306004192-9-23-2026-22-AS-LMOA-DYETXL-20260930150720

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004192
Report Date: 09/23/2026
Date Signed: 09/23/2026 04:45:22 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
02/26/2025 and conducted by Evaluator Sean Haddad

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250226131138

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: 128	DATE:	09/23/2026
		UNANNOUNCED	TIME BEGAN:	03:28 PM
MET WITH:	Faye Shen		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility staff neglected resident resulting in dehydration and malnutrition.
Facility did not seek timely medical attention.
Facility is not following the eviction procedures.

INVESTIGATION FINDINGS:

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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with Chief Operating Officer (COO) Faye Shen and explained the reason for today’s inspection.

The investigation into the allegations that facility staff neglected resident resulting in dehydration and malnutrition, facility did not seek timely medical attention, and facility is not following the eviction procedures revealed the following: During the course of the investigation, Department staff inspected the facility, interviewed COO, witnesses, and staff, and obtained and reviewed copies of the resident roster, staff roster, Resident #1’s (R1) Physician's Report dated August 9, 2021, R1’s Appraisal dated February 1, 2024, R1’s St. Jude hospital records, the facility’s care notes, the facility’s incident report, and a 30-day eviction notice dated November 7, 2024.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

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-20250226131138

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: 09/23/2026

NARRATIVE

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It was alleged that, due to lack of care and supervision, R1 was hospitalized and found to be dehydrated and malnourished. Per R1’s Physician's Report dated August 9, 2021, and R1’s Appraisal dated February 1, 2024, R1 had no cognitive or functional impairments and required no assistance with activities of daily living or medication management. Interviews with COO, Staff #1 (S1), Staff #2 (S2), Staff #3 (S3), and Witness #1 (W1) confirmed that R1 was independent and only required once daily checks. No information was obtained showing R1 had a change of condition requiring increased care services. R1’s St. Jude hospital records indicate that on February 11, 2025, R1 was hospitalized and noted to be clinically dry. However, R1 was first admitted to Placentia-Linda hospital and then transferred to St. Jude hospital that same day. R1 was noted to be clinically dry when admitted at St. Jude hospital.

It was alleged that, due to lack of care and supervision, R1 was found unclothed on the floor of their room after falling and not being checked on for 10 days. Per R1’s Physician's Report dated August 9, 2021, and R1’s Appraisal dated February 1, 2024, R1 had no cognitive or functional impairments and required no assistance with activities of daily living or medication management. Interviews with COO, S1, S2, S3, and W1 confirmed that R1 was independent and only required once daily checks. No information was obtained showing R1 had a change of condition requiring increased care services. COO, S1, S2, and S3 stated that R1 spent most of their time outside of their room and, in the rare cases when R1 was not seen outside their room, staff would check on R1 in their room. On February 10, 2025, R1 was not seen outside their room, S1 checked on R1 in their room at 2:00PM, and R1 confirmed they did not need assistance. On February 11, 2025, R1 was not seen outside their room, S1 checked on R1 in their room at 10:00AM and found R1 on the floor covered in urine, R1 denied needing assistance, but 911 was called anyway. The facility’s care notes and incident report indicate that paramedics arrived at 10:15AM, R1 initially refused to go to the hospital, but paramedics took R1 to the hospital at 10:45AM. R1’s St. Jude hospital records indicate that on February 11, 2025, R1 was hospitalized. Per review of R1’s St. Jude hospital records, no concerns of abuse or neglect were noted and R1 had no fractures or serious injuries.

CONTINUED

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20250226131138

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: 09/23/2026

NARRATIVE

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It was alleged that the facility served a 30-day eviction on R1 on November 7, 2024, for not paying fees and when R1 was hospitalized, facility staff began moving R1’s belongings out of their room. LPA reviewed a 30-day eviction notice dated November 7, 2024, issued to R1 due to non-payment of fees. This eviction notice was received and determined lawful by LPA and was served to R1 on November 7, 2024. R1’s St. Jude hospital records and interviews with COO, S1, S2, S3, and W1 revealed that R1 was hospitalized on February 11, 2025, was discharged to a skilled nursing facility on February 18, 2025, and never returned to the facility. The 30-day notice period expired long before R1 left the facility and no information was obtained that the facility had tried to improperly remove R1 from the facility prior to their hospitalization.

Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC9099 (FAS) - (06/04)

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