306005901-4-14-2026-22-AS-APAO-DTV8YR-20260507225622

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005901
Report Date: 04/14/2026
Date Signed: 04/14/2026 02:44:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/10/2025 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250210154524

FACILITY NAME:	BEACH TERRACE ASSISTED LIVING AND MEMORY CARE		FACILITY NUMBER:	306005901
ADMINISTRATOR:	DENNIS ROBENIOL		FACILITY TYPE:	740
ADDRESS:	12282 BEACH BOULEVARD		TELEPHONE:	(714) 694-3205
CITY:	STANTON	STATE: CA	ZIP CODE:	90680
CAPACITY:	120	CENSUS: 63	DATE:	04/14/2026
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Minyoung Kim		TIME COMPLETED:	02:31 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff does not ensure facility is cleaned regularly
Facility staff does not ensure facility bedrooms are in good clean condition
Facility staff handled resident in a rough manner
Facility staff are not properly assisting resident with daily dressing
Facility staff are not meeting residents toileting needs

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA met with Administrator Minyoung Kim and explained the reason for the visit. The investigation into the allegation, facility staff does not ensure facility is cleaned regularly revealed the following. It was reported that the floor of the facility was not clean. On the initial 10-day visit LPA and staff toured the common areas of the facility, including the kitchen, hallways, dining room and activity rooms. No deficiencies were noted in the common areas of the facility during the visit. LPA observed all of the common areas of the facility were clean. 2 out of 2 housekeeping staff reported that the facility is cleaned daily. 4 out 4 caregivers interviewed reported they see housekeeping staff clean the facility daily and reported the facility is always clean. The Administrator at the time the complaint was filed, Dennis Robeniol reported that the facility is cleaned daily and the resident rooms are cleaned weekly or as needed. The Administrator reported that he hasn't received any reports that the facility isn't clean. Witness 1 (W1) reported that when they have visited the facility the floors in the hallways are always dirty. No specific details were provided as to when and where the floor wasn't clean.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

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 4

Control Number 22-AS-20250210154524

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: BEACH TERRACE ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 306005901
	VISIT DATE: 04/14/2026

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

Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur.

The investigation into the allegation, facility staff does not ensure facility bedrooms are in good clean condition, revealed the following. It was reported that Resident 1's (R1) bedroom was not kept clean. It was reported that R1's bathroom was not cleaned regularly. W1 reported that when they visit R1 their room was not clean and the bathroom was always dirty. W1 reported that sometimes R1's bathroom smelled like urine. No dates and times were provided. R1 moved into the facility on May 20, 2024 and moved out of the facility on January 29, 2025. R1 had been diagnosed with Dementia and resided in the memory care area of the facility. 4 out of 4 caregivers interviewed reported that R1 was reluctant to accept help with toileting so it was challenging to assist R1 but they did everything they could to assist and they always provided assistance to R1. 2 out of 2 housekeeping staff reported that when ever R1's bathroom needed to be cleaned they cleaned it. Both housekeeping staff denied the allegation and reported R1's room required extra cleaning because of their behaviors but they kept R1's room clean. During the initial 10-day visit LPA and staff toured R1's room which had already been vacated and no deficiencies or issues were observed. LPA observed the room was clean. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur.

The investigation into the allegation, facility staff handled resident in a rough manner, revealed the following. It was reported that the Activities Director grabbed R1 causing R1 to suffer cuts on their arm. Photographic evidence provided shows R1 had 3 cuts on their upper left arm. The Activities Director denied the allegation and reported they have never put their hands on any resident. W1 reported that the Activities Director grabbed R1 which caused the injuries. W1 reported that they did not witness the incident. 5 out of 5 staff reported they were working in memory care on the day R1's injuries were discovered and didn't witness anything that could have caused the injuries. The Memory Care Director reported that on the day R1 was found to have cuts on their arm there were no incidents during the activity led by the Activities Director involving R1 or any resident. The Memory Care Director reported that they have never witnessed any type of abuse by any staff member to any resident.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 22-AS-20250210154524

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: BEACH TERRACE ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 306005901
	VISIT DATE: 04/14/2026

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

The Administrator at the time the complaint was filed, Dennis Robeniol, reported that they spoke to the family of R1 and interviewed staff (5 staff members working in memory care) and no one witnessed any incident involving R1 or the Activities Director that could explain the injuries on R1's arm. Staff reported they applied first aid to R1 and there was no report of pain. LPA attempted to interview 3 residents who participated in the activity but none of the residents responded to the LPA's questions. It is unclear what caused R1's injuries. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur.

The investigation into the allegation, facility staff are not properly assisting resident with daily dressing, revealed the following. It was reported that R1 is not properly dressed in the morning and goes around the facility with no shoes or mismatched shoes. 4 out of 4 caregivers reported that R1 is always assisted with dressing in the morning. 4 out of 4 caregivers reported that R1 has frequently taken off their shoes or slippers and has left them throughout the facility, but staff always redirect R1 and make sure they are wearing shoes or slippers. The Memory Care Director reported that all memory care staff are aware of R1 removing their shoes and slippers and leaving them in different places so it is not an issue because staff have been informed and trained to immediately assist R1 with their shoes or slippers. W1 reported that on 2 different occasions (no dates provided) they went to visit R1 and one time they had no shoes on and the other time they had mismatched shoes on. The Memory Care Director reported that on one occasion (they don't remember the date) they were informed by a visitor that R1 had no shoes on and R1's shoes were found down the hall and they were assisted immediately. The Memory Care Director reported that R1 took off their shoes and then their visitor arrived and saw them with no shoes and R1 was immediately assisted by staff. W1 reported that during this incident they assisted R1 and no staff were present. W1 did not recall the day of the incident. The Memory Care Director reported that they weren't aware of R1 putting on 2 different shoes and no one reported any such incidents. 4 out of 4 caregivers interviewed reported that they were unaware of R1 wearing mismatched shoes and had only observed R1 removing their shoes or coming out of their room with no shoes on. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 22-AS-20250210154524

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: BEACH TERRACE ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 306005901
	VISIT DATE: 04/14/2026

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

The investigation into the allegation, facility staff are not meeting residents toileting needs, revealed the following. It was reported that R1 was not assisted with their incontinence needs and the facility staff asked the family to provide special clothing, like "onesies" or jumpsuits to aid with removing clothing because of the incontinence issues. The Administrator and Memory Care Director denied the allegation and reported that they have never recommended any type of clothing for any resident. 4 out of 4 caregivers reported that R1 requires assistance with toileting but is reluctant to accept help but they still assist. 4 out of 4 caregivers reported that R1 has no issue going to the bathroom but sometimes they miss the toilet. 4 out of 4 caregivers reported that sometimes R1 doesn't make it to the toilet so they assist in changing R1. All 4 caregivers reported that R1 is a challenge but they denied the allegation and reported R1 is never left in soiled clothing and is always assisted. W1 reported they have never been present when R1 has had any toileting issues. 2 out of 2 Medication-Technicians (Med-Techs) who work in Memory Care reported they have never witnessed R1 being left in soiled clothing. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur.

An exit interview was conducted and a copy of the report provided.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4