198602264-3-23-2023-11-AS-MVAO-CT7QZC-20230627123633

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602264
Report Date: 03/23/2023
Date Signed: 03/23/2023 03:32:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/14/2023 and conducted by Evaluator Wendy Gibbs

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20230314085332

FACILITY NAME:	TERRAZA COURT		FACILITY NUMBER:	198602264
ADMINISTRATOR:	GREG BECKER		FACILITY TYPE:	740
ADDRESS:	10955 WASHINGTON BLVD		TELEPHONE:	(310) 838-7800
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	115	CENSUS: 59	DATE:	03/23/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Jasmine Hezar		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff are leaving the residents soiled for extended periods of time while in care.

INVESTIGATION FINDINGS:

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On 03/23/23, Licensing Program Analyst (LPA) Wendy Gibbs, conducted an initial complaint investigation for the allegations listed above. LPA called the facility and conducted Covid-19 Risk assessment and there are no Covid-19 cases. LPA Gibbs met with Executive Director, Jasmine Hezar and explained the purpose of today’s visit.

The investigation consisted of the following: LPA Gibbs interviewed staff 1-6 (S1-6) and residents 1-6 (R1-6). LPA Gibbs asked questions relevant to the nature of the complaint. LPA Gibbs requested copies of the resident roster, personnel report, incontinence care policy, and staff ongoing annual training. Executive Director Hezar and LPA Gibbs toured the entire facility it was clean, safe, sanitary, and in good repair at the time of the visit for the safety and well-being of clients, employees, and visitors. We did not observe a dirty facility, or any smells of incontinence.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Wendy Gibbs	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20230314085332

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: TERRAZA COURT	FACILITY NUMBER: 198602264
	VISIT DATE: 03/23/2023

NARRATIVE

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Staff interviewed stated that incontinent residents are checked every two (2) hours or as needed, and during those times when they are known to be incontinent, during the morning, afternoon, and day staff take them to the restroom to try. Staff stated the incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. Staff is receiving ongoing training on managing residents' incontinence.
All residents interviewed stated they are never left soiled for any extended time. All residents interviewed stated they are treated with dignity, respect and the staff care about them. Residents stated that they are comfortable, the staff is providing the necessary care and supervision and their daily needs are being met. Residents interviewed stated they were happy at the facility and had no problems, issues, or concerns. Staff and residents denied allegations.

Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated.

There were no deficiencies cited.
An exit interview was conducted and a copy of this report was provided to Executive Director Jasmine Hezar.

SUPERVISOR'S NAME: Eva M Alvarez	TELEPHONE: (323) 629-7047
LICENSING EVALUATOR NAME: Wendy Gibbs	TELEPHONE: (323) 981-1755
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

LIC9099 (FAS) - (06/04)

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