300607488-3-16-2022-22-AS-AORZ-CKTQ7V-20221103115543

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300607488
Report Date: 03/16/2022
Date Signed: 03/16/2022 02:27:14 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/29/2021 and conducted by Evaluator Rosie Quiroz

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210329143158

FACILITY NAME:	HERITAGE POINTE		FACILITY NUMBER:	300607488
ADMINISTRATOR:	MIKE SILVERMAN		FACILITY TYPE:	740
ADDRESS:	27356 BELLOGENTE		TELEPHONE:	(949) 364-9685
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	225	CENSUS: 146	DATE:	03/16/2022
		UNANNOUNCED	TIME BEGAN:	09:43 AM
MET WITH:	Tracii Brown, Director of Health Care		TIME COMPLETED:	10:51 AM

ALLEGATION(S):

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-Staff did not prevent residents from engaging in inappropriate interactions

INVESTIGATION FINDINGS:

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On today's date, Licensing Program Analyst (LPA) Rosie Quiroz, was greeted, COVID-19 screened and met with Director of HealthCare (DOHC) Tracii Brown for the purpose to deliver findings for a complaint investigation. The initial 10-day visit was completed on 4/02/2021 by LPA Barrett.
During the course of this investigation, LPA Quiroz conducted interviews, conducted facility walk through inspection observations on 12/9/2021, reviewed documents including but not limited to Resident roster, staff roster, Resident Physician ReportsNeeds and Services Appraisals for 4 of 4 residents.
It was alleged that "Staff did not prevent residents from engaging in inappropriate interactions." During the course of this investigation, LPA Quiroz conducted multiple interviews with interviewees, 7 of 7 interviewees denied allegation of "Staff did not prevent residents from engaging in inappropriate interactions."
Based on a review of the documentation, observations and interviews conducted, we have found the complaint allegation of "Staff did not prevent residents from engaging in inappropriate interactions,” is deemed UNFOUNDED, meaning that the allegation was false, could not have happened or is without a reasonable basis. We have therefore dismissed the complaint.
An exit interview was conducted with (DOHC)Tracii Brown and a copy of this report was provided at exit.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie Quiroz	TELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

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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