300607488-12-9-2021-22-AS-AORZ-CLLM4P-20221128081704

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300607488
Report Date: 12/09/2021
Date Signed: 12/09/2021 02:15:08 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
12/07/2021 and conducted by Evaluator Rosie Quiroz

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20211207140043

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: 151	DATE:	12/09/2021
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Mike Silverman, Administrator		TIME COMPLETED:	12:12 PM

ALLEGATION(S):

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-Resident files are not kept confidential.
-Food is too high in sodium.

INVESTIGATION FINDINGS:

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On today's date, Licensing Program Analyst (LPA) LPA Rosie Quiroz made an unannounced complaint visit to conduct 10 day visit for the above allegations. LPA Quiroz was greeted, COVID-19 screened and granted entry by Front Desk Concierge. LPA Quiroz met with Executive Director Mike Silverman and explained the reason for the visit.
During the course of the investigation, LPA Quiroz interviewed five staff and four residents and obtained pertinent documentation such as resident roster, physician reports for four residents, and food menus. Regarding the allegation "Resident files are not kept confidential," the investigation revealed the following:
Five of five interviewees indicated an entry access card is required in order to open resident file room. During inspection tour, LPA Quiroz attempted to open resident file room on West side of the faciltity and was not able to enter resident file room.
CONTINUED ON 9099C NEXT PAGE...

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: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

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 22-AS-20211207140043

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: HERITAGE POINTE	FACILITY NUMBER: 300607488
	VISIT DATE: 12/09/2021

NARRATIVE

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Regarding the allegation "Food is too high in sodium," LPA Quiroz interviewed four residents. Four of four interviewees of which one interviewee is on the Food Committee indicated "Food is good, it's kosher diet and not salty."
Therefore the allegations listed above are deemed UNFOUNDED, meaning the allegations are false, could not have happened and/or are without a reasonable basis.

This report was reviewed with Executive Director Mike Silvermen and Tracii Brown, Director of Health Care and a copy of this report was provided at exit.

SUPERVISOR'S NAME: Alisa Ortiz	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie Quiroz	TELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

LIC9099 (FAS) - (06/04)

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