Complaint Investigation Report

306004192-7-11-2025-22-AS-LMUZ-DK529K-20250731171203

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

03/24/2021 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 22-AS-20210324094334

WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE

Lack of supervision resulting in resident sustaining injury from fall

The department conducted the investigation into the allegations above. The department reviewed medical records, facility records, and conducted interviews. This complaint came in March 2021.

Title 22 Regulations does not require staff to have residents in line of sight or within earshot 24 hours a day, seven days a week. Title 22 Regulations require facilities to assess residents and determine how much supervision and care a resident requires. Records and interviews do state one resident was found on the floor in front a a recliner face down. Interviews with staff stated they check on residents a minimum of every two hours and the checks are adjusted according to a resident’s needs. Interviews indicate the resident possibly fell out of the recliner in between the checks. Based on the interviews the allegation cannot be proved or disproved because it cannot be determined what time the resident feel. Resident was not able to be interviewed.

Therefore, LPA finds the allegation to be "unsubstantiated." A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the violation occurred.