306004192-6-2-2021-22-AS-AORZ-C43MR3-20210617094936

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004192
Report Date: 06/02/2021
Date Signed: 06/02/2021 11:17:22 AM

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
03/25/2020 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20200325162738

FACILITY NAME:	WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE		FACILITY NUMBER:	306004192
ADMINISTRATOR:	MELCHOR DE LEON		FACILITY TYPE:	740
ADDRESS:	200 WEST WHITTIER BLVD.		TELEPHONE:	(562) 691-1200
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	196	CENSUS: 194	DATE:	06/02/2021
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Eric Nerino, Care Coordinator		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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-Facility Staff is restricting resident’s food

-Facility staff is bullying resident

-Facility staff speaks inappropriately to residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez conducted this unannounced visit to deliver findings for the investigation into the above identified complaint allegations. LPA entered facility was greeted by receptionist and advised AD was not at facility and notified Care Coordinator. LPA met with Eric Nerino and explained the purpose of the visit.

During the course of the investigation the following was conducted; interviews conducted with residents, a tour of the physical plant of the facility completed, review of facility menus and obtained copies of pertinent documents.

It is alleged that facility staff is restricting resident’s food, staff is bullying residents, and staff speaks inappropriately to residents. The investigation revealed the following: food services offered at the facility revealed that food supply meets the standard requirement of a seven day supply of perishables and a two
CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Marina Stanic	TELEPHONE: (714) 703-2851
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2021

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-20200325162738

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: WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 306004192
	VISIT DATE: 06/02/2021

NARRATIVE

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day supply of non-perishables. Menus are adequate to meet the nutritional needs of the residents in care. LPA observations of the provided food service revealed that serving sizes and balanced meals are adequate. Interviews with 14 of 123 residents revealed that residents have no complaints with the food being served and are content with food. Interviews reveled that if residents want a snack and if requested that staff provide a snack. Furthermore, when a resident does not like the food being served, the facility provides options to accommodate the request. Based on the available evidence LPA is unable to ascertain that meals are being restricted. Interviews with residents reveled they have not witnessed any residents being bullied or treated inappropriately. Residents state they are treated well and get the help they need when requested. During the course of the investigation LPA conducted interviews with multiple residents. Information gathered through interviews is conflicting. LPA is unable to identify a witness to support the allegations that staff bully and speak inappropriately to residents.

Based on the information gathered during the investigation, interviews and review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

A copy of this report is being reviewed with facility representative and furnished to the facility.

SUPERVISOR'S NAME: Marina Stanic	TELEPHONE: (714) 703-2851
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2021

LIC9099 (FAS) - (06/04)

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