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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320319
Report Date: 07/08/2026
Date Signed: 07/08/2026 11:52:25 AM

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
06/29/2026 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260629125523
FACILITY NAME:BEVERLY HILLS HOMEFACILITY NUMBER:
198320319
ADMINISTRATOR:GHODSIAN, SHAROUZFACILITY TYPE:
772
ADDRESS:450 SOUTH LA PEER DRIVETELEPHONE:
(310) 709-7355
CITY:BEVERLY HILLSSTATE: CAZIP CODE:
90211
CAPACITY:6CENSUS: 0DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Nicole NehoraoffTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Facility is unkempt.
Staff did not provide sufficient food items to resident in care.
INVESTIGATION FINDINGS:
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On 7/08/26, the department conducted an initial complaint visit to the facility and was greeted by Clinical Director, Nicole Nehoraoff. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview staff and clients, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: The department investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S2). The facility does not have any clients at this time. The department received the following documents: Staff Roster (Date: No Date), Client Roster (Dated: 01/21/2026), and Menu Plan from the facility.

The investigation revealed the following: Allegation#1- Facility is unkempt.

Report Continued On LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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 2
Control Number 11-AS-20260629125523
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: BEVERLY HILLS HOME
FACILITY NUMBER: 198320319
VISIT DATE: 07/08/2026
NARRATIVE
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The details of the complaint allege that the facility is not well maintained and filthy inside of the facility. On 7/08/2026, from 9:30am-12:00pm, the department interviewed staff (S1-S2). C1 could not be interviewed because they have passed away. 2 of 2 staff denied the allegation Facility is unkempt. All of the staff stated that the facility has always been well maintained. Staff also stated that the facility has not had any staff nor clients since January of 2026.

The department toured the facility and observed that all rooms were clean throughout the facility and did not observe any hazards or obstructions in the facility or exterior.

The department did not interview any clients because their census is zero (0). Staff stated they have not had any clients since January of 2026.

Based on interviews and observations, there is insufficient evidence to support the allegation that Facility is unkempt. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Allegation#2- Staff did not provide sufficient food items to resident in care.



The details of the complaint allege the facility does not serve appropriate meals for the clients in care. It was reported that the facility only served a client toast for breakfast and a bologna sandwich for lunch. On 7/08/2026, from 9:30am-12:00pm, the department interviewed staff (S1-S2) regarding the allegation. C1 could not be interviewed because they have passed away. 2 of 2 staff denied the allegation that Staff did not provide sufficient food items to resident in care. All of the staff stated that when the facility had clients, they were served three meals per day and had access to snacks throughout the day. They deny that any client was just given toast for breakfast and a bologna sandwich for lunch.

The department reviewed the menu and observed that the menu plan provided for a full breakfast, lunch, and dinner with a mixture of fruits, vegetables, meat, grains, and dairy.

The department did not interview any clients because their census is zero (0). Staff stated they have not had any clients since January of 2026.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff did not provide sufficient food items to resident in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

No deficiencies were found and no citations were issued for this complaint investigation.

An exit interview was conducted with Clinical Director, Nicole Nehoraoff, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2