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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004192
Report Date: 07/11/2025
Date Signed: 07/11/2025 03:12:46 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
03/24/2021 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 22-AS-20210324094334
FACILITY NAME:WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
306004192
ADMINISTRATOR:CHIN SHUN LEE LIAUFACILITY TYPE:
740
ADDRESS:200 WEST WHITTIER BLVD.TELEPHONE:
(562) 691-1200
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:196CENSUS: 114DATE:
07/11/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Chief Operating Officer Faye Shen TIME COMPLETED:
03:20 PM
ALLEGATION(S):
1
2
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8
9
Lack of supervision resulting in resident sustaining injury from fall
INVESTIGATION FINDINGS:
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2
3
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5
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8
9
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11
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13
The department conducted the investigation into the allegations above. The department reviewed medical records, facility records, and conducted interviews. This complaint came in March 2021.

Title 22 Regulations does not require staff to have residents in line of sight or within earshot 24 hours a day, seven days a week. Title 22 Regulations require facilities to assess residents and determine how much supervision and care a resident requires. Records and interviews do state one resident was found on the floor in front a a recliner face down. Interviews with staff stated they check on residents a minimum of every two hours and the checks are adjusted according to a resident’s needs. Interviews indicate the resident possibly fell out of the recliner in between the checks. Based on the interviews the allegation cannot be proved or disproved because it cannot be determined what time the resident feel. Resident was not able to be interviewed.
Therefore, LPA finds the allegation to be "unsubstantiated." A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the violation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025
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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