306005678-5-3-2022-22-AS-LADS-CE6LWS-20220506090736

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005678
Report Date: 05/03/2022
Date Signed: 05/03/2022 03:56:59 PM

Unsubstantiated

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
02/08/2021 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210208084057

FACILITY NAME:	HARBOR HEIGHTS ASSISTED LIVING & MEMORY CARE		FACILITY NUMBER:	306005678
ADMINISTRATOR:	PAUL BROWN		FACILITY TYPE:	740
ADDRESS:	525 W. LA PALMA AVE		TELEPHONE:	(714) 459-3353
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	199	CENSUS: 75	DATE:	05/03/2022
		UNANNOUNCED	TIME BEGAN:	03:40 PM
MET WITH:	Patricia Rager		TIME COMPLETED:	04:25 PM

ALLEGATION(S):

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Facility does not have hot water.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry by staff. LPA met with the Administrator, Patricia Rager. LPA Alejandre explained the reason for the visit. During the course of the investigation, the Department interviewed staff and witnesses as well as measured the hot water temperature of the facility in 5 resident rooms and one vacant room. Hot water measured in 6 out of 6 rooms was within regulation requirements. 5 out of 5 residents interviewed could not corroborate the allegation. Staff interviewed could not corroborate the allegation and reported no instances of any residents reporting there is no hot water in the facility. Based on the information gathered during the investigation, the allegation, facility does not have hot water, is deemed unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and the Administrator was provided a copy of the report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022

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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