197602370-7-9-2026-11-AS-SCIS-DWLQPE-20260803122036

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197602370
Report Date: 07/09/2026
Date Signed: 07/09/2026 03:37:33 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
02/19/2026 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260219145659

FACILITY NAME:	PINNACLES AT BURTON, THE		FACILITY NUMBER:	197602370
ADMINISTRATOR:	ROBIN CULVER		FACILITY TYPE:	740
ADDRESS:	8757 BURTON WAY		TELEPHONE:	(310) 278-8323
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90048
CAPACITY:	138; 138	CENSUS: 57	DATE:	07/09/2026
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Administrator - Robin Culver		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff did not provide resident with proper notice regarding move.
Staff did not provide resident with proper admissions agreement.

INVESTIGATION FINDINGS:

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**This report does not supersede the previous report delivered on 02/25/2026 and is used only to clarify findings**.

On 07/08/2026 between 10:20 AM and 2:35 PM, Licensing Program Analyst (LPA) Troy Watson conducted a subsequent complaint visit regarding the allegations listed above. LPA met with Administrator Robin Culver, and the purpose of the visit was explained.

The investigation consisted of the following:

On 02/25/2026, LPA Watson obtained copies of the following documents:
Resident Roster dated 11/24/2024, Staff Roster dated 11/18/2024, Resident Lease Agreement for R1 dated 05/01/2026, Physician’s Report for R1 dated 07/24/2025,
CONTINUED ON LIC9099 - C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260219145659

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: PINNACLES AT BURTON, THE	FACILITY NUMBER: 197602370
	VISIT DATE: 07/09/2026

NARRATIVE

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Notice to Move Letter dated 02/05/2026, Medical Assessment dated 05/30/2026, and cell phone correspondence dated 02/27/2026. On the same date, LPA Watson conducted interviews with Staff #1–5 (S1–S5) and Residents #1–5 (R1–R5).

On 07/08/2026, the department conducted additional interviews with Staff #1–3 and Staff #5 (S1–S3 and S5). An attempt was made to interview Staff #4, however S4 was not present and is no longer working at the facility. LPA Watson toured the facility with Administrator Culver and observed the facility to be clean and in good repair.

Investigation revealed the following:

Allegation: Staff did not provide R1 with proper notice regarding move.

This allegation asserts that R1 did not provide proper notice of a room change, that the notice was undated, and that staff attempted to move R1 while he was ill.

On 07/08/2026, the department interviewed Administrator Robin Culver (S1). S1 reported that staff provided proper notice to R1 and all affected residents. S1 stated all residents received 30 day notice of the renovation project and that R1 was granted an additional week to relocate. S1 clarified that the renovations were limited to flooring and painting and did not constitute major construction.
On 07/09/2026, the department obtained and reviewed the Notice to Move Letter issued to R1 on 02/05/2026. The notice showed it was hand delivered to all residents on the first floor, informing them of the planned relocation to the fourth floor due to remodeling. Interviews with S1 and R1 confirmed that although the notice was provided on 02/05/2026, R1 was the last resident to relocate and did not move until 05/02/2026.

On 02/25/2026, LPA Watson interviewed Staff #1–5 and Residents #1–5. Out of those interviewed 5 out of 5 staff denied the allegation, and 4 out of 5 residents denied the allegation.
On 07/08/2026, additional interviews were conducted with Staff #1–3 and #5. Out of those interviewed 4 out of 4 staff interviewed denied the allegation.

CONTINUED ON LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260219145659

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: PINNACLES AT BURTON, THE	FACILITY NUMBER: 197602370
	VISIT DATE: 07/09/2026

NARRATIVE

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Based on observation, records reviewed, and interviews conducted, there is insufficient evidence to support the allegation. Although the allegation may have happened or could be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.
Allegation: Staff did not provide R1 with proper admissions agreement.
This allegation asserts that R1 was not provided with an admission agreement containing required information, specifically late fee disclosures and notice of resident rights.
On 07/08/2026, the department interviewed Administrator Robin Culver (S1). S1 stated that R1 received a proper and updated Admission Agreement that included required elements such as late fee information and notification of resident rights. S1 explained that the facility follows all terms outlined in R1’s Admission Agreement.

On 07/09/2026, the department reviewed R1’s signed Resident Lease Agreement. Under Section 1.2, the agreement states that a $250.00 late fee will be added if payment is not received by the 6th day of each month. Section 10.1 indicates that the resident or responsible party received a copy of the Resident Personal Rights. Based on this review, the department concluded that the admission agreement contains all required information, including late fee disclosure and notice of resident rights.

On 02/25/2026, LPA Watson interviewed Staff #1–5 and Residents #1–5. Out of those interviewed 5 out of 5 staff denied the allegation, and four out of five residents denied the allegation.
On 07/08/2026, additional interviews were conducted with Staff #1–3 and #5. Out of those interviewed, 4 out of 4 staff denied the allegation.

Based on observation, records reviewed, and interviews conducted, there is insufficient evidence to support the allegation. Although the allegation may have happened or could be 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 with Administrator Robin Culver, and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

LIC9099 (FAS) - (06/04)

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