Facility Evaluation Report

On 08/22/25 The Department conducted a subsequent case management visit in response to the Special Incident Report submitted to CCLD about an incident occurring on 08/21/23. The department met with the Area Director Juan Zepeda as the purpose of the visit was explained.

The investigation consisted of the following: On 08/22/23 The Department conducted an unannounced health and safety check to follow up on an incident that occurred on 08/21/23. On 08/22/25 The department obtained copies of the following for client #1-2 (C1-C2); physicians report, face sheet, IPP, behavior plan, incident reports for the for the last 6 months, daily notes, client roster, staff roster, and staff training records. On 09/11/23 The Department conducted interviews with client #1-2 (C1-C2), and witness #1-2 (W1-W2). On 09/07/23 The Department obtained a copy of Memorial Care Long Beach Medical center medical records for C2. On 10/21/23 The Department obtained a copy of the Long Beach Fire Department report. On 10/31/23 The Department obtained a copy of the Long Beach Police Department report. On 11/08/23 The Department conducted interviews with staff #1-9 (S1-S9), and on 11/20/23 The Department conducted interview with witness #3 (W3) .

The investigation revealed the following: On 09/11/23 The Department conducted interviews with C1-C2, 2 of the 2 clients interviewed confirmed the incident that occurred on 08/21/23. On 09/11/23 The Department conducted interviews with W1-W2, 1 of 2 witnesses interviewed reported having no concerns prior to incident occurred on 08/21/23. 1 of the 2 witnesses interviewed reported that Dungarvin California Long Beach staff are aware that C1 was not to have access to sharp objects. On 11/08/23 and 11/14/23 The Department conducted interviews with S1-S9. During the interview with S1, S1 reported C1.