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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 09/18/2025
Date Signed: 09/18/2025 04:00:11 PM

Substantiated


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
07/03/2025 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250703102651
FACILITY NAME:BEVERLY HILLS TERRACEFACILITY NUMBER:
198603319
ADMINISTRATOR:STRIKS, AHARONFACILITY TYPE:
740
ADDRESS:1470 S ROBERTSON BLVDTELEPHONE:
(310) 273-3668
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:110CENSUS: 64DATE:
09/18/2025
UNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:Cesilia Torres, Assistant AdministratorTIME COMPLETED:
04:23 PM
ALLEGATION(S):
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9
Staff yell at resident
Staff do not safeguard resident's personal belongings
INVESTIGATION FINDINGS:
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On 09/18/25 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent, unannounced, visit to the facility. LPA was met by staff two, Cesilia Torres - Assistant Administrator (S2), and the purpose of the visit was explained. The investigation consisted of the following: On 07/09/25 LPA requested and reviewed facility documents, including the staff and resident rosters (dated: 06/25/25), and obtained the following documents of resident 1 (R1): Emergency ID form (dated: 05/18/16), admission agreement (dated: 08/08/20), physicians report (dated:12/16/24), needs and services plan (dated: 02/08/24), preplacement appraisal (dated: 02/08/24), safe guarded cash resources (dated, and signed: 09/09/20), copies of seven (7) incidents involving various residents (dated from 05/01/25 through 07/03/25) and LPA toured the facility to conduct observations and interviews. LPA interviewed seven (7) out of fifty-nine (59) residents and four (4) out of twenty-seven (27) staff. On 09/18/25 LPA conducted a subsequent, unannounced, complaint visit to deliver these findings.

Report continues, see LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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 5
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
07/03/2025 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250703102651

FACILITY NAME:BEVERLY HILLS TERRACEFACILITY NUMBER:
198603319
ADMINISTRATOR:STRIKS, AHARONFACILITY TYPE:
740
ADDRESS:1470 S ROBERTSON BLVDTELEPHONE:
(310) 273-3668
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:110CENSUS: 0DATE:
09/18/2025
UNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:.TIME COMPLETED:
04:23 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful eviction
Staff do not ensure resident receives mail in a timely manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/18/25 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent, unannounced, visit to the facility. LPA was met by Cesilia Torres - Assistant Administrator and the purpose of the visit was explained. The investigation consisted of the following: On 07/09/25 LPA requested and reviewed facility documents, including the staff and resident rosters (dated: 06/25/25), and obtained the following documents of resident 1 (R1): Emergency ID form (dated: 05/18/16), admission agreement (dated: 08/08/20), physicians report (dated:12/16/24), needs and services plan (dated: 02/08/24), preplacement appraisal (dated: 02/08/24), safe guarded cash resources (dated, and signed: 09/09/20), copies of seven (7) incidents involving various residents (dated from 05/01/25 through 07/03/25) and LPA toured the facility to conduct observations and interviews. LPA interviewed seven (7) out of fifty-nine (59) residents and four (4) out of twenty-seven (27) staff. On 09/18/25 LPA conducted a subsequent, unannounced, complaint visit to deliver these findings.

Report continues, see LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20250703102651
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 TERRACE
FACILITY NUMBER: 198603319
VISIT DATE: 09/18/2025
NARRATIVE
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The investigation revealed the following:

Regarding the allegation, “Unlawful Eviction”, it is being alleged that a resident has received an eviction notice that was taped on their door upon a resident’s return to the facility. Interviews revealed the following; six (6) residents (R2 through R7) and all four (4) staff (S1 through S4) have denied the allegation has taken place. R1 has stated that they received the document during the evening of 07/02/25. Record reviews have indicated the following: a resident has received a “Thirty day notice to quit premises” (dated: 06/26/25) from “Dennis P. Block & Associates, APC”. Our division, Community Care Licensing (CCL) has not received any notification of any eviction notice related to a resident in question. The dates reviewed and dates provided do not match. This “eviction” does not meet This document has not been signed, nor does it include Title 22, Eviction Procedures 87224(a)(1-4). Interviews have revealed six (6) out of seven (7) (R2-R7) and all four staff (S1-S4) have denied the allegation has taken place. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

Regarding the allegation, “Staff do not ensure resident receives mail in a timely manner”, it is being alleged that a resident does not receive their mail. Interviews revealed the following: Three (3) residents (R4. R6, R7) have agreed the allegation has taken place, while one resident (R4) is not sure. All four staff (S1-S4) have denied the allegation has taken place. LPA observations revealed the following: On 07/09/25, around 11am, LPA observed the United States Postal Service dropping off residents’ mail. Throughout the day, LPA did observe staff providing mail to residents in care as each resident passed by the front lobby. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

There have been two (2) deficiencies cited during today's visit. Please see LIC9099D.


During today's visit, there have been two (2) deficiencies cited. Please see LIC9099D. An exit interview was held with Cesilia Torres - Assistant Administrator and a copy of facilities' appeal rights, the deficiencies cited, plans of corrections and a copy of this report has been provided.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20250703102651
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 TERRACE
FACILITY NUMBER: 198603319
VISIT DATE: 09/18/2025
NARRATIVE
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Regarding the allegation, “Staff yell at resident”, it is being alleged that the administrator and other staff yell at a resident. Interviews revealed the following: three (3) out of seven (7) residents (R1, R4, R7) and three (3) out of four (4) staff (S2-S4) have agreed the allegation has taken place, while one (1) resident was not sure. Record reviews have indicated that S1-S4 have met training standards, Title 22, 87411(c)(3)(C) “Personnel Requirements – General” which include “Personal rights” of residents in care. LPA’s observations have indicated that the behavior of staff at the facility respond negatively when addressed harshly by residents in care, which does not meet previous trainings under 87411(c)(3)(C) “Personal rights”. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title twenty-two (22), Division six (6) is being cited on the attached LIC 9099D. Please see LIC9099D.
Regarding the allegation, “Staff do not safeguard resident's personal belongings”, it is being alleged that a resident is missing multiple personal items. Interviews revealed the following: four (4) out of seven (7) residents (R1-R4) and one (1) staff have agreed the allegation has taken place. Record reviews revealed the following: seven residents (R1-R7) have got personal property inventory within their files, but that they are not kept up to date. According to Health and Safety Code section 1569.153(c), the facility does not keep records of the items missing, as reported from residents. Based on record reviews and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. Health and safety code 1569.313(c) is being cited on the attached LIC 9099D. Please see LIC9099D.

During today's visit, there have been two (2) deficiencies cited. Please see LIC9099D. An exit interview was held with Cesilia Torres - Assistant Administrator. A copy of facilities' appeal rights, the deficiencies cited, plans of corrections and a copy of this report has been provided.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20250703102651
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 TERRACE
FACILITY NUMBER: 198603319
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2025
Section Cited
CCR
87468.2(a)(4)
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87468.2 Additional Personal Rights of Residents in Privately Operated Facilities
(a) In addition to...87468.1,...the following personal rights: (4) To...supervision, and services...meet their individual needs and are delivered by staff that are sufficient in..., and competency...to meet their needs.
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The Co-Administrator and LPA have agreed that the facility will hold an in-staff training surrounding 87468, 87468.1 and 87468.2. Specifically regarding staff's response when staff have been negatively provoked by residents in care. The document will indicate which sections of these regulation (s)
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This has not been met as evidenced by: Based on LPA observations and interviews conducted, the licensee did not ensure care and supervision were delivered to meet R1's personal needs which poses a potential health safety and personal rights risk to residents in care.
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have been covered, the date and time of the training held, with staff signatures, and by whom the training was held with. Co-Administrator/Administrator will forward these training(s), via email, to LPA at MARIO.LEON@DSS.CA.GOV
Type B
09/26/2025
Section Cited
HSC
1569.153(c)
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1569.153 Theft and loss program; standards, property inventories and surrender of personal effects; secured areas (c) Documentation of...documented theft and loss record(s)...past 12 months shall be made available to the state department of Social Services...in response
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The Administrator and LPA have agreed that the facility will conduct an updated inventory for residents in care. The facility will also require residents to report new items, valued above $25 and will update their LIC9059 - PERSONAL PROPERTY PROCEDURES (RCFE).
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to a...complaint. This has not been met as evidenced by: based on record reviews and interviews conducted, licensee did not ensure that documentation of items lost or stolen from R1-R4 for the past 12 months were on file which poses a potential health, safety and personal rights risk risk to clients in care.
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 Co-Administrator/Administrator will inform LPA via confirmation of 1569.153(c) , via email, and continue to log incidents between residents in care at MARIO.LEON@DSS.CA.GOV
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5