306005678-1-13-2023-22-AS-LADS-CN7PH5-20230118101920

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005678
Report Date: 01/13/2023
Date Signed: 01/13/2023 11:52:33 AM

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
04/28/2021 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20210428151657

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: 128	DATE:	01/13/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Christine Chon		TIME COMPLETED:	12:05 PM

ALLEGATION(S):

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Facility staff drinking alcohol on the premises during operation hours.
Staff not providing residents with a comfortable environment.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation. LPA met with Executive Director Christine Chon. The investigation into the allegation, facility staff drinking alcohol on the premises during the operation hours, revealed the following: There was a staff birthday party for a staff member on 4/27/21 that started at 2:00 pm and ended at 6:00 pm. It was alleged that during the staff party staff members were drinking alcohol. 8 out of 8 staff interviewed who were present at the party reported there was no alcohol to drink at the party and no one witnessed alcohol being consumed. Staff and residents verified that no residents were present at the party. 7 out of 7 residents interviewed reported they did not see any staff drinking alcohol or see any staff members that appeared to be intoxicated. 4 out of 4 staff members interviewed who were not present at the party reported they did not see any evidence of anyone drinking at the party or at the facility the day of the party. None of the evidence gathered supports the allegation. Based on the evidence gathered the allegation, facility staff drinking alcohol on the premises during the operation hours, 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.

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: 12/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022

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-20210428151657

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: 01/13/2023

NARRATIVE

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The investigation into the allegation, staff not providing residents with a comfortable environment, revealed the following: It was reported that during the staff party the music at the party was played loudly disrupting the facility and was disturbing the residents. 8 out of 8 staff members interviewed reported there was music at the party, but they did not think it was loud enough to disturb the residents. 7 out of 7 residents interviewed reported they were aware of the party but did not think it was disturbing anyone. 8 out of 8 staff members (who were present at the party) interviewed reported that none of the residents complained about the staff party or about loud music. 4 out of 4 staff members (who did not attend the party, but were working during the hours of the party) reported none of the residents complained to them about the music and they did not hear the music from the party during their shift. None of the evidence gathered supports the allegation. Based on the evidence gathered through interviews the allegation, staff not providing residents with a comfortable environment 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 with the Administrator, 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: 01/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023

LIC9099 (FAS) - (06/04)

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