198602264-9-13-2024-11-AS-UCOL-DA5UA9-20241017152421

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602264
Report Date: 09/13/2024
Date Signed: 09/13/2024 01:47:19 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, 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
09/11/2024 and conducted by Evaluator Regina Cloyd

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20240911085425

FACILITY NAME:	TERRAZA COURT		FACILITY NUMBER:	198602264
ADMINISTRATOR:	HEZAR, JASMINE		FACILITY TYPE:	740
ADDRESS:	10955 WASHINGTON BLVD		TELEPHONE:	(310) 838-7800
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	170	CENSUS: 65	DATE:	09/13/2024
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Wellness Director Michelle Brown		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not keep the facility at a comfortable temperature.

INVESTIGATION FINDINGS:

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On 09/12/2024 Licensing Program Analysts (LPA) Regina Cloyd and Hollie Enriquez conducted a complaint investigation at the above facility to address the following allegations. LPAs met with Executive Director and explained the purpose of the visit. The investigation consisted of the following: LPAs interviewed residents and staff, and reviewed resident records and facility records.

On 09/13/2024 Licensing Program Analyst (LPA) Regina Cloyd conducted a subsequent complaint investigation. LPA met with Wellness Director Michelle Brown. The investigation consisted of the following: LPA interviewed staff, toured the facility, and reviewed resident records.

Continue to LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) -40-7397
LICENSING EVALUATOR NAME: Regina Cloyd	TELEPHONE: 323-981-7155
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

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-20240911085425

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: TERRAZA COURT	FACILITY NUMBER: 198602264
	VISIT DATE: 09/13/2024

NARRATIVE

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The investigation revealed the following: Regarding the allegation "Staff did not keep the facility at a comfortable temperature," it is being alleged that the air conditioner was turned off by management during a heat wave (09/06/24 – 09/09/24) and the facility was extremely warm. It is also alleged that during this time, residents needed medical attention for excessive sweating and low blood pressure.

Record review revealed that the facility’s temperature from 09/06/24 – 09/09/24 ranged from 72-74 degrees. Six (6) our of (13) thirteen residents was able to complete the interview. Three (3) out of (6) six residents indicated the facility was quite warm but manageable with their room air conditioner. Of these (3) three, (2) two indicated that the warmth was a little uncomfortable. The other three (3) out of the (6) six residents indicated the facility was okay and they felt comfortable and not warm. All (6) six residents indicated that the staff turned on the building air conditioner. Six (6) out of (7) seven staff members, including the Facility Manager, indicated that the air conditioners were on. Interview with the Facility Manager indicated that the air conditioner is kept on 24-hours per day. LPA Cloyd and Facility Manager toured the facility and the thermostats reflected: 73 degrees (ground activity room), 74 degrees (ground dining room), 71 degrees (second floor near room 214), 72 degrees (second floor near room 221), 70 degrees (second floor near room 229), and 75 degrees (second floor near room 241). The Facility Manager stated that the second floor thermostat control the temperature on the first floor (includes Memory Care). LPA observed that each resident room and common areas have its own air conditioner. Incident Charting from 09/06/24 – 09/09/24 reveals that (2) two out of (5) five incidents were falls that required the paramedics. Interview with the Wellness Director indicated that the facility’s temperature was not a contributing factor to the falls or low blood pressure. The Wellness Director also identified one additional resident on the register of residents who experienced low blood pressure and needed a paramedic on 09/07/24. The physician’s report for this resident reveal that the resident had weakness and is a fall risk. Interview with the Wellness Director indicated that weakness may be the contributing factor to low blood pressure. Regarding the allegation “Staff did not keep the facility at a comfortable temperature," based on record reviews, observation, and interviews, 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 did or did not occur, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

An exit interview was conducted and a copy of this report was provided to the Wellness Director Michelle Brown.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) -40-7397
LICENSING EVALUATOR NAME: Regina Cloyd	TELEPHONE: 323-981-7155
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024

LIC9099 (FAS) - (06/04)

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