197602370-8-21-2025-11-AS-SCIS-DLJSLE-20250915135813

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197602370
Report Date: 08/21/2025
Date Signed: 08/21/2025 03:19:23 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
06/27/2025 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 11-AS-20250627133928

FACILITY NAME:	PINNACLES AT BURTON, THE		FACILITY NUMBER:	197602370
ADMINISTRATOR:	CHANEL ANN SANCHEZ		FACILITY TYPE:	740
ADDRESS:	8757 BURTON WAY		TELEPHONE:	(310) 278-8323
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90048
CAPACITY:	138	CENSUS: 41	DATE:	08/21/2025
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Chanel Sanchez- Administrator		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff are mismangaing residents medications.
Staff do not ensure resident is provided a comfortable temperature.
Staff does not ensure resident's medical needs are being met.

INVESTIGATION FINDINGS:

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***This report supersedes the original report delivered on 7/3/2025. On 8/21/2025,LPA arrived at the facility to deliver the corrected 9099, providing clarification on the original report issued on 07/3/2025. ***

On 7/3/2025, at 10:10 AM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct a complaint investigation and deliver findings for the alleged allegations. LPA identified herself to Chanel Sanchez-Administrator who was informed of the purpose of the visit.

The investigation consisted of the following
At 10:30 AM, LPA obtained the following documents for Resident 1 (R1) Unsigned admissions agreement, Pre-assessment dated 6/20/2025, Identification and Emergency/Information dated 6/25/2025, Medication list for June and July 2025 (MARs),Staff and Resident roster dated 7/1/2025, Move-in notes dated 6/30/2025, End of shift notes from 6/26/2025 to 7/1/2027,Cedars-Sinai After Visit Summary dated 6/27/2025, Valley Vista Nursing and Transitional Care notes/reports dated 11/12/2024, 4/2/2024,
Continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

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-20250627133928

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: PINNACLES AT BURTON, THE	FACILITY NUMBER: 197602370
	VISIT DATE: 08/21/2025

NARRATIVE

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6/26/2025, and discharge report dated 6/26/2025, Physician's Report including doctor's visit/Emergency room visits dated 12/15/2024, Southern California Hospital at Culver City patient order history dated 6/18/2025, Home health notes dated 4/20/2025, and card from the Los Angeles Police Department.
LPA also conducted interviews with Staff members 1-4 (S1-S4) and Residents 1- 5 (R1-R5). LPA attempted to interview R1 who was not at the facility during the investigation.

The investigation revealed the following:

#1 Allegation: Staff are mismanaging residents medications.

At 11:00 AM, LPA conducted interviews with four (4) staff members (S1-S4), and 4 out of 4 staff members stated R1 was being assisted with their medications but had refused on several occasions which were documented at the time of refusals. LPA reviewed R1's facility file and records, which revealed that R1 had been assisted with their medications as prescribed by their physician but revealed R1 had refused medications on several occasions.

LPA conducted interviews with Resident 1-4 (R1- R4) 3 out of 4 stated stated they have received their medications daily and they do not think their medications are mismanaged by anyone.

LPA attempted to interview R1 at the time of the visit but they were not available during the visit.

#2 Allegation: Staff do not ensure resident is provided a comfortable temperature.

At 1:25 PM, LPA conducted interviews with four staff members 1-4 (S1-S4) and 4 out of 4 stated the temperature in R1's room would be warm from time to time but assistance would be given by showing R1 how to turn on the air conditioning unit (AC) in the room. During the tour of R1's room the AC was operating when turned on and cool air was felt.

LPA also conducted interviews with Resident 1- 4 (R1- R4) LPA was unable to interview R1 at the time of the visit and 3 out of 4 stated their AC units are working and they have not experience any problems with their AC unit. LPA did not observe thermostats in any of the residents rooms 302,308, 311, 312, 318, and 319 but LPA did observe working AC units that were turned on and in working conditions dispensing cool air.
During the tour of the facility LPA observed the thermostats ranged from 75-76 degrees.

Continued..

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 11-AS-20250627133928

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: PINNACLES AT BURTON, THE	FACILITY NUMBER: 197602370
	VISIT DATE: 08/21/2025

NARRATIVE

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#3 Allegation: Staff does not ensure resident's medical needs are being met

LPA conducted interviews with four (4) staff members 1-4 (S1-S4), and 4 out of 4 staff members stated R1 and all residents are assisted with their medical needs daily but there were occasions when R1 would refuse help from staff members. Staff also stated scheduling and transportation is provided.

LPA also conducted interviews with Resident 1-4 (R1- R4) LPA was unable to interview R1 at the time of the visit. 3 out of 4 residents stated staff members assist them with their medical needs. They were asked if appointments are required does the staff members assist them and their reply was yes. Additionally they were asked if their AC units in their rooms work and they all replied yes.

Based on interviews conducted, documents reviewed and observations the above allegations are found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report was discussed and provided to Chanel Sanchez- Administrator at conclusion of the visit with appeal rights.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

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