198320456-2-12-2026-11-AS-SCIS-DU52BQ-20260515171528

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320456
Report Date: 02/12/2026
Date Signed: 02/12/2026 03:33:04 PM

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
02/06/2026 and conducted by Evaluator Felisa Shirley

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260206162139

FACILITY NAME:	TERRAZA COURT SENIOR LIVING		FACILITY NUMBER:	198320456
ADMINISTRATOR:	KAVANAUGH, BRITTANY		FACILITY TYPE:	740
ADDRESS:	10955 WASHINGTON BLVD		TELEPHONE:	(310) 838-7800
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	170	CENSUS: 105	DATE:	02/12/2026
		UNANNOUNCED	TIME BEGAN:	09:49 AM
MET WITH:	Michelle Brown, Wellness Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff are not responding to resident's call button.
Staff are not following resident's dietary plan.

INVESTIGATION FINDINGS:

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On 2/12/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Wellness Director, Michelle Brown 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 2/12/26 LPA Shirley reviewed copies of the following records: Staff and Resident Roster, weekly menus, Medical Assessment for Residential Care facilities for the Elderly (LIC 602A) and Resident Service Plan. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff 8 (S1 – S8), and Resident -1 – Resident - 6(R1-R6).

Con'd on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

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-20260206162139

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: 02/12/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff are not responding to resident's call button.

It is being reported that staff are not responding to the residents calls in a timely manner. LPA Felisa Shirley interviewed S1 – S8 and was told when a resident pulls the call cord, the alert is sent to the front desk/receptionist. On 2/12/26, LPA Shirley was working in the Administrator’s office located next to the front desk in the lobby. LPA Shirley heard the receptionist calling staff on the walkie constantly relaying call request from the residents. During the tour to R1’s room on 2/12/26, LPA Shirley pulled the call cord at 11:19am. At 11:25pm there was a knock on the door, then the responding staff announced herself then walked in the room.

LPA interviewed staff 1 – staff 8 (S1 – S8). Of those interviewed 8 out of 8 denied the allegation. LPA interviewed resident 1 – resident 6(R1 – R6). Of those who interviewed 5 out of 6 denied the allegation. One stated that they go down to the front desk on their own.

Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff are not responding to resident's call button,” therefore, the allegation is unsubstantiated.

Allegation: Staff are not following resident's dietary plan.

It is being reported that staff are ignoring resident’s special diets. R1 is also concerned that she is not receiving fresh fruit and vegetables. Upon LPA Shirleys arrival to this facility on 2/12/26, LPA observed oranges in the snack area located in front of the elevators in the lobby. LPA Shirley reviewed the February 2026 weekly menu and observed that fruit and vegetables are offered daily. Upon LPA Shirleys tour to the kitchen, LPA observed a large whiteboard posted in the kitchen which listed room numbers and corresponding special diets. LPA Shirley observed R1’s room number listed on table of dietary plans. During the interview with R1, she stated that her dietary requirements are not always consistently followed by the staff.

LPA interviewed staff 1 – staff 8 (S1 – S8). Of those interviewed 8 out of 8 denied the allegation. LPA interviewed resident 1 – resident 8(R1 – R8). Of those who interviewed 5 out of 6 has a regular diet, one stated sometimes yes, sometimes no.

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20260206162139

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: 02/12/2026

NARRATIVE

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Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff are not following resident's dietary plan,” 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 Wellness Director, Michelle Brown.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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