306005678-3-24-2023-22-AS-MSTC-CQK328-20230403175130

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005678
Report Date: 03/24/2023
Date Signed: 03/24/2023 02:08:32 PM

Unfounded

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
08/22/2022 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220822152028

FACILITY NAME:	HARBOR HEIGHTS ASSISTED LIVING & MEMORY CARE		FACILITY NUMBER:	306005678
ADMINISTRATOR:	PATRICIA RAGER		FACILITY TYPE:	740
ADDRESS:	525 W. LA PALMA AVE		TELEPHONE:	(714) 459-3353
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	199	CENSUS: 137	DATE:	03/24/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Christine Chon		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Residents did not receive medication assistance in a timely manner.

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 and explained the reason for the visit. The investigation into the allegation, residents did not receive medication assistance in a timely manner, revealed the following. It was alleged that on Monday 8/22/22 there were no medication technicians (med-techs) staffed at the facility in the morning and no medications were administered to residents until 2:00 pm when the first med-tech arrived at the facility. 7 out of 7 residents interviewed reported they received all their medications on time on Monday 8/22/22 including their morning medications. 4 out of 4 staff reported that the residents in the facility received their medication on time on Monday 8/22/22. A review of 11 resident medication administration records (MARs) revealed that they received their medications as prescribed on 8/22/22. No discrepancies were observed on the records. None of the evidence gathered supports the allegation, therefore the allegation, residents did not receive medication assistance in a timely manner is deemed unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of the report provided.

Unfounded

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: 03/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023

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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