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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197602370
Report Date: 03/05/2026
Date Signed: 03/05/2026 01:59:33 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
03/03/2026 and conducted by Evaluator Jose Calderon
COMPLAINT CONTROL NUMBER: 11-AS-20260303101629
FACILITY NAME:PINNACLES AT BURTON, THEFACILITY NUMBER:
197602370
ADMINISTRATOR:ROBIN CULVERFACILITY TYPE:
740
ADDRESS:8757 BURTON WAYTELEPHONE:
(310) 278-8323
CITY:LOS ANGELESSTATE: CAZIP CODE:
90048
CAPACITY:138CENSUS: 50DATE:
03/05/2026
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:ADMINISTRATOR ROBIN CULVERTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff did not administer medication to resident.
Facility does not have adequate food service.
Staff is not meeting resident's overall needs.
INVESTIGATION FINDINGS:
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On 03/05/2026 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to The Pinnacles at Burton and was greeted by Administrator Robin Culver (S1). LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations.

The investigation consisted of the following: LPA Calderon interviewed Staff S1-S3, residents R1-R6. LPA Calderon obtained the following records: Physician report (dated 07/24/2025 and 02/23/2026), Menu for March 2026 and activities schedule for March 2026, MAR for 3 residents. Toured the facility with S1 to include the dining area and common areas.

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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 3
Control Number 11-AS-20260303101629
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: 03/05/2026
NARRATIVE
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Regarding the Allegation: Staff did not administer medication to residents.

This complaint alleged that the facility did not administer medicated to R1. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions between staff and residents. LPA Calderon noted staff giving medications to residents in care. Records review indicate the following: reviewed MAR for residents indicates that the medication given to residents is given in the correct amount. R1 is not a resident, and no records could be found. Physician report (dated 02/23/2026) indicates that residents self-medicate. Interviews indicate the following: S1 indicates that staff follows the physician report for residents and they follow the MAR. Staff S2-S3 state that staff do not overmedicate residents. 3 of 3 staff deny the allegation. R1 could not answer any questions as residents do not exist. R2-R6 indicates that staff follow the residents MAR. 5 out of 6 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not administer medication to residents” is found to be UNSUBSTANTIATED.

Regarding the Allegation: Facility does not have adequate food services.

This complaint alleged that the facility did not feed residents. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions between staff and residents. LPA Calderon noted staff cleaning the facility. LPA Calderon witnessed staff serving residents’ breakfast. LPA Calderon inspected the kitchen area and noted 2 days and 7 days of food. Records review indicate the following: Reviewed March Menu, appears well balanced meals served to residents in care. Interviews indicate the following: S1 states that the facility serves 3 meals per day and snacks. S1 indicates that no residents go hungry. 3 out of 3 staff deny the allegation. R1 could not answer any questions as R1 does not exist and does not live at the facility. 5 out of 6 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “facility does not have adequate food services” is found to be UNSUBSTANTIATED.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 11-AS-20260303101629
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: 03/05/2026
NARRATIVE
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Regarding the Allegation: Staff do not meet residents’ overall needs.

This complaint alleged that the facility did not meet residents’ overall needs. LPA Calderon witnessed staff moving residents with no issues and there were no negative interactions between staff and residents. LPA Calderon noted staff cleaning the facility. LPA Calderon witnessed staff serving residents’ breakfast. LPA Calderon witnessed activities being done in the activities room. Records review indicate the following: Reviewed the activities schedule for March 2026. Appears well balanced activities being given to residents. Interviews indicate the following: S1 states that the facility meets residents’ overall needs by giving meals, cleaning, activities and medications. 3 out of 3 staff deny the allegation. R1 could not answer any as R1 does not exist and does not live at the facility. 5 out of 6 residents deny the allegation.

Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff is not meeting resident’s overall needs” is found to be UNSUBSTANTIATED.

No deficiencies cited during today's visit.



An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator Robin Culver (S1).

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3