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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320456
Report Date: 09/23/2026
Date Signed: 09/23/2026 10:49:51 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
06/16/2026 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260616085634
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: 100DATE:
09/23/2026
UNANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Linda Poythress - AdministratorTIME COMPLETED:
11:13 AM
ALLEGATION(S):
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STAFF DID NOT SUPPLY RESIDENT WITH WORKING WHEELCHAIR
INVESTIGATION FINDINGS:
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On 09/23/26 Licensing Program Analyst (LPA) Mario Leon conducted a subsequent, unannounced, complaint visit at the facility. California Department of Social Services (CDSS) was met by staff one, Linda Poythress - Administrator (S1), and the purpose of the visit was explained.
The visit conisisted of the following:
On 06/23/26 CDSS requested and reviewed facility documents; including resident roster (dated: 06/15/26), staff roster (dated: 05/19/26) and Care notes regarding a resident (R1) (dated 03/31/26 through 06/17/26) and toured the facility. Between 02:30PM and 5:00PM, LPA interviewed one (1) out of one-hundred and five (105) clients, one witness (W1) and three (3) out of fourty-four (44) staff. On 09/23/26, between 09:45AM and 10:00AM CDSS reviewed R1's care notes and requested R1's safeguard of personal valuables (SPV). Between 10:00AM and 10:45AM CDSS interviewed six (6) residents (R2-R7).


Report continues, please see LIC9099-C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
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-20260616085634
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: 09/23/2026
NARRATIVE
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The investigation revealed the following:
Regarding the allegation "STAFF DID NOT SUPPLY RESIDENT WITH WORKING WHEELCHAIR", it is being alleged that the facility has misplaced a resident's 21" wheelchair. Interviews revealed that five (5) out of seven (7) residents (R3-R7) and all three (3) staff (S1-S3) have denied the allegation has taken place. Record reviews of R1's care notes and SPV have not indicated that R1 was admitted with a wheelchair. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

An exit interview was held with Linda Poythress and a copy of this report has been provided.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2