306006452-6-1-2026-22-AS-AORZ-DWFPRU-20260729113313

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006452
Report Date: 05/30/2026
Date Signed: 06/01/2026 12:47:04 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
08/14/2024 and conducted by Evaluator Samer Haddadin

COMPLAINT CONTROL NUMBER: 22-AS-20240814155709

FACILITY NAME:	HARBOR HEIGHTS ASSISTED LIVING AND MEMORY CARE		FACILITY NUMBER:	306006452
ADMINISTRATOR:	DUSUN LEE		FACILITY TYPE:	740
ADDRESS:	525 W. LA PALMA AVE		TELEPHONE:	(714) 459-3353
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	199	CENSUS: 196	DATE:	05/30/2026
		UNANNOUNCED	TIME BEGAN:	01:06 PM
MET WITH:	Susan Lee(AD)		TIME COMPLETED:	04:18 PM

ALLEGATION(S):

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1-Staff leave residents in soiled clothing for extended periods of time
2-Staff do not ensure residents are bathed
3-Staff do not prevent residents from engaging in physical altercations which result in injuries

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to deliver findings regarding the above-mentioned allegations. Upon arrival, LPA Haddadin was greeted by Assistant Administrator Sammy Lee, who granted entry into the facility. LPA explained the purpose of the visit. Administrator Susan Lee arrived shortly thereafter.
During the investigation, LPA interviewed six residents and six staff members, reviewed pertinent facility records, and observed the physical plant and residents in care. Records reviewed included the LIC 602 Physician’s Report, facility progress notes, admission records for Resident 1 (R1) and Resident 2 (R2), bathing schedules for March 2026 and April 2026, and Special Incident Reports (SIRs). LPA also conducted a digital record review with the Community Care Licensing Division and did not locate any Special Incident Reports submitted by the facility for the period of February 2024 through December 2024 related to the allegations.
{***CONTINUE 9099C***)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2026

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-20240814155709

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: HARBOR HEIGHTS ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 306006452
	VISIT DATE: 05/30/2026

NARRATIVE

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Regarding the allegations that “Staff do not ensure residents are bathed” and “Staff leave residents in soiled clothing for extended periods of time,” the complaint alleged that residents were left unbathed, remained in the same clothing for several days, and were provided showers or clean clothing only when family members visited. During the investigation, LPA reviewed facility progress notes, admission records, and bathing schedules. Facility records showed that the facility maintains a set bathing schedule for residents who require assistance with personal care. The schedule reflects that residents who need assistance are scheduled to be bathed twice per week and may also be bathed upon request. LPA reviewed the current bathing schedules for March 2026 and April 2026, which corroborated the statements provided by the residents interviewed regarding bathing assistance. LPA also interviewed staff and residents regarding bathing schedules, care needs, toileting assistance, and personal hygiene. Six out of six staff members interviewed denied the allegations; also, six out of six residents interviewed denied the allegations and did not report being denied bathing assistance or being left in soiled clothing. Furthermore, during the tour, LPA did not observe conditions that would support the allegations. LPA conducted resident interviews in the residents’ respective living areas and did not detect odors associated with incontinence. LPA observed that the residents appeared well-groomed, and sufficient hygiene supplies were observed in the residents’ restrooms.
Based on interviews conducted, records reviewed, and observations made during the investigation, the Department did not obtain sufficient corroborating evidence to support the allegations. Although the allegations may have happened or may be valid, the preponderance of evidence standard was not met. Therefore, the allegations are Unsubstantiated.
An exit interview was conducted with Administrator Susan Lee, and a copy of this report was provided.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20240814155709

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: HARBOR HEIGHTS ASSISTED LIVING AND MEMORY CARE	FACILITY NUMBER: 306006452
	VISIT DATE: 05/30/2026

NARRATIVE

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LPA attempted to identify the residents referenced in the August 2024 complaint using room numbers, physical descriptions, and available facility records. Facility admission records showed that R1 was admitted to the facility on April 1, 2024, and R2 was admitted to the facility on February 23, 2024. At the time of the investigation, R1 and R2, who were identified as the alleged victim residents, no longer resided at the facility and had moved out.
Regarding the allegation that “Staff do not prevent residents from engaging in physical altercations which result in injuries,” the complaint alleged that residents engaged in physical altercations and that one resident sustained a bruise to the upper lip. During the investigation, LPA reviewed facility progress notes, admission records for R1 and R2, and facility SIRs. LPA also conducted interviews with staff and residents regarding resident-to-resident interactions, staff supervision practices, and whether residents observed physical or verbal aggression toward residents or staff. R1 and R2 were not available to be interviewed, as both residents no longer resided at the facility. LPA attempted to contact the responsible parties for R1 and R2; however, the contact information for R2’s responsible party was not accurate, and R1’s responsible party declined to be interviewed. Six out of six staff members interviewed denied that physical altercations resulting in injuries occurred. Staff acknowledged that there have been instances of verbal disagreements or verbal aggression between residents; however, staff denied that these interactions escalated into physical altercations, hospitalization, or injuries to residents. Six out of six residents interviewed denied witnessing any physical or verbal aggression toward residents or staff. LPA reviewed both residents’ files and did not locate any hospital discharge records or documentation indicating that either resident sustained injuries or was hospitalized due to a physical altercation or bruising. Furthermore, facility SIRs reviewed did not show any incidents of physical altercations, verbal aggression requiring incident reporting, hospitalization, or injuries related to resident-to-resident altercations. Records reviewed for the period of February 2024 through December 2024, records did not show any incidents that resident-to-resident physical altercations or resulting injuries.
{***CONTINUE 9099C***)

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2026

LIC9099 (FAS) - (06/04)

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