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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320456
Report Date: 05/20/2026
Date Signed: 05/21/2026 07:09:55 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
05/13/2026 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20260513124515
FACILITY NAME:TERRAZA COURT SENIOR LIVINGFACILITY NUMBER:
198320456
ADMINISTRATOR:LINDA POYTHRESSFACILITY TYPE:
740
ADDRESS:10955 WASHINGTON BLVDTELEPHONE:
(310) 838-7800
CITY:CULVER CITYSTATE: CAZIP CODE:
90232
CAPACITY:170CENSUS: 108DATE:
05/20/2026
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:EXECUTIVE DIRECTOR LINDA POYTHRESSTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff do not allow resident to return to facility.
INVESTIGATION FINDINGS:
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On 05/20/26 at 10:00 am Licensing Program Analyst (LPA) Villegas conducted an initial complaint visit regarding the allegation(s) above. LPA met with Executive Director Linda Poythress (staff #1/S1) as the purpose of today’s visit was explained.

The investigation consisted of the following: On 05/20/26 LPA Villegas obtained copies of the staff and resident roster, and copies of the following documents for Resident #1 (R1) Emergency ID form, Pre-appraisal dated:04/01/25, Admission agreement dated: 04/01/25, Physicians reports dated: 02/25/26 and 03/31/25, Service plan dated: 04/20/25, Medication list, Facility notes dated 04/04/2026- 05/15/2026, and copies of SOC 341's dated: 04/13/26 and 04/24/26. On 05/20/26 from 10:30 am- 11:30 am LPA conducted Interviews with Residents #2-7 (R2-R7). LPA unable to interview R1 as R1 is currently not receiving services at the facility. On 05/20/26 from 12pm- 1pm LPA conducted interviews with staff #1-6 (S1-S6), and conducted a review of documents obtained.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
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 2
Control Number 11-AS-20260513124515
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: 05/20/2026
NARRATIVE
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The investigation revealed the following:
Allegation: Staff do not allow resident to return to facility.

It is being alleged that the facility is refusing to accept back a resident who has been medically cleared to be discharged back to the facility for care. On 05/20/26 from 10:30 am- 11: 30 am LPA conducted Interviews with R2-R7 regarding the allegation above. 2 of the 6 residents interviewed denied the allegation above and reported having no issues returning to the facility after hospitalization. 4 of the 6 residents interviewed reported having no knowledge of the allegation above as they have not been hospitalized since their admission to the facility. On 05/20/26 LPA Villegas was unable to interview R1 due to diagnosis. Additionally, 6 of the 6 residents interviewed reported they are happy with the care being provided at the facility. On 05/20/26 from 12pm- 1pm LPA conducted interviews with S1-S6 regarding the allegation above. 4 of the 6 staff interviewed denied the allegation above. 1 of the 6 staff interviewed reported having no knowledge of the allegation above. 1 of the 6 staff interviewed confirmed the allegation above and reported that if the resident is reassessed and the residents care needs cannot be met at the facility, the facility will not accept a resident back. Additionally, 4 of 6 staff report that the facility can no longer meet the care needs of a resident, the facility will accept a resident back until proper placement is found. 2 of the 6 staff interviewed indicated that a former facility staff reported conducting a reassessment for R1 but there is no documentation available to prove that the assessment was done. On 05/20/26 LPA conducted a review of documents obtained for R1, LPA did not observe a reassessment nor an eviction notice on file. Per facility notes dated: 05/04/26, 05/08/26, and 05/11/26 per Hospital social worker R1 was not ready for discharge. Per facility note dated: 05/12/26, facility asked hospital social worker for SNF referral to assure medication compliance as R1 was placed on new meds due to physical behaviors, and to ensure safety for all Terraza Court residents. Per note Social worker agreed to SNF referral.


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.

Exit interview conducted, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2