198603319-2-19-2026-11-AS-SCIS-DSSV4C-20260403160606

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603319
Report Date: 02/19/2026
Date Signed: 02/19/2026 09:57:13 AM

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
11/25/2025 and conducted by Evaluator Felisa Shirley

COMPLAINT CONTROL NUMBER: 11-AS-20251125092903

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: 58	DATE:	02/19/2026
		UNANNOUNCED	TIME BEGAN:	09:32 AM
MET WITH:	Cesilia Torres, Assistant Administrator		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff did not assist resident with incontinence care needs in a timely manner.
Staff did not seek timely medical attention for resident.

INVESTIGATION FINDINGS:

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On 2/19/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Administrator Assistant, Cesilia Torres and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility.

The investigation consisted of the following:
On 12/2/25 LPA Shirley reviewed copies of the following records: Resident Roster, Identification and Emergency Information, Admission Agreement, Notice of Rent Increase, Physician’s Report, Appraisal/Needs and Services Plan, Incontinence Tracking Sheet for10/25 and 11/25, Special Incident Report, Consent for Emergency Medical Treatment and medical records from Cedars Sinai. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff 5 (S1 – S5), and Resident 1 – Resident 5(R1-R5).

Con'd on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

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-20251125092903

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: 02/19/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff did not assist resident with incontinence care needs in a timely manner.

It is being reported that 911 dispatch was called to this facility. During Emergency Staff assessment of R1 the resident was found to be drenched in their urine. On 2/10/26, LPA Felisa Shirley reviewed R1’s Physician Report dated, 2/4/25 and observed that R1 is not able to care for his own toileting needs. During review of the November, 2025 Incontinence Tracking sheet, LPA Shirley noted that on 11/22/25, R1 was serviced every 2 hours by initialed staff until the time he was transferred to Cedars Sinai Medical Center. Per interview with S5 on 12/2/25 the residents are changed every two hours and as needed. LPA Shirley interviewed S-1 on 12/2/25 and was told that R1 is sometimes able to remove the diaper on his own to go to the bathroom.

LPA interviewed staff 1 – staff 5(S-1 – S-5). Of those interviewed 5 out of 5 denied the allegation. LPA interviewed resident 1 – resident 5(R1 – R5). Of those who interviewed 3 out of 5 denied the allegation. Two residents use the bathroom on their own.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not assist resident with incontinence care needs in a timely manner,” therefore, the allegation is unsubstantiated.

Allegation: Staff did not seek timely medical attention for resident.

It is being reported that R1 was ill due to the negligence of facility staff. On 2/10/26, LPA Shirley reviewed the medical records from Cedars Sinai stating date of arrival, 11/22/25 R1’s diagnosis was dehydration. During review of requested unusual incident report dated 11/24/25, LPA Shirley noted that R1 told staff that he was not feeling well and he requested to go to the hospital. LPA Shirley

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20251125092903

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: 02/19/2026

NARRATIVE

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interviewed S2 and S3 on 12/2/25. Both staff stated that upon arrival to R1’s room on 11/22/25, R1 appeared to be ill so S2 called 911.

LPA interviewed staff 1 – staff 5(S-1 – S-5). Of those interviewed 5 out of 5 denied the allegation. LPA interviewed resident 1 – resident 5(R1 – R5). Of those who interviewed 5 out of 5 denied the allegation.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff did not seek timely medical attention for resident,” therefore, the allegation is unsubstantiated.

No deficiencies were cited for these allegations.

An exit interview was conducted and a copy of this report was provided to the Administrator Assistant, Cesilia Torres.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

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