306005678-8-19-2022-22-AS-LADS-CHSUPW-20220830154613

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005678
Report Date: 08/19/2022
Date Signed: 08/19/2022 01:01:43 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
03/17/2021 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20210317095316

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: 95	DATE:	08/19/2022
		UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Christine Chon		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff harassing residents at facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the investigation into the allegation listed above. LPA was greeted and granted entry by staff. LPA met with Administrator Christine Chon and explained the reason for the visit. The investigation revealed the following; it was alleged the Administrator Paul Brown and staff were harassing residents. No dates or times of the alleged violations were provided to the Agency. It was alleged the Administrator was searching resident’s rooms and belongings. Facility staff is allowed to check resident’s rooms if there are health and safety concerns. Administrator reported that when they need to check a resident’s room due to health and safety concerns, they would ask permission from the resident and explain why they needed to check. 1 out of 8 residents interviewed reported they have had their room checked and the Administrator asked permission and the resident was ok with letting them check the room. 8 out of 8 residents interviewed reported they have not been harassed by staff and had no knowledge of any residents being harassed by facility staff including the Administrator. 5 out of 5 staff interviewed reported they have not harassed residents and had never witnessed any harassment or abuse of the residents.

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: 08/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022

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-20210317095316

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: 08/19/2022

NARRATIVE

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A review of facility incident reports submitted to the Agency (CCL) do not show any reports of harassments or abuse directed toward any resident or staff. It was alleged the Administrator was telling residents they would be written up or issued a citation if they didn’t comply with anything he wanted done. 7 out of 8 residents interviewed had never heard of a citation being issued to a resident and had no idea of what it was. The 1 resident who reported they had heard of a citation for a resident could not describe it and had not been issued one and had never heard of one being issued. 5 out of 5 staff interviewed had never heard of and had no idea what a citation being issued to a resident was. The Administrator reported they did not write up residents or issue citations to residents. The Administrator stated that if there were issues with a resident, he would discuss it with them. The Administrator stated he was unsure what a citation would be in regard to a resident, but if there were any issues with a resident he could not resolve he would contact the Agency (CCL) or the Ombudsman on how to proceed. None of the evidence gathered corroborates the allegation. Based on the information gathered during the investigation the allegation, staff harassing residents at facility, 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: 08/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022

LIC9099 (FAS) - (06/04)

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