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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 02:33:32 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
05/19/2025 and conducted by Evaluator Elvira Gonzalez
COMPLAINT CONTROL NUMBER: 11-AS-20250519111713
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:
01:45 PM
MET WITH:Yuricsa Tomasino-CaregiverTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Facility staff did not ensure resident's room was maintained clean.
Facility staff did not ensure change in condition was brought to the attention of resident's physician.
Facility staff spoke inappropriately to resident.
INVESTIGATION FINDINGS:
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**This report supersedes the report created and delivered on 05/28/25. This report is to clarify findings.

On 05/28/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced complaint visit to investigate the above-named allegations. LPA met Assistant Administrator, Cesilia Torres, and Caregiver Yesenia Robles, and the purpose of the visit was discussed. LPA was granted access to the facility.

The investigation consisted of the following: On 05/28/25, LPA requested and received the following documents: staff roster, resident roster, Identification and Emergency Information, Physician’s Report, Admission Agreement, Preplacement Appraisal Information, and Needs and Services Plan for resident #1 (R1). Additionally, LPA conducted interviews with staff #1 - #5 (S1-S5), residents #2 - #7 (R2-R7) and attempted to interview R1. Furthermore, LPA and Caregiver, Yesenia Robles toured the facility.
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: 1 of 4
Control Number 11-AS-20250519111713
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: Facility staff did not ensure resident's room was maintained clean. It is being alleged that this facility, including a resident’s room, is dirty. On 05/28/25 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 resident’s rooms are deep cleaned at least once a week, and as necessary.

On 05/28/25 between 01:05 PM and 02:20 PM, LPA interviewed R2-R7. Based on interviews conducted, 6 out 6 residents interviewed stated their rooms are cleaned daily and deep cleaned once a week. 6 out of 6 residents interviewed stated that staff maintain their room and the facility is clean and sanitary. 6 out of 6 residents interviewed stated that they are satisfied with the services provided to them at this facility.
LPA Gonzalez and Yesenia Robles toured the facility. LPA inspected rooms #110, #108, #209, public restrooms, and common areas. LPA observed the rooms and facility to be clean and sanitary at the time of inspection.

Based on observation, 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.

Allegation: Facility staff did not ensure change in condition was brought to the attention of resident's physician. It is alleged that a resident was experiencing heart problems and was having trouble breathing. It is also alleged that staff did nothing to assist the resident. On 05/28/25 between 10:45 AM and 12:00 PM, LPA interviewed S1-S5. Based on interviews conducted, 5 out of 5 staff interviewed could not validate this allegation. 5 out of 5 staff interviewed stated that they were not aware of a resident experiencing heart and breathing problems. 5 out of 5 staff interviewed stated that they actively monitor the residents for any change in condition. 5 out of 5 staff interviewed stated that staff ensures to notify the Administrator, and they will then notify the residents physician if there is a change in condition in the resident. S1 stated that they were not aware of any resident experiencing heart and breathing problems. S1 stated that staff monitor the residents closely, and if any significant changes are observed, the protocol is to notify the administrator immediately and to seek prompt medical attention.
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 4
Control Number 11-AS-20250519111713
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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On 05/28/25 between 01:05 PM and 02:20 PM, LPA interviewed R2-R7. Based on interviews conducted, 6 out of 6 residents interviewed could not corroborate this allegation. 6 out of 6 residents interviewed stated they are not aware of a resident experiencing heart and breathing problems. 6 out of 6 residents interviewed stated that staff ensures to notify their physician if there is a change in their condition. 6 out of 6 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.

Allegation: Facility staff spoke inappropriately to resident. It is being alleged that facility Administrator, Bella Naygas, does not want a resident at this facility and is insulting and uncooperative. On 05/28/25 between 10:45 AM and 12:00 PM, LPA 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 are not aware if Administrator Bella Naygas does not want a resident at this facility. 5 out of 5 staff interviewed stated that they have not observed Administrator Bella Naygas insulting and/or being uncooperative with a resident. S1 denied the allegation. S1 stated that they have not insulted any resident. S1 stated that they always try and cooperate with the residents at this facility. 5 out of 5 staff interviewed stated that they treat all residents with dignity and respect.

On 05/28/25 between 01:05 PM and 02:20 PM, LPA interviewed R2-R7. Based on interviews conducted, 6 out of 6 residents interviewed could not corroborate this allegation. 6 out of 6 residents interviewed stated that they are not aware if Administrator Bella Naygas wants a resident out of this facility. 6 out of 6 residents interviewed stated they have not observed Administrator Bella Naygas insult or be uncooperative with any resident. 6 out of 6 residents interviewed stated that all staff treat them with dignity and respect. 6 out of 6 residents interviewed stated that they are satisfied with the services provided to them at this facility.

Based on observation, 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.
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: 3 of 4
Control Number 11-AS-20250519111713
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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An exit interview was conducted, and a copy of the report 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 4