<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004192
Report Date: 12/26/2024
Date Signed: 12/26/2024 11:17:53 AM

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
12/19/2024 and conducted by Evaluator Andrea Mendivil
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241219124149
FACILITY NAME:WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
306004192
ADMINISTRATOR:STEVE SHENFACILITY TYPE:
740
ADDRESS:200 WEST WHITTIER BLVD.TELEPHONE:
(562) 691-1200
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:196CENSUS: 128DATE:
12/26/2024
UNANNOUNCEDTIME BEGAN:
07:57 AM
MET WITH:Steve Shen - Administrator TIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are not meeting resident’s hygiene needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unnanounced visit to conduct a complaint investigation. LPA was greeted and granted entry into the facility by Administrator Steve Shen and explained the reason for the visit.

The Department received a complaint on 12/19/2024 and the initial 10 day visit was conducted on 12/26/2024. LPA Mendivil interviewed staff and obtained copies of pertinent documents such as physicians report LIC 602 for Resident 1 (R1) and shower schedule. Regarding the allegation facility staff are not meeting resident's hygiene needs, the investigation revealed the following:

Per interview with Administrator Steve Shen and Angie Rentutar Care Coordinator R1 is on hospice. Angie stated that hospice is responsible for R1's showering needs. Angie stated that R1 is very oriented and is able to communicate their own needs and has not asked to be put on the shower schedule.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20241219124149
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: WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE
FACILITY NUMBER: 306004192
VISIT DATE: 12/26/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Per review of R1's LIC 602 Physician's Report dated 04/28/2024 R1 is able to groom themselves, able to follow instructions and able to communicate needs. It is also listed that R1 needs assistance with bathing. Per interview with hospice staff R1 refused bath services on 5/31/2024 verbally for indefinite services. Per LIC 602 R1 is parapalegic.

Based on interviews with staff it was stated that R1 receives bed baths from hospice staff and is able to wash their own face in bathroom sink. 4 out of 4 staff indicated that R1 has not requested to be placed on the shower schedule. 3 out of 4 residents on the shower schedule indicated they receive their showers on their scheduled dates and times without issue. The fourth resident does not receive baths from facility staff but felt they would be able to ask staff if needed.

During the visit LPA observed residents throughout the facility, residents appeared to be clean and well groomed. LPA did not observe or encounter any odors emitting from residents.

Therefore based on the preponderance of evidence through records reviewed and interviews the allegation that facility staff are not meeting resident's hygiene needs is determined to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint.
No deficiencies cited.

An exit interview was conducted and a copy of this report and confidential names list was provided.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Andrea Mendivil
LICENSING EVALUATOR SIGNATURE:

DATE: 12/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2