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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320179
Report Date: 07/26/2023
Date Signed: 07/26/2023 12:54:48 PM


Document Has Been Signed on 07/26/2023 12:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754



FACILITY NAME:SUNRISE OF BEVERLY HILLSFACILITY NUMBER:
198320179
ADMINISTRATOR:RITA MELDONIANFACILITY TYPE:
740
ADDRESS:201 NORTH CRESCENT DRIVETELEPHONE:
(310) 274-4479
CITY:BEVERLY HILLSSTATE: CAZIP CODE:
90210
CAPACITY:127CENSUS: 67DATE:
07/26/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:RITA MELDONIANTIME COMPLETED:
01:00 PM
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On 7/26/2023 at 8:00 AM Licensing Program Analysts (LPA) David España conducted an unannounced visit to Sunrise of Beverly Hills. The purpose of today’s visit was to conduct the annual inspection. LPA met with Elizabeth Bond and Administrator Rita Meldonian and stated. The facility currently has 67 residents.

Smoke Detectors: Electrical & connected. Carbon monoxide detectors operational. Fire inspection was conducted on June 22, 2023. Appliances: Stove burners, oven, microwave, washer, and dryer are in working order. There is one large refrigerator, and freezer in the kitchen. Each set at an appropriate temperature for food storage. The residence is equipped with central air and heat and each resident bedroom is individually climate controlled.

LPA observed the water temperature to between 105F and 120F degrees. LPA observed a first aid kit which is available and has the following items: thermometer, tweezers, scissors, antiseptic, bandages, gauze and current first aid manual, which are stored and available for staff use but inaccessible to residents.

Staff and resident files are stored digitally and hard copy in Administrative office’s and inaccessible to other staff and residents. Facility does not manage residents’ funds. LPA reviewed five (5) resident files and five (5) staff files. Facility has been cleared with the following special conditions, approved on 04/13/2021. A capacity of 127 residents of which 118 can be non-ambulatory and 9 can be bed-ridden. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies, therefore no citations were issued at this time.

An exit interview conducted with Administrator Rita Meldonian and copy of report provided.
SUPERVISOR'S NAME: Ulysses CoronelTELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: David EspanaTELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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