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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004796
Report Date: 04/05/2022
Date Signed: 04/05/2022 11:15:36 AM

Substantiated


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
06/02/2021 and conducted by Evaluator Jenifer Tirre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20210602084614
FACILITY NAME:HUNTINGTON TERRACEFACILITY NUMBER:
306004796
ADMINISTRATOR:GREGORY CASEFACILITY TYPE:
740
ADDRESS:18800 FLORIDA STTELEPHONE:
(714) 848-8811
CITY:HUNTING BEACHSTATE: CAZIP CODE:
92648
CAPACITY:185CENSUS: 137DATE:
04/05/2022
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Administrator, Greg CaseTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Residents are forced to eat in their room.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit to facility to conclude findings regarding complaint investigation. LPA stated reason for visit.
On 12/10/2021, Licensing Program Analyst (LPA) Norman Woodridge conducted unannounced visit with facility Administrator Greg Case to discuss the above allegation that residents are forced to eat in their room. Throughout the course of the investigation it was reported that on May 27, 2021 between hours of 4:00 PM to 6:00 PM, residents were instructed to eat in their rooms due to Covid- 19 concerns. Investigation revealed that during these hours, facility reserved dining room for a Commence Mixer where the general public would be allowed to attend. Based off interviews the allegations that residents are forced to eat in their room on May 27, 2021 meets the preponderance of evidence therefore the above allegation is deemed SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

LPA conducted an exit interview with Administrator and a copy of this report along with appeal rights is being provided along with Amended Report.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alisa OrtizTELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Jenifer TirreTELEPHONE: (714) 703-2840
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022
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-20210602084614
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: HUNTINGTON TERRACE
FACILITY NUMBER: 306004796
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/06/2022
Section Cited
HSC
87468.1(a)(2)
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87468.1 Personal Rights of Residents in All facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
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Facility to not close dining area for special events. Facility has corrected this by not having events in dining area since 5/29/2021

***THIS IS AMENDED REPORT***
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This requirement is not met as evidenced by: based on interviews conducted the licensee did not comply with the section above. Facility closed dining hall to residents for marketing function. This poses a potiential personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Alisa OrtizTELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Jenifer TirreTELEPHONE: (714) 703-2840
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022
LIC9099 (FAS) - (06/04)
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