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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320179
Report Date: 01/31/2025
Date Signed: 01/31/2025 04:34:09 PM

Document Has Been Signed on 01/31/2025 04:34 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:SUNRISE OF BEVERLY HILLSFACILITY NUMBER:
198320179
ADMINISTRATOR/
DIRECTOR:		ZACHARY MICHAEL HOWELLFACILITY TYPE:
740
ADDRESS:201 NORTH CRESCENT DRIVETELEPHONE:
(310) 274-4479
CITY:BEVERLY HILLSSTATE: CAZIP CODE:
90210
CAPACITY: 127CENSUS: 84DATE:
01/31/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:52 AM
MET WITH:Zak Howell/Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On January 31, 2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted a case management visit. LPA met with Zach Howell, the executive director, and explained the purpose of the visit.

On 1/25/25, the Regional Office received an Unusual Incident/Injury Report or LIC 624 and a Report of Suspected Dependent Adult/Elder Abuse or SOC 341 regarding a facility resident in the assisted living (R#1) and a friend of theirs were found in bed by two facility staff. Facility staff promptly notified Beverly Hills Police Department Case Number 25-4314. After the investigation, police stated they believed it was a consensual encounter.

On 1/31/2025, LPA Iniguez visited the facility, gathered documentation, interviewed (R#1) and conducted a Health and Safety Check at the facility.

According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies during this visit; therefore, no citations were issued.

An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Zak Howell/Executive Director.


SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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