306006452-1-17-2026-22-AS-AORZ-DQLTBK-20260123133516

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006452
Report Date: 01/16/2026
Date Signed: 01/17/2026 03:20:36 AM

Unfounded

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
10/22/2025 and conducted by Evaluator Samer Haddadin

COMPLAINT CONTROL NUMBER: 22-AS-20251022115344

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:	DATE:	01/16/2026
		UNANNOUNCED	TIME BEGAN:	01:39 PM
MET WITH:	April Pena		TIME COMPLETED:	04:24 PM

ALLEGATION(S):

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Administrator does not meet Title 22 regulatory qualification requirements.
Facility emergency backup generator is inoperable
Facility laundry area was constructed without fire clearance
Facility does not have sufficient staff to meet resident needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Samer Haddadin conducted an announced visit to the facility to deliver findings regarding the above-mentioned allegations. Upon arrival, LPA met with Case Manager (CM) April Pena and explained the purpose of the visit.
It was alleged that the administrator does not meet Title 22 regulatory qualification requirements, the facility’s emergency backup generator is inoperable, Facility does not have sufficient staff to meet resident needs, and the facility laundry area was constructed without fire clearance. The investigation included direct observation, interviews with staff members and residents, and a review of relevant facility records.
Regarding the allegation that the administrator does not meet Title 22 regulatory qualification requirements and the allegation that the facility does not have sufficient staff to meet resident needs, {***CONTINUE 9099C***}

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

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-20251022115344

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: 01/16/2026

NARRATIVE

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LPA Haddadin reviewed facility records and confirmed the current administrator holds an active certificate that was renewed on May 14, 2024, and expires on May 13, 2026. Based on the documentation reviewed, the current administrator meets the required qualification requirements. LPA Haddadin also reviewed the LIC 500 (Personnel Report), which is used to maintain a current roster of all facility personnel, and observed the facility maintains adequate staffing to meet resident needs. In addition, LPA Haddadin conducted interviews with four staff members and four residents, all of whom denied the allegations.
Regarding the allegations that the facility emergency backup generator is inoperable and that the facility laundry area was constructed without fire clearance, LPA conducted a walk-through of the facility and confirmed the generator was working. LPA did not observe any construction or physical changes to the facility. LPA obtained the current fire clearance approved by the Anaheim Fire Department and confirmed there were no changes and that the current clearance matches the physical plant. LPA conducted four staff interviews, and four out of four denied the allegations. LPA also conducted four resident interviews, and all residents denied the allegations.
Therefore, based on the preponderance of evidence obtained through record review, interviews, and observations, the allegations are determined to be UNFOUNDED, meaning the allegations are false, could not have happened, and/or are without a reasonable basis. No deficiencies were cited during today’s visit. An exit interview was conducted with the administrator, and a copy of this report was provided.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

LIC9099 (FAS) - (06/04)

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