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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300607488
Report Date: 03/16/2022
Date Signed: 05/12/2022 12:57:26 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
03/14/2022 and conducted by Evaluator Rosie Quiroz
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220314153540
FACILITY NAME:HERITAGE POINTEFACILITY NUMBER:
300607488
ADMINISTRATOR:MIKE SILVERMANFACILITY TYPE:
740
ADDRESS:27356 BELLOGENTETELEPHONE:
(949) 364-9685
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:225CENSUS: 146DATE:
03/16/2022
UNANNOUNCEDTIME BEGAN:
10:52 AM
MET WITH:Tracii Brown, Director of HealthCareTIME COMPLETED:
01:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Facility staff refused to provide resident with clean towels
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 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, granted entry and met with Director of Health Care (DOHC) Tracii Brown and explained the reason for the visit.
On today's date, LPA Quiroz interviewed 8 interviewees and obtained and reviewed the following documentation: Resident roster, staff roster, housekeeping cleaning schedule, House keeping department voicemail messages, physician reports and needs and services plans for four residents. Regarding the allegation "Facility Staff refused to provide resident with clean towels," the investigation revealed the following: Seven of seven interviewees indicated sufficient amount of towels are being provided to residents during housekeeping scheduled day and when requested as needed. 8 of 8 interviewees indicated receiving their towels. Therefore the allegation "Facility Staff refused to provide resident with clean towels," is deemed UNFOUNDED, meaning the allegations is false, could not have happened and/or is without a reasonable basis.
This report was reviewed with Tracii Brown, Director of Health Care and a copy of this report was provided at exit. ***This is an Amended Report***
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Alisa OrtizTELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Rosie QuirozTELEPHONE: (559) 753-4610
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
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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