306004192-3-19-2024-22-AS-SSAS-D3M2SK-20240322173916

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004192
Report Date: 03/19/2024
Date Signed: 03/19/2024 02:11:23 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
01/02/2024 and conducted by Evaluator Celine DePerio

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240102113340

FACILITY NAME:	WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE		FACILITY NUMBER:	306004192
ADMINISTRATOR:	STEVE SHEN		FACILITY TYPE:	740
ADDRESS:	200 WEST WHITTIER BLVD.		TELEPHONE:	(562) 691-1200
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	196	CENSUS: 118	DATE:	03/19/2024
		UNANNOUNCED	TIME BEGAN:	12:41 PM
MET WITH:	Faye Shen - Chief Operating Officer		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility did not ensure that resident's personal rights were respected
Facility staff are not properly trained
Facility staff did not ensure that resident's relationships with staff were accorded dignity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit to the facility to deliver the findings. LPA De Perio explained the purpose of today's visit, and was greeted by Chief Operating Officer- Faye Shen.

It was alleged that facility did not ensure that resident's personal rights were respected. 4 out of the 5 resident interviews conducted did not corroborate with the allegation by stating that staff are respectful. 1 out of the 5 resident interviews stated that resident 1 (R1) does not like when staff enter their room, and added that only certain staff are allowed in their room due to personal preference. 3 out of the 3 staff interviews conducted did not corroborate with the allegation by stating that upon hire, staff are required to complete training regarding personal rights. LPA De Perio conducted a record review and observed that 3 out of the 3 staff had completed training regarding personal rights.

It was alleged that facility staff are not properly trained. 5 out of the 5 resident interviews conducted did not corroborate with the allegation by stating that staff are trained.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Celine DePerio	TELEPHONE: 714-703-2854
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024

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-20240102113340

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 306004192
	VISIT DATE: 03/19/2024

NARRATIVE

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1 out of the 5 resident interviews specified that the staff who are not trained properly, are the ones who are unable to speak English. 3 out of the 3 staff interviews stated that not only do staff undergoing training, but staff will also complete orientation and shadowing prior to taking care of residents. LPA De Perio conducted documentation review, and it was observed that upon hire, training such as, but not limited to, regarding personal rights, resident rights, care and supervision, and adult abuse are completed and that facility stores the completed trainings in each individualized staff folder.

It was alleged that facility staff did not ensure that resident's relationships with staff were accorded dignity. 4 out of the 5 resident interviews conducted did not corroborate with the allegation by stating that staff do accord residents with dignity. 1 out of the 5 resident interviews stated that there are some good and some bad staff, but provided no further details about the bad staff. 3 out of the 3 interviews conducted with staff stated that if there was an issue regarding not according relationships with residents with dignity, that staff would be given a warning via documentation. LPA De Perio conducted record reviews and observed that there were no documented issues regarding staff not according residents with dignity.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation 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.

An exit interview was conducted with Chief Operating Officer- Faye Shen.

A copy of this report was provided and explained.

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Celine DePerio	TELEPHONE: 714-703-2854
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024

LIC9099 (FAS) - (06/04)

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