306004796-8-26-2024-22-AS-AORZ-D9J2P3-20240927173339

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004796
Report Date: 08/26/2024
Date Signed: 08/26/2024 10:15:21 AM

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
07/22/2024 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240722135716

FACILITY NAME:	HUNTINGTON TERRACE		FACILITY NUMBER:	306004796
ADMINISTRATOR:	GREGORY CASE		FACILITY TYPE:	740
ADDRESS:	18800 FLORIDA ST		TELEPHONE:	(714) 848-8811
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	185	CENSUS: 166	DATE:	08/26/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Timarie Morrissey, Business Office Manager		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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-Staff speaks inappropriately towards a resident.
-Staff do not comply with an infection control practice.
-Staff behavior is preventing a resident from sleeping.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegations. LPA arrive at facility was greeted by receptionist and granted entry. LPA spoke with Timarie Morrissey, Business Office Manager and explained the purpose of the visit. Morgan Ware, Executive Director Specialist arrived shortly after and met with LPA.

Findings are based upon this investigation which included interview conducted, tour of physical plant of facility and review of records.

It is alleged that staff speak inappropriately towards a resident. Interview with 8 of 8 residents that resided in the surrounding cottages to resident (R1) indicated that they have not heard or witnessed staff speaking inappropriately to R1. Furthermore, residents indicate that they have not been talk to

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024

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-20240722135716

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: HUNTINGTON TERRACE	FACILITY NUMBER: 306004796
	VISIT DATE: 08/26/2024

NARRATIVE

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inappropriately from any staff at the facility. Interview with 3 of 3 staff indicated that staff 1 (S1) and staff (S2) went to R1’s cottage to retrieve medication and R1 was upset and not cooperating. S2 indicated that they were there to be a second pair of eyes and we observant to the interaction between R1 and staff. Staff indicated that R1 had been out of the community and upon return did not return his medication to staff. S2 stated that R1 was very upset and was not cooperating with staff and staff was simply trying to retrieve the medication. Record review revealed that R1 is on med management with the facility.

It is alleged staff do not comply with an infection control practice. Interview with staff (S3) indicated that facility had 15 residents who tested with covid in early July and by July 29, 2024, all the 15 were cleared. S3 stated that they called The Public Health Department and informed them of the positive test and were informed to only test residents that are exhibiting symptoms as well as to close the dinning hall for precaution. Therefore, mass testing was not required. Per directive from public health dining to resume operations as usual on July 27, 2024. Facility was following protocol for Department of Social Services as well as the Department of Public Health. We were also told that it is considered an out break when there is 20% of the census positives. Which in this case it was not because 20% would be about 32-33 residents.
It is alleged that staff behavior is preventing a resident from sleeping. Interview with R1 did not give any indications about being disturbed at night or not being able to sleep. Interview with 8 of 8 residents indicated that they don’t hear any noise or disruption that may prevent them from sleeping. Resident also indicated that it is rare that staff come to their bedroom late at night. Interview with S3 stated that R1 has always been a night owl since they move in the facility and has always had a hard time sleeping till late at night.

Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations 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 the facility representative and a copy of this LIC9099 report was left at facility.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024

LIC9099 (FAS) - (06/04)

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