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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197602106
Report Date: 02/14/2025
Date Signed: 02/14/2025 10:29:15 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/08/2024 and conducted by Evaluator Socorro Leandro
COMPLAINT CONTROL NUMBER: 11-AS-20240808094537
FACILITY NAME:PINNACLES AT BURTON, THEFACILITY NUMBER:
197602106
ADMINISTRATOR:CHANEL ANN SANCHEZFACILITY TYPE:
740
ADDRESS:8750 BURTON WAYTELEPHONE:
(310) 278-9720
CITY:LOS ANGELESSTATE: CAZIP CODE:
90048
CAPACITY:200CENSUS: 65DATE:
02/14/2025
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Executive Director/Administrator - Chanel SanchezTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff does not administer residents medication as prescribed.
Staff does not maintain residents hygiene.
Staff left resident soiled in urine and feces.
Staff did not provide medical attention to resident after fall.
Staff does not ensure resident has running water
INVESTIGATION FINDINGS:
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On 2/13/2025, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced complaint visit at this facility. CCLD staff explained the purpose of the visit to the Executive Director/Administrator, Chanel Sanchez.

The investigation consisted of the following:
On 8/13/2024, the department toured the facility, interviewed staff and residents, and collected facility records.
On 2/11/2025, the department toured the facility, interviewed 7 residents and 5 staff, and collected facility records such as resident and personnel roster, resident records, and facility records.
On 2/13/2025, the department reviewed Medication Administration Records (MARs), Facility Shower Schedule and delivered findings.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
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 6
Control Number 11-AS-20240808094537
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: PINNACLES AT BURTON, THE
FACILITY NUMBER: 197602106
VISIT DATE: 02/14/2025
NARRATIVE
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The investigation revealed the following:

Regarding the allegation “staff does not administer residents medication as prescribed”, it is being alleged that staff administers residents’ medication 2 hours after prescribed scheduled time. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Records reviewed of MARs do not indicate that medications were provided after prescribed scheduled time. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

Regarding the allegation “staff does not maintain residents hygiene”, it is being alleged that residents hygiene is not being maintained. Records reviewed of Facility Shower Schedule revealed the following: the facility has a shower schedule for residents in care. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

Regarding the allegation “staff left resident soiled in urine and feces”, it is being alleged that residents are left in soiled diapers for long periods of time. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 4 out of 5 staff denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

Regarding the allegation “Staff did not provide medical attention to resident after fall”, it is being alleged that after resident(s) fell staff did not provide medical attention. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 11-AS-20240808094537
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: PINNACLES AT BURTON, THE
FACILITY NUMBER: 197602106
VISIT DATE: 02/14/2025
NARRATIVE
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Regarding the allegation “Staff does not ensure resident has running water”, it is being alleged that staff is aware that resident(s) do not have running water in their apartment(s) and the facility has done nothing to fix the problem. Interviews conducted revealed the following: 7 out of 7 residents denied the allegation and 5 out of 5 staff denied the allegation. Observations revealed the following: 7 out of 7 resident apartments had running water. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

An exit interview was conducted, and a copy of this report was left with the Executive Director/Administrator, Chanel Sanchez.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/08/2024 and conducted by Evaluator Socorro Leandro
COMPLAINT CONTROL NUMBER: 11-AS-20240808094537

FACILITY NAME:PINNACLES AT BURTON, THEFACILITY NUMBER:
197602106
ADMINISTRATOR:CHANEL ANN SANCHEZFACILITY TYPE:
740
ADDRESS:8750 BURTON WAYTELEPHONE:
(310) 278-9720
CITY:LOS ANGELESSTATE: CAZIP CODE:
90048
CAPACITY:200CENSUS: 65DATE:
02/14/2025
ANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Executive Director/Administrator - Chanel SanchezTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff does not keep facility free of pests.
INVESTIGATION FINDINGS:
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On 2/13/2025, the Department of Social Services (DSS) - Community Care Licensing Division (CCLD) staff conducted an unannounced complaint visit at this facility. CCLD staff explained the purpose of the visit to the Executive Director/Administrator, Chanel Sanchez.

The investigation consisted of the following:
On 8/13/2024, the department toured the facility, interviewed staff and residents, and collected facility records.
On 2/11/2025, the department toured the facility, interviewed 7 residents and 5 staff, and collected facility records such as resident and personnel roster, resident records, and facility records.
On 2/13/2025, the department delivered findings.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
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 6
Control Number 11-AS-20240808094537
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: PINNACLES AT BURTON, THE
FACILITY NUMBER: 197602106
VISIT DATE: 02/14/2025
NARRATIVE
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The investigation revealed the following:

Regarding the allegation “staff does not keep facility free of pests”, it is being alleged that the facility has vermin. Observations revealed the following: a live vermin (cockroach) was observed in the kitchen area as well ad dead vermin. Pest control records for the year of 2024 revealed the following: pest control comes to the facility at least once a month or more and provides services; pest control also provides recommendations in each visit and indicates if it is pending or completed as well as states the severity of the recommendation; pest control record dated 12/2/2024 has recommendations dating back to 4/5/2023 and under General Comments it states “Cockroach activity has worsened in kitchen”. Regarding the allegation “staff does not keep facility free of pests”, the preponderance of the evidence standard has been met therefore the allegation is substantiated.

Deficiencies cited based on observation and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Executive Director/Administrator, Chanel Sanchez.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 11-AS-20240808094537
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: PINNACLES AT BURTON, THE
FACILITY NUMBER: 197602106
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2025
Section Cited
CCR
87555(b)(27)
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(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.

This requirement is not met as evidenced by:
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The Administrator has agreed to complete the recommendations provided by their pest control company. The Administrator will email Facility Pest Control Plan and Steps they have taken to minimize vermin in facility to Socorro.Leandro@dss.ca.gov.
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Based on observation and record review, the licensee did not comply with the section cited above in having evidence of vermin in the kitchen area, which poses a potential health risk to persons in care.
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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: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6