198603319-10-7-2026-11-AS-EDAT-DZ4VRF-20261022163953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 10/07/2026
Date Signed: 10/07/2026 02:37:04 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
09/08/2026 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20260908102227

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: 56	DATE:	10/07/2026
		UNANNOUNCED	TIME BEGAN:	09:59 AM
MET WITH:	Cesilia Torres		TIME COMPLETED:	02:41 PM

ALLEGATION(S):

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Facility staff did not accord resident with privacy.
Facility staff did not ensure that residents received their mail.
Facility staff did not ensure that residents are provided with a safe environment while in care.

INVESTIGATION FINDINGS:

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On 10/07/26 at 10 am Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Cesilia Torres (Staff #1/S1) as the purpose of today’s visit was explained.

The investigation consisted of the following: On 09/18/26 LPA Villegas obtained copies of the staff and resident roster, and copies of the following documents for Resident #1 (R1) Emergency ID form, pre-appraisal dated: 0208/24, Physicians report dated:01/14/26, needs and service plan dated: 03/31/26, medication list, and incident reports dated: 05/16/26, 06/10/26, 06/20/26, 06/24/26, 09/09/26, 09/14/26. On 09/18/26 and 10/07/26 LPA conducted Interviews with Residents #1-6 (R1-R6), and on 09/18/26 and 10/07/26 LPA conducted interviews with staff #1-4 (S1-S4). On 10/07/26 LPA conducted

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ernand Dabuet
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2026

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-20260908102227

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: 10/07/2026

NARRATIVE

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a file review.
The investigation revealed the following:

Allegation: Facility staff did not accord resident with privacy.
It is alleged that facility staff barged into residents' restroom after acknowledging that the resident was inside. On 09/18/26 and 10/07/26 LPA conducted Interviews with R1-R6 regarding the allegation above. 5 of the 6 residents interviewed denied the allegation above and stated that staff have not entered the restroom when residents are in there. 1 of the 6 residents interviewed confirmed the allegation above and reported the police were called due to a staff member accusing resident of hitting staff with the restroom door. On 09/18/26 and 10/07/26 LPA conducted interviews with S1-S4 regarding the allegation above. 4 of the 4 staff interviewed denied the allegation above and stated they always knock and announce themselves before entering a bedroom and restroom. Additionally, 1 of the 4 staff interviewed stated that a resident became verbally aggressive and almost hit staff in the face with the restroom door. 1 of 4 staff stated they called the police to make a report as staff wanted the incident to be documented. On 10/07/26 LPA conducted a review of the incident reports dated 09/08/26 and 05/05/26. Per incident report dated: 09/08/26, a staff member called the police after a R1 threw a door open which resulted with staff member obtaining a red mark. The Police arrived to the facility to speak to the staff member and R1, however R1 left the facility after the incident occurred. Per incident report dated: 05/05/26, R1 began yelling profanity at staff as staff attempted to perform routine bed making for R1's roommate. R1 did not stop yelling until staff exited the bedroom.

Allegation: Facility staff did not ensure that residents received their mail.

It is alleged that residents in care are not receiving their mail. On 09/18/26 and 10/07/26 LPA conducted Interviews with R1-R6 regarding the allegation above. 4 of the 6 residents interviewed denied the allegation above. 1 of the 6 residents interviewed confirmed the allegation above and stated that staff will go through residents mail and will throw it away. 1 of the 6 residents interviewed stated that they some times receive mail at the facility. On 09/18/26 and 10/07/26 LPA conducted interviews with S1-S4 regarding the allegation above. 4 of the 4 staff interviewed denied the allegation above and stated

SUPERVISORS NAME: Ernand Dabuet
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 11-AS-20260908102227

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: 10/07/2026

NARRATIVE

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that staff do not refuse to provide mail to residents in care.
Allegation: Facility staff did not ensure that residents are provided with a safe environment while in care.

It is alleged that a resident in care is being threatened by peer(s). On 09/18/26 and 10/07/26 LPA conducted Interviews with R1-R6 regarding the allegation above. 3 of the 6 residents interviewed denied the allegation above. 3 of the 6 residents interviewed confirmed the allegation above. 2 of those 3 residents reported being threatened by the same peer. Additionally, 1 of the 3 residents that confirmed the allegations stated that they did not report the threatening to staff as the staff does not assist. 1 of the 3 residents that confirmed the allegations stated they reported it to staff and the police, 3 residents that confirmed the allegations stated they did not report it to anyone. On 09/18/26 and 10/07/26 LPA conducted interviews with S1-S4 regarding the allegation above. 4 of the 4 staff interviewed denied the allegation above and stated that they will assist with de-escalation if residents in care are observed arguing or fighting. 1 of the 4 staff stated they will send an incident report and call 911 as needed. On 10/07/26 LPA conducted a review of the incident reports dated: 05/16/26, and 06/20/26. Per incident reports dated: 05/16/26, R1 and R2 were involved in a verbal altercation, staff intervened immediately to de-escalate and ensure safety. R2 called the police to make a report, R2 had a room change following the incident. Per incident reports dated: 06/20/26, per report R2 called the police to make a report on R1 as R1 was disturbing and banging on R2's bedroom door. Facility staff separated both residents and moved them to opposite sides of the facility.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.

SUPERVISORS NAME: Ernand Dabuet
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2026

LIC9099 (FAS) - (06/04)

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