197602370-2-12-2026-11-AS-RORN-DS4U9Q-20260312152330

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197602370
Report Date: 02/12/2026
Date Signed: 02/12/2026 01:47:26 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
12/26/2025 and conducted by Evaluator Elvira Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20251226142640

FACILITY NAME:	PINNACLES AT BURTON, THE		FACILITY NUMBER:	197602370
ADMINISTRATOR:	ROBIN CULVER		FACILITY TYPE:	740
ADDRESS:	8757 BURTON WAY		TELEPHONE:	(310) 278-8323
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90048
CAPACITY:	138	CENSUS: 51	DATE:	02/12/2026
		UNANNOUNCED	TIME BEGAN:	08:02 AM
MET WITH:	Robin Culver-Director		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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The Administrator does not ensure that residents receive proper care.
Facility staff do not ensure their is a sufficient amount of incontinence supplies available for resident use.

INVESTIGATION FINDINGS:

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On 02/12/26, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced subsequent complaint investigation for the allegations listed above. LPA met with Director, Robin Culver, and Resident Care Coordinator, Sandy Iraheta. LPA explained the purpose of the visit and was granted entry to the facility.

The investigation consisted of the following: On 01/02/26, LPA Gonzalez collected the following documents: staff roster, resident roster, and the staff schedule for the months of November 2025, and December 2025. Additionally, LPA interviewed staff #1-#4 (S1-S4), conducted a tour of the facility, inspected resident rooms, and the med-tech room. Furthermore, on 02/12/26, LPA Gonzalez conducted interviews with resident #1-#5 (R1-R5), and staff #5 (S5).

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

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-20251226142640

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: 02/12/2026

NARRATIVE

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The investigation revealed the following:

Allegation: The Administrator does not ensure that residents receive proper care. It is being alleged that the memory care department is severely understaffed. It is also being alleged that Memory Care Director, Sandy Iraheta provides little support or guidance during short-staffed situations. On 01/02/26, LPA conducted interviews with S1-S4, and on 02/12/26, LPA conducted an interview with S5. Of those interviewed, 4 out of 5 staff could not corroborate with the allegation. 2 out of 5 staff said they believe the facility is understaffed.

On 02/12/26, LPA Gonzalez conducted interviews with R1-R5. Of those interviewed, 5 out of 5 residents could not corroborate the allegation.

On 02/12/26, LPA Gonzalez conducted a review of the facility’s Personnel Report LIC 500 and staff schedule for the moths of November-December 2025 revealed the facility had sufficient staff to tend to the resident’s needs.

Based on observation, records reviewed, and interviews conducted, there is insufficient evidence to support the above allegation. 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, therefore the allegation is unsubstantiated.

Allegation: Facility staff do not ensure there is a sufficient amount of incontinence supplies available for resident use. It is being alleged that there is an inadequate amount of essential care supplies, particularly incontinence products. On 01/02/26, LPA Gonzalez conducted interviews with S1-S4, and on 02/12/26, LPA conducted an interview with S5. Of those interviewed, 5 out of 5 staff denied the allegation. Interviews conducted with S1 and S5 revealed that residents are responsible for providing their own personal supplies. S1 and S5 reported that the facility maintains emergency supply available if a resident is in need.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20251226142640

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: 02/12/2026

NARRATIVE

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On 02/12/26, LPA Gonzalez conducted interviews with R1-R5. Of those interviewed 5 out of 5 residents could not corroborate with the allegation.

On 01/02/26, LPA Gonzalez conducted a tour of the facility and inspected resident rooms and the med-tech room. During the inspection, LPA observed an adequate supply of essential care products, including hygiene items and incontinence care products, maintained in the med-tech room.

Based on observation, and interviews conducted, there is insufficient evidence to support the above allegation. 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, therefore the allegation is unsubstantiated.

No deficiencies were cited during today's visit.

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

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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