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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320323
Report Date: 03/23/2026
Date Signed: 03/23/2026 11:07:57 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, 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
01/27/2026 and conducted by Evaluator Zina Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260127100239
FACILITY NAME:BEIT SHALOMFACILITY NUMBER:
198320323
ADMINISTRATOR:NAHUM, EILATFACILITY TYPE:
740
ADDRESS:3121 CASTLE HEIGHTS AVETELEPHONE:
(310) 309-0405
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY:6CENSUS: DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
10:53 AM
MET WITH:Freddie Brown (Caregiver)TIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff inappropriate handled resident in care.
Staff sexually abused a resident.
Facility staff physically abused resident.
INVESTIGATION FINDINGS:
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On 03/23/2026 at 10:53am, Licensing Program Analyst (LPA) Zina Brown conducted an subsequent visit at this facility to deliver the complaint findings for the allegations above. During today’s visit, LPA met with Freddie Brown (caregiver) and explained the purpose of the visit.

The investigation consisted of the following: On 01/30/2025 at 11:45am, the department, conducted interviews on 01/30/2026 between the hours of 12:35pm - 1:05pm with Administrator (A1), Staff (S1-S6) & Resident 2 (R2) - Resident (R4) and on 2/25/2026 at approximately 1530 hours with Resident 1 (R1) . The department requested copies of Resident Roster (dated 07/02/2025), Staff Roster (dated 07/24/2025), Serious Incident Reports (dated 1/18/2026 & 1/27/2026), Residents R1-R6: LIC 601 Emergency Identification Information (R1-no date, R2-dated 11/13/2025, R3-no date, R4-dated 05/22/2024, R5-no date, and R6-dated 06/23/2025); LIC 602 Physician Reports (R1-dated 04/04/2025, R2-dated 11/12/2025, R3-dated 02/13/2025, R4-dated 08/07/2025, R5-dated 01/27/2025, and R6-08/29/2025); and LIC 625 Appraisal Needs & Services (R1-dated 04/10/2025, R2-dated 11/14/2025, R3-dated 04/10/2025, R4-dated 05/22/2025, and R5-dated 05/01/2024). For the period of December 2025 through January 2026: Medication Administration Records, Blood Pressure & Glucose Level logs, Flow Charts of Daily Activities, and Resident Care Logs for Residents R1 - R6.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
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 4
Control Number 11-AS-20260127100239
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: BEIT SHALOM
FACILITY NUMBER: 198320323
VISIT DATE: 03/23/2026
NARRATIVE
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The investigation revealed the following:

Allegation: Staff handled resident in a rough manner
It is alleged that staff handled a resident roughly during care, including squeezing the resident’s leg and being rough while assisting with dressing and footwear.

On 01/30/2026, between the hours of 12:09pm - 12:30pm, the department interviewed the Administrator (A1) in regards to the allegation. A1 denied the allegation and stating no complaints of roughness had been made nor reported. The caregivers ensure to assist residents with comfort through communication and routine check-ins.

On 01/30/2026, between the hours of 12:35pm - 1:05pm, the department interviewed 3 staff regarding the allegation.
1 of 3 staff were aware of the allegation and reported that a resident complained about staff being rough; however, staff attributed the complaint to the resident’s confusion and cognitive impairment.
2 of 3 denied the allegation and mentioned they assist residents respectfully, communicate during care, and have never been rough nor received complaints

On 01/30/2026, between the hours of 12:55pm - 1:05pm & on 02/25//2026 at 1530 hours, the department interviewed 4 resident regarding the allegation.
4 of 4 residents denied the allegation & indicated staff treat them respectfully, communicate during care, and are not rough. Of the 4 residents who denied the allegation, 1 resident reported experiencing confusion at times but denied any mistreatment.

On 03/20/2026, between the hours 12:30pm - 12:45pm, the department conducted a records review and observed no documentation was found supporting concerns related to staff handling residents in a rough manner.

Unsubstantiated: Based on information gathered through interviews and record reviews, there is not enough evidence to support the 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.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20260127100239
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: BEIT SHALOM
FACILITY NUMBER: 198320323
VISIT DATE: 03/23/2026
NARRATIVE
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Allegation: Staff sexually abused a resident
It is alleged that a resident reported being physically abused by staff and stated that staff were beating the resident; it was also reported the resident had bruising on her body.

On 01/30/2026, between the hours of 12:09pm - 12:30pm, the department interviewed the Administrator (A1) in regards to the allegation.
A1 denied the allegation, stating no reports of sexual abuse had been received, nor have residents expressed discomfort with staff. A1 also mentioned no inappropriate conduct had been observed by the staff in regards to the residents.

On 01/30/2026, between the hours of 12:35pm - 1:05pm, the department interviewed 3 staff regarding the allegation.
2 of 3 staff denied the allegation and indicated no resident has reported sexual abuse. All the staff mentioned not witnessing any inappropriate touching.
1 of 3 staff was aware of the allegation and reported that a resident made statements suggestive of sexual abuse.However, staff attributed the statements to one of the resident’s confusion and noted the resident prefers to complete tasks independently.

On 01/30/2026, between the hours of 12:55pm - 1:05pm & on 02/25//2026 at 1530 hours, the department interviewed 4 resident regarding the allegation.
4 of 4 residents denied the allegation, stating no staff have touched them inappropriately, made them feel uncomfortable, nor made sexual advances.
R1 did not disclose any sexual abuse by any of the caregivers in the facility and denied being harmed or abused by anyone in the facility.

On 03/20/2026, between the hours 12:30pm - 12:45pm, the department conducted a records review and observed no documentation or reports were identified indicating sexual abuse involving staff or residents.

Unsubstantiated: Based on information gathered through interviews and record reviews, there is not enough evidence to support the 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.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20260127100239
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: BEIT SHALOM
FACILITY NUMBER: 198320323
VISIT DATE: 03/23/2026
NARRATIVE
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Allegation: Facility staff physically abused resident.
It was alleged, a resident reported being physically abused by staff and stated that staff were beating the resident; it was also reported the resident had bruising on their body.

On 01/30/2026, between the hours of 12:09pm - 12:30pm, the department interviewed the Administrator (A1) in regards to the allegation.A1 denied the allegation. A1 mentioned no resident reported any incidents of sexual abuse were observed.

On 01/30/2026, between the hours of 12:35pm - 1:05pm, the department interviewed 3 staff regarding the allegation.
3 of 3 staff denied the allegation and mentioned not witnessing nor engaging in any physical abuse. Staff reported that any observed injuries are documented and may occur due to falls.

On 01/30/2026, between the hours of 12:55pm - 1:05pm & on 02/25//2026 at 1530 hours, the department interviewed 4 resident regarding the allegation.
4 of 4 residents denied the allegation and stated no staff have physically harmed them. Also all 4 residents indicated not witnessing abuse nor unexplained injuries.
R1 did not disclose any physical abuse by any of the caregivers in the facility and denied being harmed or abused by anyone in the facility.

On 03/20/2026, between the hours 12:30pm - 12:45pm, the department conducted a records review and observed the following the LIC 624 Unusual Incident/Injury Report (dated 01/18/2026) stated R1 appeared more confused than usual on Saturday and R1 balance was unsteady. R1 lost their balance a couple of times and had to hold on to things for support. While walking in the living room R1 fell. R1 insisted they were okay and nothing hurt. Staff did not observe any bruising but the next day R1's ankle was swollen. R1 went to the emergency room which determined R1 had a fractured ankle which result in R1 being provided a boot to keep on R1's foot anytime R1 uses their foot. On 01/27/2026, another  LIC 624 Unusual Incident/Injury Report mentioned R1 wandered in the living room in the middle of the night. Staff went to check on R1 upon hearing noise.  R1 fell and bumped their head. Staff called 911 which came to the facility and examined R1 upon going to the hospital with R1's family being informed. Ultimately, the department observed no documentation to support the allegation.

Unsubstantiated: Based on information gathered through interviews and record reviews, there is not enough evidence to support the 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.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4