198603319-10-20-2020-11-AS-JHAD-BUTNJ6-20201028102945

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 09/21/2020
Date Signed: 10/20/2020 02:11:40 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/17/2020 and conducted by Evaluator Ana Soto

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20200817152909

FACILITY NAME:	BEVERLY HILLS TERRACE		FACILITY NUMBER:	198603319
ADMINISTRATOR:	STRIKS, AHARON		FACILITY TYPE:	740
ADDRESS:	1470 S ROBERTSON BLVD		TELEPHONE:	(310) 273-3668
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY:	110	CENSUS: 92	DATE:	09/21/2020
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Ella Nayas, Licensee		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility temperature is not within range.
Facility has cockroach infestation.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ana Soto conducted a subsequent complaint investigation to deliver findings and decisions for the allegation listed above. Due to the situation surrounding the Corona virus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically with Ella Nayas, the facility licensee.

Based on the LPA's investigation, the investigation revealed the following. For Allegation – Facility temperature is not within range. On 09/08/20, LPA Soto interviewed R#2 – R#9, they all stated that the facility temperature is at a comfortable temperature. LPA Soto inspected the thermostats in rooms # 201 and # 116 they were both at 72 degrees. The living room thermostats was at 77 it was in automatic mode. On 08/19/20, LPA Soto interviewed licensee, she stated that on 11/2019, she had the air conditioners replaced throughtout the entire facilties with all new a/c units. She provided copies of the invoices for all the new air conditioners to LPA Soto. On 09/08/20, LPA Soto interviewed Assistant Administrator and S#3, they both stated that

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ana Soto	TELEPHONE: (323) 383-8284
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2020

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-20200817152909

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: BEVERLY HILLS TERRACE	FACILITY NUMBER: 198603319
	VISIT DATE: 09/21/2020

NARRATIVE

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the facility bought new air conditioners for the entire facility, they are all working properly.

For Allegation: Facility has cockroach infestation. On 09/08/20, LPA Soto toured the facility virtually and inspected common areas such as: kitchen, dining room, TV room, and room #201, LPA Soto did not see any roaches in those area she inspected. LPA Soto, also interviewed R#2 – R#7 & R#9, they all stated that they have not seen cockroaches in the common areas or their own rooms. On 06/2020 the facility had a two professional pest control companies come to the facility and spray the entire facility for insects. The Licensee provided copies of the invoices from 2 pest control companies: Guarantee pest control company and Enviroworx pest control company. On 09/08/20, LPA Soto interviewed Assistant Administrator and S#3, they both stated that the facility had a professional pest control come to the facility and spray, they both walked around the facility with the workers to make sure they sprayed the whole facility.

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

A telephonic exit interview was conducted with Ella Nayas, Licensee and a hard copy was provided via email for signature.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ana Soto	TELEPHONE: (323) 383-8284
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2020

LIC9099 (FAS) - (06/04)

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