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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320456
Report Date: 07/11/2025
Date Signed: 07/11/2025 11:31:07 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
06/25/2025 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250625130052
FACILITY NAME:TERRAZA COURT SENIOR LIVINGFACILITY NUMBER:
198320456
ADMINISTRATOR:KAVANAUGH, BRITTANYFACILITY TYPE:
740
ADDRESS:10955 WASHINGTON BLVDTELEPHONE:
(310) 838-7800
CITY:CULVER CITYSTATE: CAZIP CODE:
90232
CAPACITY:170CENSUS: 111DATE:
07/11/2025
UNANNOUNCEDTIME BEGAN:
08:11 AM
MET WITH:Michelle BrownTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not ensure that residents were provided adequate supervision.
INVESTIGATION FINDINGS:
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On 06/27/25, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit on to gather information regarding the above allegation(s). LPA met with Wellness Director Michelle Brown and the purpose of the visit was explained. LPA spoke with Executive Director over the phone. On 07/10/25, LPA conducted a subsequent visit and met with the Wellness Director. On 07/11/25, LPA conducted a subsequent visit and met with the Wellness Director.

Investigation consisted of the following : On 06/27/25, LPA obtained Resident Rosters, Staff Roster, Elevator Invoices, Assisted Living and Memory Care Activity Schedule (January 2025 – June 2025), and Fire Drill Reports. LPA interviewed six (6) staff (S2 – S7) and toured the facility (stairwells 1 and 2), elevator, common areas, and outdoor patios. LPA received resident records via email on 07/07/25 – 07/09/25. On 07/10/25, LPA interviewed Staff #8 (S8), seven residents (R1 – R7), and Witness #1 (W1). On 07/11/25, LPA interviewed two staff (S9 – S10), five residents (R5, R8 – R11), and Witness #2.
Continue to LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025
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 3
Control Number 11-AS-20250625130052
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: TERRAZA COURT SENIOR LIVING
FACILITY NUMBER: 198320456
VISIT DATE: 07/11/2025
NARRATIVE
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Regarding the allegation, “Staff did not ensure that residents were provided adequate supervision,” it is being alleged that on several occasions, wheelchair-bound residents were placed in front of the television area for hours without checking on them regularly. LPA observed staff supervision during group activities in the large common area on the ground floor and in the theater room and dining room with memory care residents. Two out of two staff interviews denied the allegation. Four out of five resident interviews denied the allegation. Witness #2 was unaware.

Regarding the allegation, “Staff did not ensure that residents were provided adequate supervision,” based on interviews and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted and a copy of this report was provide to the Wellness Director Michelle Brown.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3