Complaint Investigation Report

306006452-1-22-2026-22-AS-APAO-DRMVGT-20260225152604

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/11/2025 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20251211092635

HARBOR HEIGHTS ASSISTED LIVING AND MEMORY CARE

Staff did not notify authorized representative of medication changes

Regarding the allegation: Staff did not notify authorized representative of medication changes

During the investigation, interviews were conducted with 6 individuals including facility staff and a medical professional. During an interview with Witness 1 (W1), it was confirmed that on December 6, 2024, one of R1’s medications was changed from being administered once a day, to being administered two times per day according to W1. During interviews with facility staff, it was confirmed R1’s family was not notified regarding the medication change.

Based on the evidence gathered through interviews, the preponderance of evidence standard has been met, therefore, the allegation above is found to be SUBSTANTIATED. A violation is being cited per California Code of Regulations Title 22.

An exit interview was conducted, and a copy of this report and appeal rights were provided.