Beverly Hills Terrace

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidence by: Based on observations and interviews conducted, the licensee did not maintain a clean and sanitary environment for residents in care. On 02/05/26, LPA observed live bed bug activity in the facility. This poses a potential health and safety risk to persons in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on observations and interviews, the licensee did not maintain a clean and sanitary environment. On 10/15/2025, LPA observed live bed bugs in the facility. This poses a potential health and safety risk to persons in care.

Right to sufficient care and qualified staff

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to...87468.1,...the following personal rights: (4) To...supervision, and services...meet their individual needs and are delivered by staff that are sufficient in..., and competency...to meet their needs. This has not been met as evidenced by: Based on LPA observations and interviews conducted, the licensee did not ensure care and supervision were delivered to meet R1's personal needs which poses a potential health safety and personal rights risk to residents in care.

1569.153 Theft and loss program; standards, property inventories and surrender of personal effects; secured areas (c) Documentation of...documented theft and loss record(s)...past 12 months shall be made available to the state department of Social Services...in response to a...complaint. This has not been met as evidenced by: based on record reviews and interviews conducted, licensee did not ensure that documentation of items lost or stolen from R1-R4 for the past 12 months were on file which poses a potential health, safety and personal rights risk risk to clients in care.

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. 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.

80087(a)(1) Buildings and GroundsThe facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. The licensee shall take measures to keep facility free of flies and other insects Based on observations and interviews conducted, this facility has an ongoing problem with bed bugs and roaches. LPA Shirley reviewed service reports indicating treatment of live activity, LPA observed a live roach in the kitchen and a tour to room 229, LPA observed blood spots on the resident’s pillowcase which poses an immediate health and safety risk to persons in care.

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.

Maintain facility in clean, safe, sanitary condition

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents...This requirement was not met as evidence by: Based on observation, CCLD Staff did not observe Resident #1' and #2's doorknob to be in good repair which poses a potential safety risk for residents in care.

Keep bathing and hygiene facilities in operating condition

Based on [(observation), the licensee did not comply with the section cited above. LPA identified room #212 toilet flapper not working condition and shower door jamb filled with rust and mold. This violation] which poses/posed a potential health, safety or personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities.(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on observation, interviews conducted and documents. LPA conducted interviews with residents, staff and witness and it was confirmed facility had scabies and bed bugs.This is a potential health and safety risk to clients in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings ...This requirement is not met as evidence by: Based on observation and interview conducted on 5/17/22 and 5/27/22, Administrator and staff stated R1's sustained and injury and was not taken to the hospital.This poses an immediate/Potential health & safety risk to residents in care.

87211 Reporting Requirement(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days..This requirement was not met as evidence by: Based on observation and interview conducted on 5/17/22 and 5/27/22, Administrator and staff did not report to CCLD R1's incident.This poses an immediate/Potential health & safety risk to residents in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities.(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on observation, interviews conducted and documents. LPA conducted interviews with residents, staff and social worker and it was confirmed facility has scabies and bed bugs. This is a potential health and safety risk to clients in care.

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored:(C)Because of potential dangers related to the medication itself, or due to physical arrangements in the facility...(5) Each resident's medication shall be stored ..This requirement was not met as evidenced by: Based on observation and interviews conducted, LPA observed medication room and the residents medications were already prepared in a container 2 days in advance by administrator. This is an immediate health and safety risk to clients in care.

87468.1 Personal Rights of Residents in All Facilities(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidence by: Based on LPA/LPM's observation, screening but did not observe any hand sanitizer, mask or screen log in place and there is not designated staff in charge of screening visitors. LPA did not observe a screening log in place.This poses a potential health and safety risk to all residents in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidence by: Based on observation and interviews conducted, Licensee did not ensure elevator was accessible to residents in care. Elevator has been in not operating since 08/2021.This poses a potential health and safety risk to all residents in care.

Certified administrator requirements and substitute coverage

87405 Administrator-Qualifications and Duties(a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management.This requirement was not met as evidence by. Based on observation and interview conducted on 11/4/21 Administrator did not know where the client roster and could not provide request information to LPA.This is a potential risk to residents in care.

Report specified resident events within seven days

87211 Reporting Requirement(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days..This requirement was not met as evedience by: Based on observation and interview conducted on 9/23/21, supervisor Johnson did not notify CCLD that the elevator not working.This poses an immediate/Potential health & safety risk to residents in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met as evidence by: Based on observation and interviews conducted, Licensee did not ensure elevator was accessible to residents in care. Administrator did not notify LPA that elevators was not in operations. This an immediate health and safety risk to clients in care.

Maintain and operate facility under definitive plan

Plan of Operation:(a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license ...This requirement was not met as evidence by: Based on LPA's observations, interviews with the administrators & R1 and review of the Plan of Operation. They did not adhere to their eviction procedure that was outline in the Plan of Operation.This poses a potential Health and Safety risk to residents in care