198603319-2-6-2025-11-AS-UCOL-DEER4J-20250303114134

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 02/06/2025
Date Signed: 02/06/2025 04:48:41 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/28/2025 and conducted by Evaluator Regina Cloyd

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250128170803

FACILITY NAME:	BEVERLY HILLS TERRACE		FACILITY NUMBER:	198603319
ADMINISTRATOR:	STRIKS, AHARON		FACILITY TYPE:	740
ADDRESS:	1470 S ROBERTSON BLVD		TELEPHONE:	(310) 273-3668
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY:	110	CENSUS: 61	DATE:	02/06/2025
		UNANNOUNCED	TIME BEGAN:	10:03 AM
MET WITH:	Administrator Bella Naygas		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not prevent resident from taking another resident’s belongings

INVESTIGATION FINDINGS:

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The investigation consisted of the following:

On 02/06/2025, Community Care Licensing Division (CCLD) Staff conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff met with Administrator Bella Naygas and explained the purpose of the visit. CCLD Staff conducted resident and staff interviews, toured the facility, and reviewed resident records.

Allegation:

Regarding the allegation "Staff did not prevent resident from taking another resident’s belongings,” it is being alleged that Resident #2 (R2) broke the doorknob, enter the room, and took a bag containing cellphones, boots, and snacks from Resident #1 (R1).
Continue to LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

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-20250128170803

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: BEVERLY HILLS TERRACE	FACILITY NUMBER: 198603319
	VISIT DATE: 02/06/2025

NARRATIVE

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R1’s Personal Property and Valuables does not include cellphones nor boots. Six out of seven resident interviews indicated they have not witnessed R2 break into R1’s room and steal items. Two out of three staff interviews indicated they have not received any complaints about R2 breaking into R1’s room to steal items. Administrator indicated she has not witnessed R2 breaking into R1’s room to steal items and Maintenance has replaced R1’s lock eight times. On 02/06/25, LPA observed R1’s doorknob being inoperable and R1 is unable to lock R1’s bedroom door upon exiting.

Regarding the allegation “Staff did not prevent resident from taking another resident’s belongings," based on record reviews, interviews, and observations, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

An exit interview was conducted and a copy of this report was provided to the Caregiver Yesenia Robles.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025

LIC9099 (FAS) - (06/04)

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