198603319-11-19-2025-11-AS-SCIS-DPF4B5-20251216175658

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 11/19/2025
Date Signed: 11/19/2025 03:24:13 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
11/12/2025 and conducted by Evaluator Elvira Gonzalez

COMPLAINT CONTROL NUMBER: 11-AS-20251112150550

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: 62	DATE:	11/19/2025
		UNANNOUNCED	TIME BEGAN:	10:16 AM
MET WITH:	Ellla Naygas		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff wrongfully evicted resident.

INVESTIGATION FINDINGS:

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On 11/19/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced complaint visit to investigate the above mentioned allegation. LPA met with Assistant Administrator, Cecilia Torres, and explained the purpose of the visit. LPA was granted entry to the facility.

The investigation consisted of the following: On 11/19/25, obtained the facility’s staff and resident rosters. LPA reviewed resident #1’s (R1’s) service records and obtained copies of the following records: 30-day Eviction Notice (dated 07/02/25), Unlawful Detainer Eviction Notice (dated 08/08/25), Admission Agreement (signed and dated 04/11/23), Identification and Emergency Information, Admission Record, Physician’s Report (dated 03/12/23), Appraisal & Needs and Services Plan (dated 04/02/25), Personal Rights, and House Rules (dated 04/11/23). Additionally, LPA Gonzalez interviewed staff #1-#2 (S1-S2) and attempted to interview R1.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025

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-20251112150550

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: 11/19/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Staff wrongfully evicted a resident. It is being alleged that staff wrongfully evicted a resident. On 11/19/25, LPA Gonzalez conducted interviews with S1–S2. Of those interviewed, 2 out of 2 staff denied the allegation. An interview with S1 revealed that R1 was served with a 30 eviction notice on 09/18/24 and was also served with an Unlawful Detainer Eviction Notice dated (dated 08/08/25). S1 stated that R1 is being evicted because of non-payment. S1 stated that the facility has not received a payment from R1 since 09/05/23. S1-S2 stated that the 30-day eviction notice was submitted to CCLD in a timely manner.

On 11/19/25, LPA Gonzalez attempted to interview R1 but was unable to as R1 was not in the facility and couldn’t be reached via telephone.

On 11/19/25, LPA Gonzalez reviewed R1’s Admission Agreement, which was signed and dated on 04/11/23 by R1 agreeing to pay the monthly fees. LPA reviewed the facility’s House Rules, which were signed and dated by R1 on 04/11/23. LPA reviewed a 30-day eviction notice dated 09/18/24, and it noted that R1 was to be evicted as of 10/18/24 due to R1 failing to pay rent to the facility. LPA reviewed an Unlawful Detainer Eviction Notice dated 08/08/25.

Based on records reviewed, and interviews conducted, there is insufficient 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.

No deficiencies were cited during this investigation.

An exit interview was conducted, and a copy of the report was provided to the Cecilia Torres.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025

LIC9099 (FAS) - (06/04)

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