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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603723
Report Date: 06/16/2026
Date Signed: 06/16/2026 12:38:33 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
06/09/2026 and conducted by Evaluator Christian Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260609101016
FACILITY NAME:BEVERLY HILLS SENIOR CAREFACILITY NUMBER:
198603723
ADMINISTRATOR:ORDONEZ, DANAFACILITY TYPE:
740
ADDRESS:1015 S ORANGE GROVE AVETELEPHONE:
(323) 933-8271
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY:45CENSUS: 40DATE:
06/16/2026
UNANNOUNCEDTIME BEGAN:
09:49 AM
MET WITH:Dana OrdonezTIME COMPLETED:
12:51 PM
ALLEGATION(S):
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Staff do not prevent residents from disturbing other residents in care.
Staff opened resident mail.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christian Gutierrez conducted an initial complaint visit to investigate the above allegations. LPA met with Administrator Dana Ordonez and discussed the purpose of today's visit.

During this visit, LPA Gutierrez obtained a copy of the staff and resident rosters. LPA also obtained R1 and R2’s face sheet, physician report LIC 602, and history and physical notes. LPA interviewed Administrator, staff #1-staff #4 (S1-S4), and residents# 1-residents #6 (R1-R6). LPA Gutierrez also delivered findings.

Refer to LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
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-20260609101016
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: BEVERLY HILLS SENIOR CARE
FACILITY NUMBER: 198603723
VISIT DATE: 06/16/2026
NARRATIVE
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In regard to the allegation” Staff do not prevent residents from disturbing other residents in care.” it is alleged that R2 sings in the early morning hours and that R1 can’t sleep furthermore it has been brought up to staff and nothing is being done. During interview with Administrator and staff five (5) out of five (5) staff stated that R1 has not been observed singing but has been observed snoring. Administrator stated that they have already changed R1’s first roommate for another situation. Staff stated that they are always changing resident rooms to make sure they are compatible. According to documents obtained by LPA R1 has been experiencing altered mental status. During interview with residents five (5) out of the six (6) residents interviewed stated that they have never had any problems with other residents disturbing them. R2 stated that staff has woken him/her up not residents. R1 stated that R2 stares too much and staff stated they would try to switch rooms but R1 stated “That’s my room. I feel comfortable there. Why do I need to leave? They're the problem”.

In regard to the allegation” Staff opened resident mail.” It is alleged that staff are opening R1’s mail which R1 does not approve of. During interview with Administrator and staff five (5) out of five (5) staff all stated they do not open mail without residents’ consent. Four (4) staff stated that Administrator is the only person allowed to handle mail and once received it is put in her office. Administrator stated that she does not open mail unless the resident is aware of it, she did state that some residents are conserved and that their responsible parties are given mail or instructions on what to do with mail. During interview with residents five (5) out of the six (6) residents interviewed stated that they have never had any problems with mail at the facility. Three (3) residents did state that medical mail was opened with their permission. R1 stated that he/she has never addressed this issue with Administrator and that last week he/she did receive bank mail unopened but wants all mail to be given unopened.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. 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.

An exit interview was conducted, and a copy of this report was given to Dana Ordonez.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2