198603723-9-26-2025-28-AS-WSHO-DM4V8Y-20251003161330

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603723
Report Date: 09/26/2025
Date Signed: 09/26/2025 02:14:29 PM

Unsubstantiated

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 CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/16/2025 and conducted by Evaluator Nune Margaryan

COMPLAINT CONTROL NUMBER: 28-AS-20250916124208

FACILITY NAME:	BEVERLY HILLS SENIOR CARE		FACILITY NUMBER:	198603723
ADMINISTRATOR:	ORDONEZ, DANA		FACILITY TYPE:	740
ADDRESS:	1015 S ORANGE GROVE AVE		TELEPHONE:	(323) 933-8271
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY:	45	CENSUS: 42	DATE:	09/26/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Cindy Morales - Assistant		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff not maintaining resident’s hygiene.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Nune Margaryan conducted the initial visit to investigate the above allegation. LPA met with Cindy Morales. Administrator Ordonez Dana arrived shortly after. Purpose of todays visit was explained.

During this visit, LPA obtained a copy of the Resident and Staff rosters, obtained relevant documentation, interviewed Resident #1 (R-1), Resident #9 (R-9), Facility Administrator, Staff #1 (S-1) and Staff #3 (S-3). LPA also conducted a facility tour.

Continue 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025

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 2

Control Number 28-AS-20250916124208

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 CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: BEVERLY HILLS SENIOR CARE	FACILITY NUMBER: 198603723
	VISIT DATE: 09/26/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Allegation: Staff not maintaining resident’s hygiene. It was alleged that residents are not being taken care of properly and has a bad smell coming from them.

Staff interviews revealed staff meet resident’s hygiene needs. Interviewed Administrator and staff indicated that they assist residents with their activities of daily living, including bathing / showering. Interviewed Administrator stated that per the Facility Admission Agreement and house rules, it indicates that grooming and hygiene (ADL) must comply by the residents, however in some cases and situations, some residents were having difficulty in following house rules to their diagnosis, behavior practice of refusing. If there's an instance where residents refused to perform grooming, hygiene or shower, staff explained the risk and importance to them. Interviewed staff stated that they shower residents that require assistance per their schedule and/or if they had an accident, they would give residents an extra shower to make sure they are clean and there is no bad smell coming from them. They stated staff try their best to encourage residents to shower based on their shower schedule. Most residents are responsible when it comes to showers, but there is 1-2 residents who have trouble with showering. Interviewed S1 and S2 stated that they try up to 3 times once they refuse the third time, they cannot force them. Administrator and staff stated there is a residents daily shower log and residents laundry schedule (copies were provided to LPA). Staff regularly washed residents clothes, linens, bath towels etc. Also facility provide incontinent supplies such as diapers, briefs / pull ups, wipes. LPA conducted a facility tour and observed the residents to be clean (including their clothing) and did not observe residents to be malodorous. Resident interviews revealed that staff maintaining their hygiene needs. Interviewed residents indicated they do not have any concerns regarding this matter. Based on interviews conducted and observation there was not enough supportive evidence to concur with the reported allegation.

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

Exit interview conducted with Administrator and the copy of this report was provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2