306004192-4-12-2024-22-AS-LMOA-D7N858-20240729221218

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004192
Report Date: 04/12/2024
Date Signed: 04/12/2024 02:12:52 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
01/18/2024 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20240118101539

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: 122	DATE:	04/12/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Faye Shen - Chief Operating Officer		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff drink alcohol in the facility
Facility room is malodorous
Facility is not kept free of pests

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Regarding the complaint allegation: Staff drink alcohol in the facility

During the investigation 8 of 9 individuals interviewed either denied or were unable to support the complaint allegation above. Staff 1 (S1) denied the complaint allegation and stated staff are not allowed to consume alcohol on their shift or work while intoxicated. Resident's are allowed to drink alcohol, as it's their personal right, as long as they drink responsibly and are not intoxicated. Staff 2 (S2) denied drinking while on duty and denied ever being intoxicated while on duty.

Regarding the complaint allegation: Facility room is malodorous.

During the investigation 5 of 5 staff denied the allegation above. Staff 5 (S5) stated some rooms have an odor because they have pets, but they clean up and after the room is clean the odor is not that strong.
Continued on LIC9099C

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome Haley	TELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 22-AS-20240118101539

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: 04/12/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During the initial visit January 23, 2024, and the follow up visit made to complete interviews and deliver findings, LPA Haley walked through the facility to make observations. During both brief tours of the facility, no foul odors were smelled coming from any resident rooms during the initial visit in January, or the follow up visit made to deliver the findings.

Regarding the complaint allegation: Facility is not kept free of pests.

8 of 8 resident's and staff denied the presence of any rodents. Staff 1 (S1) stated there was a problem over the summer and the issue may be seasonal, but pest control came and eradicated the problem. S1 says pest control still make regular monthly visits to the facility. Pest control invoices were provided after the interview. One staff member did mention they have saw an occasional cockroach, but said as soon as you spray them, they’re gone. No rodents or cockroaches were observed during the initial visit made in January or during the follow up visit made to deliver the findings.

Based on the information gathered through interviews and observations, the following allegations: Staff drink alcohol in the facility, Facility room is malodorous, and Facility is not kept free of pests, are UNFOUNDED, meaning the allegations are false, could not have happened and/or are without a reasonable basis.

An exit interview was conducted, and a copy of this report was provided.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome Haley	TELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2