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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006485
Report Date: 07/02/2025
Date Signed: 07/02/2025 02:40:14 PM

Substantiated


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
04/10/2025 and conducted by Evaluator Jessica Cho
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250410152406
FACILITY NAME:HILLS OF VIA DEL SOL, THEFACILITY NUMBER:
306006485
ADMINISTRATOR:CUYSON, ELEAZARFACILITY TYPE:
740
ADDRESS:26462 VIA DEL SOLTELEPHONE:
(714) 430-7672
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 4DATE:
07/02/2025
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Maricel Nepomuceno- Chief Officer of OperationsTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is in financial distress.
Facility did not meet the reporting requirements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jessica Cho made an unannounced subsequent visit to conclude and deliver the findings into the above allegations. LPA was greeted and granted entry by Administrator Eli Cuyson after stating the purpose of the visit. Chief Officer of Operations/Co-Founder Maricel Nepomuceno was also advised by telelphone approximately 10:13am. During today's visit, LPA observed four residents in care and two staff on duty.

On April 10, 2025, the Department received the complaint. During the initial investigation visit conducted on April 17, 2025, two staff and five residents were present. LPA accompanied by Admin Cuyson, conducted a tour of the physical plant. LPA observed the utilities were operating, indoor temperature was within range, facility maintained ample food/emergency/hygiene supplies, dual functioning smoke/carbon monoxide detectors were operational, facility landline was tested and remains available. The annual licensing fee is current and facility maintains a valid lability insurance policy. LPA observed one meal service at 12:21pm.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
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 3
Control Number 22-AS-20250410152406
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: HILLS OF VIA DEL SOL, THE
FACILITY NUMBER: 306006485
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/15/2025
Section Cited
CCR
87213
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87213 Finances “The licensee shall have a financial plan (…) that assures sufficient resources to meeting operating costs of residents.”
This requirement was not met as evidenced by:
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Licensee stated a resolution was in motion regarding the delinquent payments and proof of lump sum payments made to the landlord will be submitted to LPA via email by POC due date.
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Based on interviews and record review, licensee had been unable to cover operating costs related to the delinquency of rental dues owed for the period of January 2025 to July 2025, which poses a potential risk to the health, safety, and/or personal rights of residents in care.
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Type B
07/09/2025
Section Cited
CCR
87211(d)
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87211 Reporting Requirements (d) “The licensee shall notify the Department in writing within two business days of any of the following specified events, or knowledge thereof: (…) (2) An unlawful detainer action is initiated against the licensee. (…) (4) The licensee receives a written notice of default payment of rent.
This requirement was not met as evidenced by:
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Licensee stated an Acknowledgement of Understanding indicating that they have reviewed the reporting requirements and intend to adhere will be submited to LPA via email by POC due date.
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Based on interviews and record review, no written reports of past due rent or of an unlawful detainer were provided to the Department which poses a potential health, safety, and/or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20250410152406
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: HILLS OF VIA DEL SOL, THE
FACILITY NUMBER: 306006485
VISIT DATE: 07/02/2025
NARRATIVE
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Residents were served meatballs with veggies, orange, and a blueberry muffin during the initial visit. Hot water temperature measured at 114.4 and 106.5 degrees Fahrenheit. During the course of the investigation, LPA interviewed four staff and five residents and obtained the following documentation: Resident Rosters dated January 29, 2025 and July 2, 2025, Personnel Reports dated January 23, 2025 and July 2, 2025, Certificate of Liability Insurance, Face Sheets, Physician's Reports, Admission Agreements of five residents, bank statements, time sheet/pays tubs, utilities billing statement, Supplemental Financial Information (LIC401a), Montlhy Operating Statement (LIC401), Balance Sheet Supplemental Schedule (LIC403a), and Balance Sheet (LIC403).

The investigation revealed the following: Regarding the allegation, Facility is in financial distress, based on two out of four staff interviews and correspondence obtained obtained during the investigation, the licensee has been unable to provide timely payments of the rent as required by the leasing agreement signed with the owner of the property in which the facility operates. As of this subsequent visit, licensee is seven months delinquent on lease payments from January 2025-July 2025. On May 2, 2025, an unlawful detainer was served by the landlord to the licensee, confirming that the situation was still ongoing. Evidence corroborates financial issues experienced by the licensee.

Regarding the allegation, Facility did not meet the reporting requirements, neither the initial financial issues nor the issuance of an unlawful detainer were reported to the Department by facility staff. Reporting requirements were therefore not met.

Therefore, based on interviews and record review, the preponderance of evidence standard has been met, and the allegations are deemed SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099D as per the Title 22, Division 6, Chapter 8.

Chief Officer of Operations/Co-Founder Maricel Nepomuceno arrived approximately 1:55pm for the exit interview in which the exit interview was conducted, and a copy of this report including the appeal rights were provided at the end of the visit.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3