306005678-1-13-2022-22-AS-MVAO-CG3QCZ-20220706120400

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005678
Report Date: 01/13/2022
Date Signed: 01/13/2022 04:38:52 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
01/07/2022 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220107162548

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: 61	DATE:	01/13/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Paul Brown		TIME COMPLETED:	04:55 PM

ALLEGATION(S):

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Facility is interfering in resident council.
Staff spoke inappropriately to resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegations listed above. LPA was screened for Covid-19 and granted entry. LPA met with Executive Director Paul Brown. LPA explained the reason for the visit. LPA interviewed staff and residents. The investigation into the allegations revealed the following; It was reported that the Administrator was interfering in the resident council and there meetings. Residents interviewed could not corroborate that allegation. Information received from residents was contradicting, It is unclear during which meeting(s) this occurred. Staff interviewed reported that they have spoken at meetings but then leave so the residents can conduct the meeting with residents only. There is an election for a new resident council president being held at the end of January. It was reported that the facility staff was conducting the new election. Staff reported they were only assisting with posting and creating the election posters for residents. No one interviewed including staff and residents could agree on what exactly led to the upcoming election. All residents interviewed did report they agreed to participate in the new election. The resident council could not produce any minutes documenting the meetings. It is unclear exactly what events led up to the new election.

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: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

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-20220107162548

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: HARBOR HEIGHTS ASSISTED LIVING & MEMORY CARE	FACILITY NUMBER: 306005678
	VISIT DATE: 01/13/2022

NARRATIVE

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But all residents interviewed stated they have agreed to participate in a new election and agreed to abide by the results. Based on the evidence gathered through interviews of the staff and residents the allegation, facility is interfering in resident council, 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. In regards to the allegation staff spoke inappropriately to resident, the investigation revealed the following; staff interviewed including the Administrator were unaware of any staff speaking inappropriately to any residents. 1 out of 5 residents interviewed reported staff could be rude to them but wasn't sure if amounted to inappropriately speaking to them. 4 out of 5 residents reported that they had no issues with staff. Based on the information gathered through interviews the allegation, staff spoke inappropriately to resident 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 a copy of the report provided.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022

LIC9099 (FAS) - (06/04)

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