198320179-7-23-2025-11-AS-EMAZ-DLMTCD-20250918143635

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320179
Report Date: 07/23/2025
Date Signed: 07/23/2025 12:40:56 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
07/16/2025 and conducted by Evaluator Alfonso Iniguez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250716110807

FACILITY NAME:	SUNRISE OF BEVERLY HILLS		FACILITY NUMBER:	198320179
ADMINISTRATOR:	MELON RIVERA		FACILITY TYPE:	740
ADDRESS:	201 NORTH CRESCENT DRIVE		TELEPHONE:	(310) 274-4479
CITY:	BEVERLY HILLS	STATE: CA	ZIP CODE:	90210
CAPACITY:	127	CENSUS: 79	DATE:	07/23/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Melon Rivera/Executive Director		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Staff do not ensure elevator is in good repair

INVESTIGATION FINDINGS:

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On 7/23/25, at approximately 9:30 AM, Licensing Program Analyst-LPA Alfonso Iniguez conducted an unannounced initial complaint visit. LPA Iniguez met with Melon Rivera/Executive Director. LPA explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Executive Director(A#1). LPA obtained and reviewed the following documents: Resident’s Roster dated:7/23/25, Personnel Roster dated:7/23/2025, and copies of email chain of communication between facility and OTIS Elevators: various dates.

Evaluation Report continues LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025

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-20250716110807

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: SUNRISE OF BEVERLY HILLS	FACILITY NUMBER: 198320179
	VISIT DATE: 07/23/2025

NARRATIVE

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Investigation Revealed the Following:

Allegation: Allegation: Staff do not ensure elevator is in good repair.

The details of the complaint alleged that the facility is doing nothing to fix the elevator that is in disrepair.

On July 23, 2025, at approximately 9:30 AM, during an interview with the Executive Director (A#1), it was reported that an elevator broke down on June 26, 2025, and requires a valve replacement due to overheating. (A#1) mentioned that they are still awaiting the delivery of the part needed to repair the broken elevator. Currently, only one of the two elevators is operational. Furthermore, (A#1) stated that the facility has an open contract with OTIS Elevators. Because they manufacture elevators, the facility is unable to hire a different repair company.

On July 23, 2025, at approximately 10:30 AM, during a records review, LPA Iniguez observed copies of emails exchanged between (A#1) and OTIS Elevators. On June 26, 2025, (A#1) reported a malfunctioning elevator via a phone call. The same day, a technician from OTIS Elevators arrived to assess the situation and subsequently shut down the elevator. On June 27, 2025, (A#1) followed up with an email indicating that a technician had come the previous day and shut down one of the elevators. (A#1) emphasized the need for assistance regarding this issue. Later that day, the account manager for OTIS Elevators responded to (A#1)’s email, stating that the technician had reported the problem was due to an overheated valve that needed replacement. To prevent future occurrences, they planned to install two oil coolers in the elevators. Additionally, LPA Iniguez noted that the facility communicated with the repair company via email on the following dates: June 30, July 1, July 9, July 10, July 16, July 18, July 20, and July 21, 2025. These emails documented the facility's efforts to resolve the elevator issue as promptly as possible.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20250716110807

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: SUNRISE OF BEVERLY HILLS	FACILITY NUMBER: 198320179
	VISIT DATE: 07/23/2025

NARRATIVE

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During this investigation, LPA did not find sufficient evident to support the above-mentioned allegation(s).

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, and a copy of the Complaint Report was given to Melon Rivera/Executive Director.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025

LIC9099 (FAS) - (06/04)

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