document
Jul 11, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On July 11, 2026, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met administrator Jose Umana and explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory, of which (1) may be bedridden in room #4 for elderly adults ages 60 and above. The facility is approved for (4) hospice residents. Currently, there are no hospice resident in care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (3) bathrooms, a living area, a dining area, a kitchen, an outside seating area, a laundry room, a powder room, and a garage utilized for storage. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 105..9 degrees F. A comfortable temperature of 712 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Fire extinguishers were charged. A review of the Medication Administration Records (MAR) was observed to be maintained in order and complete. (Evaluation Report continues LIC 809-C) All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on May 15, 2026 at 3 PM. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance with policy #PC193091533-02 - effective 02/01/26 - 02/01/27. An audit of resident #1-#6 (R1-R6) service files and staff #1-#5 (S1-S5) personnel files. The facility has the current administrator's certification for Edgar Yraheta #6082075740 valid through 05/21/2028 and Jose Umana #7001004740 valid through 07/05/2027. The facility is not current on (CCL) annual dues. DEFICIENCY: The inspection conducted by LPA revealed that resident room #2 lacks a window screen. Deficiencies are issued and an exit interview is conducted with SHAWELLYN MARTIN. A copy of this report is provided along with the appeal rights.the state’s words, verbatim · CDSS document, Jul 11, 2026
20251 state visit · 1 document
Jun 19, 2025Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 06/19/2025, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Edgar Yraheta, Administrative Assistant. The facility is licensed to operate for (6) non-ambulatory of which (1) may be bedridden elderly adults ages 60 and above. The facility is approved for (4) hospice resident. Physical Plant/Structure: The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (4) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, an outside shaded seating area, and a garage used for storage. Bedrooms: LPA inspected all 6 bedrooms; the mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathrooms: Toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. LPA tested hot water temperature, and it measured between 105 and 120 degrees Fahrenheit. There was adequate supply of linens available for the residents. Page 1 of 2 Common Rooms: All common areas are clean and free of obstructions. There is adequate seating for the residents in care. Each common area is equipped with furniture that is in good repair. Required Postings: LPA observed all required documents posted throughout the facility. The facility has a working landline telephone. Kitchen LPA observed a 2-day supply of perishable foods, and a 7-day supply of non-perishable foods properly stored, packaged, and labeled. Sharps were locked away and inaccessible to the residents. Safety LPA observed 2 fully charged fire extinguishers last serviced on 5/12/2025. The last emergency drill was conducted on 6/03/25. Medications: LPA observed all centrally stored medications secured All medications were observed in their original packaging. File Review: LPA reviewed 4 resident files and found that ( 4 ) out of ( 4) had the required documents. LPA reviewed 4 staff files and found that ( 4 ) out ( 4 ) had the required documents, training, and certifications. Infection Control LPA observed required infection control signs posted throughout the facility. LPA observed a sanitizing stations in entryway of facility. No citations issue during todays visit Exit interview conducted. Copy of report provided. Page 2 of 2the state’s words, verbatim · CDSS document, Jun 19, 2025
20244 state visits · 4 documents
Jun 27, 2024Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 06/27/2024, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Edgar Yraheta, Administrative Assistant. The facility is licensed to operate for (6) non-ambulatory of which (1) may be bedridden elderly adults ages 60 and above. The facility is approved for (4) hospice resident. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (4) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, an outside shaded seating area, and a garage used for storage. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 107.2 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Two fire extinguishers were fully charged. A review of the Medication Records Administration (MAR) was observed to be maintained in order and complete. Report continues, see LIC809C. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last emergency fire drill was conducted on 02/09/2024. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 02/01/24 through 02/01/25. An audit of two (2) residents (R1-R2) service files and four (4) staff (S1-S4) personnel files revealed to be complete. The facility has the current administrator's certification on file for Jose Umana. There have been no deficiencies cited during today's visit. An exit interview was held with Edgar Yraheta, Administrative Assistant, and a copy of this report has been provided.the state’s words, verbatim · CDSS document, Jun 27, 2024
Jun 24, 2024Complaint investigation reportSubstantiated

Allegation investigated: Licensee does not allow resident to participate in private visitations while in care. Licensee is not allowing resident to participate in outings with family member(s).

On 06/24/2024, Licensing program Analyst (LPA) Mario Leon conducted a follow-up, unannounced, visit to the above-mentioned facility to deliver this amended document originally delivered on 04/25/2024. LPA was met by Elsa Roman, Assistant Administrator. The investigation consisted of the following: On 04/10/2024, Licensing program Analyst (LPA) Mario Leon conducted an initial complaint visit at the above-mentioned facility. LPA was met by Alexander Ramos, Caregiver (S2). LPA was later met by Elsa Roman, Administrator (S1), and the purpose of the visit was explained. On 04/10/2024 LPA requested facility documents for all staff who were present during resident one's (R1) presence and R1's hospice care plan. LPA interviewed four (4) staff who were present at the facility and three (3) out of six (6) residents. 3 residents were not available for interview. LPA interviewed two (2) witnesses. LPA conducted a plant inspection and records were reviewed. Report continues, see LIC9099C Substantiated The investigation revealed the following: Regarding the allegation: "Licensee does not allow resident to participate in private visitations while in care". It has been alleged that the Administrator, Jose Umana (S3), is not allowing resident one (R1) to have private visitations in his room. Record Reviews of the Provider Information Notices (PINs), PIN 21-48-ASC indicate that: “individuals who have Power of Attorney (POA), regarding both financial and health directive has no legal authority to control resident’s visitation rights, unless explicitly specified in the POA document and if the resident is not objecting. The resident has ultimate authority over such decisions.”. LPA did not observe any court order which would restrict family members from visiting R1. Interviews with R1 indicate that R1 is ok with private visits with family member(s), that R1 holds no preference as to who they hold private visits with, as well as having no preference as to who they can go with on any private outings. Records review of the POA documents indicate that there are no specific authority of control of a resident’s visitation rights. Interviews revealed that 4 out of 4 facilities’ staff claims to have followed a choice to disrupt a visit, based on the POA’s request. 3 out of 3 residents and 2 out of 2 witnesses have denied the allegation Based on record reviews, interviews conducted and LPA’s observation, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC 9099D. Regarding the allegation: "Licensee is not allowing resident to participate in outings with family member(s).". It has been alleged that S2 is no longer allowing R1 to leave the facility with family member(s). Interviews revealed that 4 out of 4 staff, 3 out of 3 residents and 2 out of 2 witnesses have denied the allegation. While R1 has stated that they are O.K. to conduct outings with their family member(s), it has been recommended by the Power of Attorney (POA) that R1 should not be let out of the facility, for fear of relocation of R1. Record reviews revealed that, according to Provider Information Notices (PINs), PIN 21-48-ASC, R1 cannot be placed in a facility with secured perimeters. According to Health and Safety, Division 2 – Licensing Provisions, Chapter 3.2 Residential Care Facilities for the Elderly, Article 6.6 Secured Perimeters, 1569.698 (f) Any person who is not a conservatee and is entering a locked or secured perimeter facility pursuant to this section shall sign a statement of voluntary entry. The facility shall retain the original statement and shall send a copy of the statement to the department. R1 has not signed a voluntary entry for any secured perimeter facility and has not objected to conduct outings with family member(s). Report continues, see LIC9099C Based on record reviews and LPA observation, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC 9099D. An exit interview was conducted with Elsa Roman, Assistant Administrator, and a copy of the appeal rights and this report has been provided.the state’s words, verbatim · CDSS document, Jun 24, 2024 · control 11-AS-20240405160953

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: Jun 28, 2024

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to...87468.1, Personal Rights of Residents in All Facilities, residents...shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in...visits, communications, telephone conversations,...and family groups. This has not been met as evidenced by: Licensee has agreed to follow the POA wishes by informing POA any time another family member arrives to visit with R1.the state’s words, verbatim · CDSS document, Jun 24, 2024

Plan of correction: Licensee has agreed to conduct in-staff training at the above-mentioned facility. All staff will read, in a language they understand, CCR 87468.2(a)(1-7) and licensee will provide a sign-in sheet, date(s)/time(s) included. Each staff will also review PIN 21-48-ASC and will sign names as "reviewed". Licensee will send sign-in sheet to LPA via email at MARIO.LEON@DSS.CA.GOV

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.698(f) · Plan of correction due date: Jun 28, 2024

1569.698 Building standards; adoption; locked and secured perimeters in residential care facilities; persons with dementia (f) Any person who is not a conservatee...shall sign a statement of voluntary entry. The facility shall retain the original statement and shall send a copy of the statement to the department. This has not been met as evidenced by: Licensee did not allow a family member to take R1 on outings.the state’s words, verbatim · CDSS document, Jun 24, 2024

Plan of correction: Licensee has agreed to conduct in-staff training at the above-mentioned facility. All staff will read, in a language they understand, HSC 1569.698(f) and licensee will provide a sign-in sheet, date(s)/time(s) included. Licensee will send sign-in sheet to LPA via email at MARIO.LEON@DSS.CA.GOV

Apr 26, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Licensee did not allow a resident to have a visitation

On 06/24/2024, Licensing program Analyst (LPA) Mario Leon conducted a follow-up, unannounced, visit to the above-mentioned facility to deliver this amended document, originally delivered on 04/26/2024. The purpose of this amended document is to remove identifying information from the narrative. LPA was met by Edgar Yraheta, Administrator Assistant, and the purpose of the visit was explained. The investigation consisted of the following: On 04/26/2024 LPA conducted an initial complaint visit at the above-mentioned facility. LPA was met by Shawellyn Martin, Caregiver (S4). LPA was later met by Jose Umana, Administrator (S1) and Edgar Yraheta, Administrator Assistant (S2) and the purpose of the visit was explained. On 04/25/2024 LPA requested facility documents for all visits conducted by Long Beach Police Department (LBPD) on 04/13/2024. On 04/26/2024 LPA interviewed four (4) staff (S1-S4) and three (3) out of five (5) residents (R1-R3), two (2) residents (R4-R5) were resting and preferred not to be interviewed, and two (2) witnesses (W1-W2). LPA conducted a plant inspection and records were reviewed. Report continues, see LIC9099C. Unsubstantiated The investigation revealed the following: Regarding the allegation: "Licensee did not allow a resident to have a visitation". It has been alleged that on 4/13/2024 visitor(s) were asked to leave the facility during visiting hours. Record reviews revealed the following: The Sign in/out sheet, on 04/13/2024, logged that a visitor was there to visit a resident. The facility house rules indicates that residents are allowed to have visitors between the hours of 09:00AM - 7:00PM, but that "visitors must be respectful of other residents and staff. Disruptive guests will be asked to leave.". Record reviews of the Serious Incident Report (SIR), submitted on 04/17/2024, indicates that on 04/13/2024 around 11:30AM a visitor was escorted out of the facility by LBPD officers after verbally threatening staff and family member(s). Interviews revealed the following: 4 out of 4 staff and 3 out of 3 residents have disagreed with the allegation. Interviews also indicate that on 04/13/2024 Administrator S1 and LBPD requested a visitor to depart from the facility due to that visitor’s disruptive behavior to staff, which disrupted three (3) residents in care. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. There have been no deficiencies cited today. An exit interview was held with Edgar Yraheta (S2) and a copy of this report has been provided.the state’s words, verbatim · CDSS document, Apr 26, 2024 · control 11-AS-20240417145929
Apr 10, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff member engages in inappropriate behavior with family member in the presence of resident in care.

On 06/24/2024, Licensing program Analyst (LPA) Mario Leon conducted a follow-up, unannounced, visit to the above-mentioned facility to deliver this amended document originally delivered on 04/25/2024. LPA was met by Elsa Roman, Assistant Administrator. The investigation consisted of the following: On 04/10/2024, Licensing program Analyst (LPA) Mario Leon conducted an initial complaint visit at the above-mentioned facility. LPA was met by Alexander Ramos, Caregiver (S2). LPA was later met by Elsa Roman, Administrator (S1), and the purpose of the visit was explained. On 04/10/2024 LPA requested facility documents for all staff who were present during resident one's (R1) presence and R1's hospice care plan. LPA interviewed four (4) staff who were present at the facility and three (3) out of six (6) residents. 3 residents were not available for interview. LPA interviewed two (2) witnesses. LPA conducted a plant inspection and records were reviewed. Report continues, see LIC9099C Unsubstantiated The investigation revealed the following: Regarding the allegation: "Staff member engages in inappropriate behavior with family member in the presence of resident in care.". It has been alleged that family member(s) was in R1's room having a private conversation with R1 and S2 interrupted the family member and R1's conversation. Interviews revealed that 4 out of 4 staff, 3 out of 3 residents and 2 out of 2 witnesses have denied the allegation. Record reviews revealed that all 4 staff have appropriate training records, according to CA Code of Regulations: Title 22, Division 6, Chapter 8 - Article 07. "87411 Personnel Requirements - General". Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. An exit interview was conducted with Elsa Roman, Assistant Administrator, and a copy of this report has been provided.the state’s words, verbatim · CDSS document, Apr 10, 2024 · control 11-AS-20240405160953
What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

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