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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006452
Report Date: 06/04/2026
Date Signed: 06/04/2026 07:44:20 PM

Unsubstantiated


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
06/01/2026 and conducted by Evaluator Samer Haddadin
COMPLAINT CONTROL NUMBER: 22-AS-20260601163814
FACILITY NAME:HARBOR HEIGHTS ASSISTED LIVING AND MEMORY CAREFACILITY NUMBER:
306006452
ADMINISTRATOR:DUSUN LEEFACILITY TYPE:
740
ADDRESS:525 W. LA PALMA AVETELEPHONE:
(714) 459-3353
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:199CENSUS: 196DATE:
06/04/2026
UNANNOUNCEDTIME BEGAN:
12:22 PM
MET WITH:Suzam LeeTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility is not providing planned activities to resident
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 allegation. Upon arrival, LPA was greeted and granted entry by Administrator Suzan Lee. LPA explained the purpose of the visit.
The Department received a complaint alleging that the facility is not providing planned activities to a resident. Specifically, the complaint alleged that a resident (R1), identified by first name only, was not being provided activities by facility staff. At the time of the visit, the facility had 196 residents in care.
During the investigation, LPA reviewed the resident roster and staff schedule. LPA could not locate (R1) on the resident roster, and no resident name matched the information provided in the complaint. LPA also reviewed the facility’s planned activity calendar. The facility maintains a monthly activity calendar, which is posted in the dining area, front lobby, and inside the activity room located on the first floor.
{***CONTINUE 9099C***}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
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-20260601163814
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: 06/04/2026
NARRATIVE
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During the visit, LPA observed residents in both the Assisted Living (AL) and Memory Care (MC) units participating in activities, including arts and puzzles. The activities observed were consistent with the activities listed on the facility’s activity calendar.
LPA conducted five staff interviews. Five out of five staff interviewed denied the allegation and stated that planned activities are provided to residents. Staff also stated that they were not familiar with R1’s name as provided in the complaint and had not heard of a resident by that name. Staff reported that residents are encouraged to participate in activities; however, participation is based on each resident’s preference and willingness to attend.
LPA also conducted five resident interviews. Residents interviewed confirmed that the facility provides planned activities, including bingo, supervised exercises, playing cards, and other activities reflected on the monthly activity calendar. Residents stated that activities are available and that residents may choose whether they want to participate.
Based on interviews conducted, records reviewed, observations made, and information obtained during the investigation, LPA did not find sufficient evidence to support the allegation. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to prove that the facility failed to provide planned activities to the resident. Therefore, the allegation that “Facility is not providing planned activities to resident” is deemed Unsubstantiated.
An exit interview was conducted with Administrator Suzan Lee, and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Samer Haddadin
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
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