Inspection Reports for
The Pinnacles at Burton
8757 BURTON WAY, LOS ANGELES, CA, 90048
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
39% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 54
Capacity: 138
Deficiencies: 0
Date: Feb 24, 2026
Visit Reason
The visit was an office meeting held to discuss Complaint 11-AS-20250909091421 regarding allegations of neglect and lack of care and supervision at the facility.
Complaint Details
The complaint was substantiated for neglect and lack of care and supervision. The facility failed to provide adequate supervision, leading to resident elopement and serious bodily injuries. The Department is reviewing an enhanced civil penalty under Health and Safety Code Section 1569.49(f).
Findings
The Department confirmed the allegation that the facility staff failed to provide adequate supervision, resulting in a resident eloping multiple times and sustaining serious bodily injuries. An enhanced civil penalty of $10,000 was set for serious bodily injury.
Report Facts
Civil penalty amount: 10000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robin Culver | Executive Director | Attended meeting and exit interview related to complaint |
| Sandy Iraheta | Resident Coordinator | Attended meeting related to complaint |
| Janae Hammond | Licensing Program Manager | Reviewed complaint details during meeting |
| Ernand Dabuet | Licensing Program Analyst | Attended meeting related to complaint |
| Jason Reyes | Chief Executive Officer | Attended meeting and received report copy |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 138
Deficiencies: 0
Date: Feb 12, 2026
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that the Administrator did not ensure residents received proper care and that facility staff did not ensure sufficient incontinence supplies were available.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included understaffing in the memory care department and inadequate incontinence supplies. Interviews with staff and residents, document reviews, and observations did not support these claims.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents, review of personnel reports and staff schedules, and facility observations indicated adequate staffing and sufficient incontinence supplies were maintained.
Report Facts
Capacity: 138
Census: 51
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robin Culver | Administrator / Director | Met during investigation and named in allegation regarding resident care |
| Sandy Iraheta | Memory Care Director / Resident Care Coordinator | Named in allegation regarding support during short-staffed situations |
| Elvira Gonzalez | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 138
Deficiencies: 0
Date: Oct 31, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that residents sustained unexplained injuries and that staff did not prevent a resident from injuring another resident.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents sustaining unexplained injuries and staff failing to prevent resident-to-resident injury. Evidence showed injuries had known causes and were properly managed. Staff supervision was sufficient, and no injuries caused by other residents were confirmed.
Findings
The investigation found that all injuries were explained and appropriately addressed with no residents observed with visible injuries during the inspection. Staff supervision was adequate, and no resident-to-resident injuries were confirmed. The allegations were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 138
Census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Anguiano | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| Danna Romero | Medical Technician | Met with during the investigation and exit interview |
| Chanel Ann Sanchez | Administrator | Facility administrator mentioned in the report |
Inspection Report
Census: 44
Capacity: 138
Deficiencies: 1
Date: Oct 31, 2025
Visit Reason
An unannounced case management visit was conducted to investigate deficiencies related to failure to comply with Title 22 reporting requirements.
Findings
The facility was found noncompliant with Title 22 regulations due to failure to report three unwitnessed resident falls that occurred on consecutive days. This violation poses a potential health and safety risk and resulted in a deficiency citation and civil penalty.
Deficiencies (1)
CCR 87211(a)(1)(D) - The licensee failed to report incidents involving injuries and hospitalization of three residents. This violation poses a potential health and safety risk to residents in care.
Report Facts
Residents involved in incidents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Danna Romero | Medical Technician | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Jose Anguiano | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report. |
| Ulysses Coronel | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 138
Deficiencies: 3
Date: Sep 17, 2025
Visit Reason
The visit was an unannounced complaint investigation to examine allegations that the facility staff failed to provide adequate supervision resulting in a resident eloping and that the facility lacks an auditory device or staff alert feature to monitor exits.
Complaint Details
The complaint alleged inadequate supervision leading to a resident eloping and lack of auditory exit alarms. The allegations were substantiated based on interviews, record reviews, and facility inspection. The resident eloped twice, sustained injuries, and the facility lacked alarms on some exit doors. Staffing was insufficient during night shifts.
Findings
The investigation substantiated that the facility staff failed to provide adequate supervision, leading to a resident eloping twice and sustaining injuries. It was also found that the facility does not have auditory alarms on some exit doors, including the kitchen and receiving/delivery doors, posing a safety risk.
Deficiencies (3)
CCR 87466 Observation of the Resident - The licensee failed to ensure residents were regularly observed for changes, resulting in inadequate supervision of a resident with wandering behavior who sustained serious injuries.
CCR 87411(a) Personnel Requirements - The licensee did not maintain sufficient staff numbers during night shifts to meet resident needs, posing a potential health and safety risk.
CCR 87705(b)(d) Care of Persons with Dementia - The licensee failed to equip kitchen and receiving/delivery exit doors with auditory devices to monitor exits, posing a potential health and safety risk.
Report Facts
Capacity: 138
Census: 44
Deficiency count: 3
Plan of Correction Due Date: Sep 18, 2025
Plan of Correction Due Date: Oct 1, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel Ann Sanchez | Administrator | Named as facility administrator in report header |
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation |
| Robin Culver | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Sandy Iraheta | Resident Coordinator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 138
Deficiencies: 5
Date: Sep 17, 2025
Visit Reason
An unannounced case management visit was conducted in connection with complaint #11-AS-20250909091421 to investigate compliance with Title 22 regulations.
Complaint Details
The visit was triggered by complaint #11-AS-20250909091421. The investigation substantiated multiple deficiencies related to administrator noncompliance with Title 22 regulations.
Findings
The facility was found not in compliance with Title 22 regulations, resulting in several deficiencies and a civil penalty. The administrator failed to conform to applicable laws and regulations, posing a potential health and safety risk to residents.
Deficiencies (5)
87466 – Observation of the Resident: The facility failed to meet required standards for resident observation.
82711(a)(1)(D) - Reporting Requirements: The facility did not comply with mandated reporting requirements.
87705(b)(d) - Care of Person with Dementia: The facility failed to provide adequate care for persons with dementia.
87411(a) – Personnel Requirements-General: The facility did not meet general personnel requirements.
87405(b)(2) Administrator - Qualifications and Duties: The administrator failed to demonstrate knowledge of and conform to applicable laws, rules, and regulations, resulting in multiple deficiencies and potential health and safety risks.
Report Facts
Capacity: 138
Census: 44
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robin Culver | Executive Director | Met during inspection and exit interview |
| Sandy Iraheta | Resident Coordinator | Met during inspection |
| Chanel Ann Sanchez | Administrator | Named in deficiencies related to administrator qualifications and duties |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 138
Deficiencies: 1
Date: Sep 12, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not report an incident involving a resident to Licensing.
Complaint Details
The complaint alleged the facility did not report incidents involving Resident #1 to Licensing. The allegation was substantiated based on staff interviews, record reviews, and verification with the Licensing Regional Office.
Findings
The investigation substantiated that the facility failed to report incidents involving Resident #1, including elopements and hospitalizations, to Community Care Licensing as required. Staff interviews and record reviews confirmed the incidents and lack of reporting.
Deficiencies (1)
CCR 82711(a)(1)(D) requires licensees to submit written reports of incidents threatening resident welfare. The facility failed to submit Unusual Incident Reports for Resident #1's incidents on 09/06/25, 09/07/25, and 09/08/25.
Report Facts
Census: 44
Total Capacity: 138
Deficiency Type A count: 1
Inspection Report
Complaint Investigation
Census: 41
Capacity: 138
Deficiencies: 0
Date: Aug 21, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-06-27 regarding medication mismanagement, uncomfortable room temperature, and unmet medical needs of residents.
Complaint Details
The complaint investigation was triggered by allegations that staff were mismanaging residents' medications, not ensuring comfortable room temperatures, and not meeting residents' medical needs. The allegations were found unsubstantiated after review of records and interviews.
Findings
The investigation found all allegations to be unsubstantiated based on interviews with staff and residents, document reviews, and observations. Residents were assisted with medications and medical needs, and air conditioning units were functioning properly.
Report Facts
Capacity: 138
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel Ann Sanchez | Administrator | Facility administrator present during the investigation and exit interview |
| Bernadette Allen | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Stephanie Cifuentes | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Annual Inspection
Census: 40
Capacity: 138
Deficiencies: 0
Date: Aug 6, 2025
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with no discrepancies observed in staff, resident, or medication records. Safety equipment and fire safety measures were operational and properly maintained.
Report Facts
Hospice waiver capacity: 8
Facility fee balance: 991
Staff records reviewed: 4
Resident records reviewed: 5
Medication administration records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel Ann Sanchez | Administrator/Director | Met with Licensing Program Analyst during inspection |
| Lizeth Villegas | Licensing Program Analyst | Conducted the inspection visit |
| Janae Hammond | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 138
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-06-27 regarding medication mismanagement, uncomfortable room temperature, and unmet medical needs of residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff mismanaging medications, failure to ensure comfortable room temperature, and failure to meet residents' medical needs. Interviews and document reviews did not support these allegations.
Findings
The investigation found that residents' medications were managed as prescribed with documented refusals, room temperatures were generally comfortable with functioning air conditioning units, and residents' medical needs were being met with staff assistance. The allegations were determined to be unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 138
Census: 38
Inspection Report
Census: 30
Capacity: 138
Deficiencies: 0
Date: Jan 10, 2025
Visit Reason
The visit was an unannounced case management inspection regarding the relocation of 30 residents from another facility due to a mandatory evacuation Fire Advisory.
Findings
The health and safety check found no concerns. The facility has sufficient beds, supplies, and staffing to accommodate the relocated residents, and all necessary notifications were made to families and responsible parties.
Report Facts
Fire Drill Date: Dec 12, 2024
Fire Inspection Date: Dec 12, 2024
Resident Count Relocated: 30
Ambulatory Residents: 16
Non-Ambulatory Residents: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel Ann Sanchez | Administrator | Met during inspection and involved in relocation process |
| Yolanda Rosser | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Follow-Up
Census: 24
Capacity: 138
Deficiencies: 0
Date: Oct 30, 2024
Visit Reason
The visit was a case management follow-up on an incident report dated 2024-05-08 regarding missing Oxycodone tablets.
Findings
The facility conducts medication audits during shift changes and stores medications properly. Missing surplus Oxycodone tablets were reported, law enforcement was notified, and no citations were issued. Additional safeguards were implemented following the incident.
Report Facts
Missing Oxycodone tablets: 50
Missing Oxycodone tablets: 195
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel Ann Sanchez | Administrator | Interviewed regarding missing medication incident |
| Shirley Gonzalez | LVN | Interviewed and reported missing medication to pharmacy and physician |
| Yolanda Rosser | Licensing Program Analyst | Conducted the case management visit and investigation |
Inspection Report
Complaint Investigation
Census: 24
Capacity: 138
Deficiencies: 0
Date: Oct 22, 2024
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations that staff were not feeding a resident and were neglecting residents in care.
Complaint Details
The complaint alleged that staff were not feeding a resident and were neglecting residents. After interviews with the administrator, residents, and staff, and review of records including menus and personnel reports, the allegations were found to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found that the facility provides three nutritious meals per day plus snacks, and residents and staff confirmed adequate feeding and care. There was sufficient staffing and no evidence of neglect. The allegations were found to be unsubstantiated.
Report Facts
Facility Capacity: 138
Resident Census: 24
Inspection Report
Annual Inspection
Census: 24
Capacity: 138
Deficiencies: 0
Date: Jul 29, 2024
Visit Reason
The visit was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations using the CARE Inspection Tool.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. No deficiencies or citations were observed during the inspection.
Report Facts
Rooms inspected: 7
Residents' service files reviewed: 5
Staff personnel files reviewed: 5
Fire/Disaster Drills date: Last drills conducted on 06/27/2024.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Antonine Richard | Licensing Program Analyst | Conducted the inspection and evaluation. |
| Chanel Ann Sanchez | Administrator | Facility Administrator met with the evaluator during the inspection. |
Inspection Report
Complaint Investigation
Census: 24
Capacity: 138
Deficiencies: 0
Date: Jul 17, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations regarding elevator disrepair causing resident injury and failure to inform the resident's responsible party.
Complaint Details
The complaint involved allegations that staff did not ensure the facility elevator was in good repair resulting in a resident injury, and that staff did not inform the resident's responsible party. Both allegations were found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the elevator to be in good repair with recent maintenance and inspection records. The resident's responsible party was notified on the day of the incident. Both allegations were unsubstantiated and no deficiencies were cited.
Report Facts
Facility Capacity: 138
Resident Census: 24
Staff Interviewed: 4
Residents Interviewed: 1
Elevator Inspection Date: Jul 2, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chanel Ann Sanchez | Administrator | Met with Licensing Program Analyst during investigation |
| Socorro Leandro | Licensing Program Analyst | Conducted complaint investigation |
| Ulysses Coronel | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 40
Capacity: 138
Deficiencies: 0
Date: Sep 2, 2023
Visit Reason
The visit was an unannounced annual required inspection using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. No deficiencies or citations were observed during the inspection.
Report Facts
Rooms inspected: 7
Residents' service files reviewed: 5
Staff personnel files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ariella Benbassat | Administrator | Met with Licensing Program Analyst during inspection and received report. |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report. |
Inspection Report
Annual Inspection
Census: 40
Capacity: 138
Deficiencies: 0
Date: Jul 30, 2021
Visit Reason
Licensing Program Analyst Ana Soto conducted an unannounced annual required visit and an infection control inspection to the facility.
Findings
No deficiencies were observed during the inspection. The facility was found to be in good repair with proper infection control practices and compliance with safety regulations.
Report Facts
Residents present: 40
Licensed capacity: 138
Ambulatory residents: 19
Non-ambulatory residents: 22
Bedrooms: 79
Common area bathrooms: 8
Private bathrooms: 79
Fire extinguishers: 6
Hot water temperature: 111
PPE supply duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ariella BenBassat | Administrator | Met during inspection and exit interview |
| Ana Soto | Licensing Program Analyst | Conducted the inspection |
| Janae Hammond | Supervisor | Supervisor overseeing the inspection |
| Nora Polanco | Met during inspection |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 138
Deficiencies: 0
Date: Jun 24, 2021
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2021-03-29 regarding resident care issues including nutrition, room cleanliness, laundry services, and food withholding.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents not being served nutritious meals, rooms not being cleaned, inadequate laundry services, and staff withholding food. Interviews with staff and residents, as well as record reviews and observations, did not support these allegations.
Findings
The investigation included interviews, record reviews, and facility tours. The allegations were found to be unsubstantiated as interviews and observations indicated that meals were nutritious, rooms were cleaned regularly, laundry services were adequate, and no food was withheld from residents.
Report Facts
Facility Capacity: 138
Resident Census: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ariella Benbassat | Administrator | Facility administrator involved in interviews and exit interview |
| Ana Soto | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Janae Hammond | Supervisor | Supervisor overseeing the investigation |
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