306004192-8-11-2022-22-AS-MSTC-CM789R-20221216211934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004192
Report Date: 08/11/2022
Date Signed: 08/11/2022 12:00:30 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
08/04/2022 and conducted by Evaluator Sean Haddad

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220804171850

FACILITY NAME:	WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE		FACILITY NUMBER:	306004192
ADMINISTRATOR:	CHIN SHUN LEE LIAU		FACILITY TYPE:	740
ADDRESS:	200 WEST WHITTIER BLVD.		TELEPHONE:	(562) 691-1200
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	196	CENSUS: 90	DATE:	08/11/2022
		UNANNOUNCED	TIME BEGAN:	09:19 AM
MET WITH:	Carol Lee		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff changed resident's diaper without permission.

INVESTIGATION FINDINGS:

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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Administrator (AD) Carol Lee, discussed the purpose of the inspection, and explained the allegation.

The investigation into the allegation that Staff changed resident's diaper without permission revealed the following: During the course of the investigation, LPA interviewed AD, 2 staff, and 2 residents, and requested and reviewed copies of the resident roster, staff roster, and resident files.

It was reported that staff changed Resident #1’s (R1) diaper without permission. Per AD, R1 moved out of the facility on 08/04/22. Review of R1’s Physician Report dated 01/07/22, Preplacement Appraisal Information dated 12/10/21, and Enhanced Residential Care Services Assessment dated 01/24/22 revealed that R1 is diagnosed with depression and suicidal ideation, but it is unclear whether R1 wears diapers.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean Haddad	TELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022

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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Control Number 22-AS-20220804171850

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: 08/11/2022

NARRATIVE

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2 out of 2 staff interviewed denied the alleged incident occurred and stated that R1 did not wear diapers and did not receive diaper changes from facility staff. Staff #1 (S1) stated that when R1 moved in R1 was independent, did not wear diapers or receive incontinence care, only needed help with showers. S1 stated that around 06/01/22 a resident moved in next to R1 who needed total care and that R1 became jealous and wanted the same amount of care, although R1 did not need it. At that point, the facility began providing R1 with pull-ups (which are considered underwear and not diapers) which R1 changed themselves. Per S1, residents on pull-ups do not receive changes, but residents on diapers do receive changes, and R1 was never on diapers and was only ever on pull-ups. LPA’s review of Assisted Living Residents Assignments dated 03/03/22, 06/02/22, 07/05/22 (which show the care items to be received by individual residents) corroborated S1’s statements as these documents showed R1 received no incontinence care on 03/03/22 and pull-ups on 06/02/22 and 07/05/22. Per interviews with 2 staff and 1 resident, R1 has a history of making up rumors and otherwise saying untrue things about residents and staff when R1 is jealous or angry at them. During the inspection, LPA interviewed R1 via telephone and R1 admitted the alleged incident did not occur. R1 stated that R1 never received diaper changes while living at the facility, that R1 is independent and does not need this service, and that no one at the facility ever changed R1’s diaper against their will. LPA confirmed these statements with R1 3 times during the call.

The Department has investigated the above allegation and found it to be Unfounded, meaning the allegation was false, could not have happened, or is without reasonable basis. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Sean Haddad	TELEPHONE: (714) 335-7094
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022

LIC9099 (FAS) - (06/04)

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