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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 04/03/2025
Date Signed: 04/03/2025 01:35:33 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
03/27/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20250327100544
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: 59DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Bella Neygas-AdministratorTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
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5
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9
Staff did not treat resident with dignity or respect
Staff sprayed chemicals at resident.
INVESTIGATION FINDINGS:
1
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13
On 4/3/2025,Licensing Program Analyst (LPA) Bernadette Allen and Licensing Program Manager (LPM) Stephanie Cifuentes conducted an unannounced visit to initiate and deliver findings for the alleged allegations. LPA identified herself and met Bella Neygas Administrator who was informed of the purpose of the visit.

The investigation consisted of the following:
On 4/3/2025 LPA Allen reviewed files for residents 1 - resident 5 (R1-R5), interviewed (R1-R5) and staff 1- staff 5 (S1-S5). LPA Allen requested and received the following documents: Staff roster(LIC 500), resident roster dated 4/3/2025, and facility notes for 3/26/2025. LPA Allen also briefly toured first floor of facility.

Continued on page 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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 2
Control Number 11-AS-20250327100544
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: 04/03/2025
NARRATIVE
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Investigation revealed the following:
Allegation: Staff did not treat resident with dignity or respect
It is alleged that the facility staff pushed, yelled, and threatened the residents in care. On 4/3/2025 LPA interviewed Ella Naygas Administrator, who revealed that a conversation was had with resident 1 (R1) regarding disruptive behavior in the dining area that did not result in yelling, threatening, or pushing of the resident. At 9:40 AM LPA Allen interviewed resident 1- resident 5 (R1-R5), of those interviewed, 4 out of 5 residents all stated that the staff members at the facility treat them with dignity and respect at all times. LPA Allen interviewed staff members staff 1- staff 5 (S1-S5), of those interviewed 5 out of 5 stated they have always and will continue to treat the residents in care with dignity and respect.

Allegation: Staff sprayed chemicals at resident.
It is being alleged that staff sprayed cleaning chemicals at resident. At 9:40 AM LPA Allen interviewed resident 1- resident 5 (R1-R5), 4 out of 5 residents stated that have not been sprayed with chemicals by any staff members. LPA Allen interviewed staff 1- staff 5 (S1-S5), of those interviewed 5 out of 5 have not sprayed or witnessed any residents being sprayed with chemicals. In addition, during interviews, housekeeping staff demonstrated their cleaning process where cleaning solutions are sprayed on a towel and surfaces are wiped down and not sprayed on surfaces which are then wiped. At 11:45 AM, LPA also observed the housekeeping cart locked in the storage area with (3) three labeled spray bottles of cleaning supplies inaccessible to residents. On 4/3/2025 LPA Allen reviewed facility records. Facility daily notes show that on 3/26/2025 housekeeping reported that a resident entered a room that was not theirs. When resident noted that staff was in the room, resident then alleged that staff had sprayed them with the cleaning solution.

Based on interviews, file review and observation during the investigation, the above allegations are found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Ella Naygas Administrator at conclusion of the visit.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2