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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 02/10/2025
Date Signed: 02/10/2025 03:40:58 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
11/20/2024 and conducted by Evaluator Troy Watson
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20241120150825
FACILITY NAME:BEVERLY HILLS TERRACEFACILITY NUMBER:
198603319
ADMINISTRATOR:STRIKS, AHARONFACILITY TYPE:
740
ADDRESS:1470 S ROBERTSON BLVDTELEPHONE:
(310) 273-3668
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:110CENSUS: 61DATE:
02/10/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Cecelia Torres - Assistant AdministratorTIME COMPLETED:
03:41 PM
ALLEGATION(S):
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Staff speak inappropriately to resident.
Staff discourage resident from filing complaints.
Staff tamper and withhold resident’s mail for extended periods.
Staff discards residents’ mail.
INVESTIGATION FINDINGS:
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On 02/10/2025, Licensing Program Analyst (LPA) Troy Watson conducted an unannounced subsequent complaint investigation at the facility listed above. LPA Watson arrived at the facility and was greeted by the administrator Ella Naysberg. LPA Watson explained the purpose of the visit was to deliver findings and was granted entry.

The investigation consisted of the following:

CONTINUED ON LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
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-20241120150825
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: BEVERLY HILLS TERRACE
FACILITY NUMBER: 198603319
VISIT DATE: 02/10/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff speak inappropriately to residents.

On 02/03/25 the department reviewed the facility files and found no incident reports relating to the allegation. On 02/06/2025 the department conducted interviews with staff#1 – staff #5 (S1-S5). The department asked the staff if they had spoken inappropriately with the residents. Of those interviewed, 5 out of 5 staff answered no. On 02/06/2025 the department interviewed residents 1 – residents 5 (R1-R5). The department asked residents if staff had spoken inappropriately to them. Of those interviewed, 4 out 5 residents answered no. Based on the information gathered, there is insufficient evidence to support the stated allegation.



Allegation: Staff discourage resident from filing complaints

On 02/03/25 the department reviewed the facility files and found no incident reports regarding the allegation above. On 02/06/2025 the department conducted interviews with staff#1 – staff #5 (S1-S5). The department asked the staff if they discourage residents from filing complaints. Of those interviewed, 5 out of 5 staff answered no. On 02/06/2025 the department conducted interviews with residents 1 – residents 5 (R1-R5). The department asked residents if staff discouraged them from filing complaints. Of those interviewed 4 out 5 residents answered no. Based on the information gathered, there is insufficient evidence to support the stated allegation.



Allegation: Staff tamper and withhold resident’s mail for extended periods.

On 02/03/25 the department reviewed the facility files and found no incident reports regarding the allegation above. On 02/06/2025 the department conducted interviews with staff#1 – staff #5 (S1-S5). The department asked the staff if they tamper and withhold resident’s mail for extended periods. Of those interviewed, 5 out of 5 staff answered no. On 02/06/2025 the department conducted interviewed with residents #1 – residents # 5 (R1-R5). The department asked residents if staff tampered and withheld residents’ mail. Of those interviewed 4 out 5 residents answered no. Based on the information gathered, there is insufficient evidence to support the stated allegation.



CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20241120150825
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: BEVERLY HILLS TERRACE
FACILITY NUMBER: 198603319
VISIT DATE: 02/10/2025
NARRATIVE
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Allegation: Staff discards residents’ mail

On 02/03/25 the department reviewed the facility files and found no incident reports regarding the allegation above. On 02/06/2025 the department conducted interviews with staff#1 – staff #5 (S1-S5). The department asked the staff if they discard resident’s mail. Off those interviewed 5 out of 5 staff answered no. On 02/06/2025 the department conducted interviewed with residents #1 – residents # 5 (R1-R5). The department asked residents if they discard residents’ mail. Of those interviewed 4 out 5 residents answered no. Based on the information gathered, there is insufficient evidence to support the stated allegation.



Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. While the allegation may be valid or have occurred, there is insufficient evidence to establish whether the alleged violation took place or did not. Therefore, the allegation is deemed unsubstantiated.

An exit interview was conducted, and a copy of this report was provided to the assistant administrator Cecelia Torres.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3