306006452-2-3-2026-22-AS-AORZ-DREUGD-20260218143409

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006452
Report Date: 02/03/2026
Date Signed: 02/03/2026 02:38:02 PM

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
01/26/2026 and conducted by Evaluator Samer Haddadin

COMPLAINT CONTROL NUMBER: 22-AS-20260126122321

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: 197	DATE:	02/03/2026
		UNANNOUNCED	TIME BEGAN:	08:12 AM
MET WITH:	Case Manager April		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Facility staff do not provide quality meals to residents

INVESTIGATION FINDINGS:

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On February 3, 2026, Licensing Program Analyst (LPA) Samer Haddadin conducted an announced visit to the facility to deliver findings regarding the investigation of the following allegation: “Facility staff do not provide quality meals to residents.” Upon arrival, LPA Haddadin met with Case Manager April Pena to explain the purpose of the visit and the scope of the investigation.
The investigation process included direct observation, interviews with four staff members and four residents, and a thorough review of relevant facility records. During these interviews, all four staff members and all four residents denied the allegation, stating that the quality of the meals provided is satisfactory.
LPA Haddadin conducted a comprehensive walkthrough of the kitchen area, which was observed to be clean, organized, and entirely free of mold or mildew. {***CONTINUE9099C***}

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026

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-20260126122321

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: 02/03/2026

NARRATIVE

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The facility maintains two distinct menus to accommodate resident preferences: an American menu and a Korean menu. Both menus are available to all residents. During the visit, LPA Haddadin observed the breakfast service, which included egg sandwiches, bread with jam, sweet potatoes for the Korean menu, and potato oatmeal for the American menu. These items were found to be in strict accordance with the facility’s posted meal plans. Furthermore, the lunch preparation was observed to include croissants, tuna or chicken sandwiches, a side of fresh vegetables, and a choice of apples or strawberries.
Additionally, a review of the Food Handler Certification for the staff responsible for meal preparation was conducted. The certification was confirmed to be current and valid, with an expiration date of June 5, 2026.
Based on the evidence gathered through interviews, direct observations, and document reviews, the allegation that “Facility staff do not provide quality meals to residents” is determined to be unfounded. This indicates that the allegation is false, could not have occurred, or is otherwise without a reasonable basis. An exit interview was conducted at the conclusion of the visit, and a formal copy of this report was provided to Case Manager April Pena.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026

LIC9099 (FAS) - (06/04)

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