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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 07/10/2025
Date Signed: 07/10/2025 02:30:22 PM

Substantiated


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
06/09/2025 and conducted by Evaluator Elvira Gonzalez
COMPLAINT CONTROL NUMBER: 11-AS-20250609130020
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:
07/10/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Yuricsa Tomasino-CaregiverTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not prevent resident from stealing other resident's personal items.
INVESTIGATION FINDINGS:
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**This report supersedes the report created and delivered on 06/12/25. This report is to clarify findings.

On 06/12/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced complaint visit to investigate the above-named allegations. LPA met with Administrator, Bella Naygas, and the purpose of the visit was discussed. LPA was granted access to the facility.

The investigation consisted of the following:

On 06/12/25, LPA requested and received the following documents: staff roster, resident roster, Identification and Emergency Information, Physician’s Report, Needs and Services Plan, and Resident Personal Property and Valuables. Interviews conducted with staff #1-#5 (S1-S5), residents #2-#6 (R2-R6), and attempted to interview resident #1 (R1) but was unable to. Furthermore, a tour of the facility was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
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 5
Control Number 11-AS-20250609130020
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: 07/10/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff did not prevent resident from stealing other resident's personal items. It is being alleged that residents are stealing paperwork from another resident. On 06/12/25 between 10:45 AM and 12:00 PM, LPA Gonzalez interviewed S1-S5. Based on interviews conducted, 5 out of 5 staff interviewed stated that there is a resident that is known to take other resident’s belongings, but they try and prevent that resident from doing so. 4 out of 5 staff interviewed stated that they have observed management constantly talk with the resident about not taking others personal belongings, but it hasn’t stopped that resident from taking other residents belongings. An interview conducted with S1 revealed that they have tried talking to the resident on multiple occasions, but it doesn’t work. S1 stated that they have also warned the resident multiple times about doing this. S1 stated that they try and watch and monitor the resident closely, to try and avoid the resident from going into other resident’s rooms, and/or taking other resident’s belongings, and stated that it’s hard to always do so. S1 stated that they served this resident with a 30-day eviction notice, but the resident refuses to leave the facility.

On 06/12/25 between 01:05 PM and 02:00 PM, LPA interviewed R2-R6 and attempted to interview R1. Based on interviews conducted, 5 out 5 residents interviewed stated that they are aware of a resident stealing other resident’s belongings. 5 out of 5 residents interviewed stated that they have seen staff talking with this resident’s belongings, but they don’t know what else is being done.


Based on observation, record review, and interviews conducted, the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, are being cited, please see the attached LIC 9099-D.


An exit interview was conducted and a copy of this report along with appeal rights was provided.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
06/09/2025 and conducted by Evaluator Elvira Gonzalez
COMPLAINT CONTROL NUMBER: 11-AS-20250609130020

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:
07/10/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Yuricsa Tomasino-CaregiverTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent resident from being defrauded while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
**This report supersedes the report created and delivered on 06/12/25. This report is to clarify findings.

On 06/12/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced complaint visit to investigate the above-named allegations. LPA met with Administrator, Bella Naygas, and the purpose of the visit was discussed. LPA was granted access to the facility.

The investigation consisted of the following:

On 06/12/25, LPA requested and received the following documents: staff roster, resident roster, Identification and Emergency Information, Physician’s Report, Needs and Services Plan, and Resident Personal Property and Valuables. Interviews conducted with staff #1-#5 (S1-S5), residents #2-#6 (R2-R6), and attempted to interview resident #1 (R1) but was unable to. Furthermore, a tour of the facility was conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20250609130020
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: 07/10/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff did not prevent resident from being defrauded while in care. On 06/12/25 between 10:45 AM and 12:00 PM, LPA Gonzalez interviewed S1-S5. Based on interviews conducted, 5 out of 5 staff interviewed denied the allegation. 5 out of 5 staff interviewed stated that they do not have access to any resident’s personal information and/or bank accounts. 5 out of 5 staff interviewed stated that they have not committed any fraud against any resident. 5 out of 5 staff interviewed stated that all residents are treated with dignity and respect.

On 06/12/25 between 01:05 PM and 02:00 PM, LPA interviewed R2-R6 and attempted to interview R1. Based on interviews conducted, 5 out 5 residents interviewed denied the allegation. 5 out of 5 residents interviewed stated that staff does not have access to their personal information and/or bank accounts. 5 out of 5 residents interviewed stated that they are satisfied with the services provided to them at this facility.

Based on observation, records reviewed, and interviews conducted, the department did not find sufficient 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.

An exit interview was conducted and a copy of this report along with appeal rights was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20250609130020
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/26/2025
Section Cited
CCR
87468.2(a)(25)
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87468.2(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (25) To protection of their property from theft or loss according to Health and Safety Code sections 1569.152, 1569.153, and 1569.154. This requirement was not met as evidence by: Based on observation and record review, facility staff failed to protect the property of the residents from theft or loss. This poses a potential health and safety risk to residents in care.
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The Administrator will email a plan of correction to elvira.gonzalez@dss.ca.gov by the POC due date.
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Based on observation, interviews conducted, and record review, facility staff failed to protect the property of the residents from theft or loss. This poses a potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5