198320179-7-30-2025-11-AS-EMAZ-DLYNZB-20250929105404

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320179
Report Date: 07/30/2025
Date Signed: 07/30/2025 05:07:48 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
07/28/2025 and conducted by Evaluator Alfonso Iniguez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250728144911

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: 70	DATE:	07/30/2025
		UNANNOUNCED	TIME BEGAN:	10:27 AM
MET WITH:	Jim Howland/Executive Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff does not ensure elevators are in good repair

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 7/30/25, at approximately 10:00 AM, Licensing Program Analyst-LPA Alfonso Iniguez conducted an unannounced initial complaint visit. LPA Iniguez met with Jim Howland/Executive Director. LPA explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Executive Director(A#1), Residents (R#1-R#5), Witnesses(W#1-W#2) and Elevator Technician (E#1). LPA obtained and reviewed the following documents: Resident’s Roster dated:7/30/25, Personnel Roster dated:7/30/2025 and a Health and Safety Check of the facility elevators.

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: 07/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

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

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 11-AS-20250728144911

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: 07/30/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Investigation Revealed the Following:

Allegation: Allegation: Facility staff does not ensure elevators are in good repair.

The details of the complaint alleged that the elevator that works in the facility closes for residents without stopping.

On July 30, 2025, at approximately 12:30 PM, during a health and safety inspection of the facility elevators, LPA Iniguez observed residents using the elevator to return to their rooms after lunch. He noted that the elevator doors did not close abruptly or quickly on them.

On July 30, 2025, at approximately 10:30 a.m., the Executive Director (A#1) reported that the first elevator has been out of service for over 30 days. This elevator is located inside the facility and is responsible for transporting residents between the bottom floor and the fifth floor. (A#1) mentioned that two technicians are currently working on it. He also noted that, prior to July 25, 2025, he was unaware of issues with the second elevator until a family member alerted him that it was closing quickly on people. Following this report, (A#1) requested that repairs be made. The elevator company was onsite on July 25 and July 26, and they are now working on fixing the broken elevator as well as inspecting the second one.

On July 30, 2025, at approximately 10:30 am, during an interview with the facility maintenance director (S#1), he acknowledged that one of the elevators is currently out of service. However, he noted that the working elevator does not close quickly on people.

On July 30, 2025, at approximately 11:00 am, during an interview with residents who live on the second floor (R#1-R#5), (5) out of (5) stated that the elevator door had never closed on them quickly before.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20250728144911

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: 07/30/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

On July 30, 2025, at approximately 2:00 pm, during an interview with witnesses (W#1-W#2), (2) out of (2) stated that the times they come and visit their family at the facility, they have never experienced the elevator door closing on them quickly.

On July 30, 2025, at approximately 3:00 PM, during an interview with the elevator technician (E#1), they explained the operation of the elevator's door system. The elevator has a built-in timer that allows the door to remain open for approximately 10 seconds after closing. If someone needs to hold the door for another person to enter, the door can remain open for up to 20 seconds. After this time, the door will attempt to close, bypassing the infrared sensors until it shuts completely. If the door does not close completely, it will reopen and shut off the electrical system until a technician can reboot it. LPA Iniguez inquired whether there are any safety hazards associated with the elevator door closing on someone. (E#1) reassured that there are no safety hazards, as the force exerted by the door is less than 15 pounds, which complies with state regulations.

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 JIM Howland/Executive Director.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3