Inspection·April 10, 2026

Based on the evidence gathered, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. The facility is cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report, LIC9099-D, and Appeal Rights were provided. An exit interview was conducted with Director of Operations Kim, and a copy of this report was left at the facility. Regarding the allegation that staff do not observe resident for change in condition, the following was revealed: During the interviews, S1 reported that the changes get reported to the Medication Technician (MT). S1 stated that she did not notice a change in condition for R1. S2 stated that R1 has not had a change in condition since she moved in. Per S3, R1 sees her Primary Care Physician (PCP) regularly and reported that R1’s PCP recently referred her to a neurologist. During the interviews AD reported that staff keep track of the residents’ change in condition by updating the progress notes and by seeing their PCP. Regarding the allegation that staff do not ensure that facility is maintained in sanitary condition, the following was revealed: During the initial visit on February 28, 2025, and subsequent visit on April 10, 2026, LPA tour the facility and observed housekeeping staff cleaning the common areas and the residents’ bedrooms. During the interviews with staff, S1 through S3 reported that staff are always cleaning and/or stated that the facility is sanitized daily by housekeeping. Per Environmental Services Director, the resident bedrooms get deep cleaned every week and reported that housekeeping cleans and sanitize the facility daily. Regarding the allegation that staff did not report incidents to responsible party, the following was revealed: During the investigation LPA was not able to get in contact and/or interview Witness 1 (W1). During the interviews with staff, S1 and S2 reported that they were not aware if the incident report was reported to R1’s family. Per S3, staff do report incidents to the Responsible Party and stated that the Administrator (AD) notify R1’s family. Regarding the allegation that staff do not provide resident with toiletries, the following was revealed: During the interviews with staff, S1 reported that the residents are provided with toilet paper and diapers. S1 stated that there is more supplies in the storage room. Per S2, R1 tends to pull and rip her own diapers. S3 stated that R1 has enough diapers and reported that R1 usually throws away her clean diapers inside the toilet. During the interviews AD stated that staff provide the residents with enough incontinence care supplies. Regarding the allegation that staff do not ensure that the facility is maintained in good repair, the following was revealed: During the initial and subsequent visit LPA tour the facility and observed the facility to be in good repair. During the interviews with staff, S1 reported that the maintenance staff is always working on repairs. Per S2 and S3, the facility is in good repair and stated that the delayed egress door was fixed the same day. During the interviews AD reported that the facility is always maintained in good repair. CONTINUED ON LIC9099-C... Regarding the allegation that staff do not ensure that resident's personal care needs are met, the following was revealed: During the investigation LPA reviewed the Harbor Heights Assisted Living and Memory Care shower schedule for R1. Per shower schedule, R1 is schedule to shower on Sunday and Wednesday mornings. LPA also reviewed the Harbor Heights Assisted Living and Memory Care housekeeping laundry schedule for R1. Per laundry schedule, R1’s laundry day is on Tuesdays. During the interviews with staff, S1 through S3 reported that staff ensure that the residents’ personal care needs are met. Per Environmental Services Director, staff are meeting the residents needs. Regarding the allegation that staff do not provide resident with housekeeping services, the following was revealed: During the investigation LPA reviewed the Harbor Heights Assisted Living and Memory Care housekeeping cleaning schedule. Per housekeeping cleaning schedule, staff clean R1’s bedroom on Thursdays. During the interviews with staff, S1 through S3 reported that staff clean the bedrooms weekly or as needed. Per Environmental Services Director, staff clean the Memory Care restrooms daily, take out the trash daily, and wash the bedding weekly or as needed. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with Director of Operations Kim, and a copy of this report was provided to the facility.