198603319-12-30-2022-11-AS-SCIS-CMYVKC-20230111153004

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 12/29/2022
Date Signed: 12/30/2022 08:35:15 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 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
05/25/2022 and conducted by Evaluator Lourdes Montoya

COMPLAINT CONTROL NUMBER: 11-AS-20220525100546

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: 71	DATE:	12/29/2022
		UNANNOUNCED	TIME BEGAN:	10:12 AM
MET WITH:	Ella Naygas		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Staff are stealing from residents in care.
Residents are being denied liquids while in care.
Resident(s) handled in a rough manner while in care.

INVESTIGATION FINDINGS:

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On 12/29/2022, Licensing Program Analyst (LPA) Lourdes Montoya conducted a subsequent complaint visit at this facility to gather additional information and to deliver complaint findings.

LPA conducted a risk assessment with Caregiver Yuvicsa Tomasina who confirmed the facility has no positive Covid-19 cases. LPA met with Administrator Ella Naygas and explained the purpose of the visit.

The investigation consisted of the following: On 5/26/2022, LPA Montoya toured the facility, conducted a health and safety check, requested records, and conducted interviews with six staff (S1-S6) and eight residents (R1-R8). On 12/29/2022, LPA obtained and reviewed Records of Residents' Safeguard Cash Resources and R9's Personal Property and Valuables record.

Report continued in LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephanie Cifuentes	TELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Lourdes Montoya	TELEPHONE: (510) 725-7918
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022

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-20220525100546

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: BEVERLY HILLS TERRACE	FACILITY NUMBER: 198603319
	VISIT DATE: 12/29/2022

NARRATIVE

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The Investigation Revealed the Following:

Allegation: Staff are stealing from residents in care.

It is alleged that staff are stealing from residents in care. Reporting party (RP) reported staff are taking the residents’ monies. RP stated residents get paid on the fifth of each month and by the end of the day they don’t have enough money to even buy a soda. A co-complainant alleged staff stole money and a gold ring from a resident (R9). Based on LPA's review of Records of Residents' Safeguard Cash Resources and R9's Personal Property and Valuables record, there is no indication that staff stole from residents. LPA’s interview with five out of six staff (S1-S5) and seven out of eight residents (R1-R7) revealed staff are not stealing from residents in care. One staff (S6) and one resident (R8) refused to make comments to this allegation. S1 stated R9 managed her own monies while residing in the facility and there was no known incident that a staff stole monies and a ring from R9. Based on LPA’s observation, interviews and record review, there is no sufficient evidence to corroborate the above allegation.

Allegation: Residents are being denied liquids while in care.

It is alleged that residents are being denied liquids while in care. Reporting party (RP) reported residents are denied extra orange juice. Co-complainant stated staff refuse to give coffee and milk to residents. Based on LPA’s observation, pitchers of fruit juices and water are readily available in the dining room for residents in care. LPA observed a large coffee brew station in the courtyard readily available for residents in care. LPA observed several residents drinking coffee while sitting and chatting in the courtyard. LPA’s interview with five out of six staff (S1-S5) and seven out of eight residents (R1-R7) revealed residents are not being denied liquid while in care. One staff (S6) and one resident (R8) refused to make any comment to this allegation. S1 stated water, juice and coffee are available to residents in the dining room and can be self served during meals. Residents (R1, R3 and R5) stated staff willingly give extra drinks to them. Based on LPA’s observation, interviews and record review, there is no sufficient evidence to corroborate the above allegation.

Allegation: Resident(s) handled in a rough manner while in care.

It is alleged that residents are being handled in a rough manner while in care. Reporting party (RP) reported while staff was pushing a resident (unknown) in a wheelchair hard, resident fell off the wheelchair. LPA’s interview with five out of six staff (S1-S5) and seven out of eight residents (R1-R7) revealed residents are not being handled in a rough manner while in care. One staff (S6) and one resident (R8) refused to make any comment to this allegation. S1 stated there is no known incident that a resident fell out of a wheelchair. Based on LPA’s observation, interviews and record review, there is no sufficient evidence to corroborate the above allegation.

Report continued in LIC 9099C

SUPERVISOR'S NAME: Stephanie Cifuentes	TELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Lourdes Montoya	TELEPHONE: (510) 725-7918
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20220525100546

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: BEVERLY HILLS TERRACE	FACILITY NUMBER: 198603319
	VISIT DATE: 12/29/2022

NARRATIVE

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Based on information gathered, LPA did not find sufficient evidence to support allegations, “Staff are stealing from residents in care”, “Residents are being denied liquids while in care”, “Resident(s) are handled in a rough manner while in care”.

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 above allegations are Unsubstantiated

Exit interview was conducted with Administrator Ella Naygas, and a hard copy of the report was provided.

SUPERVISOR'S NAME: Stephanie Cifuentes	TELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Lourdes Montoya	TELEPHONE: (510) 725-7918
LICENSING EVALUATOR SIGNATURE:	DATE: 12/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2022

LIC9099 (FAS) - (06/04)

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