<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006566
Report Date: 02/03/2026
Date Signed: 02/03/2026 12:28:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/26/2026 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20260126160621
FACILITY NAME:HILLS OF SIERRA CHULA, THEFACILITY NUMBER:
306006566
ADMINISTRATOR:LADIA, BHONALYNFACILITY TYPE:
740
ADDRESS:19462 SIERRA CHULATELEPHONE:
(949) 316-2123
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY:6CENSUS: 3DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Gregorio Corpuz and Eleazar CuysonTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Administrator not present at the facility a sufficient number of hours
Facility is in financial distress
Staff did not complete required training
Resident records are incomplete
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the visit, LPA toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegations that administrator not present at the facility a sufficient number of hours, facility is in financial distress, staff did not complete required training and resident records are incomplete, the investigation revealed the following: Two out of two staff, witness and administrator confirm administrator is on-site 2 times per week for 2-3 hours. Administrator is newly designated as the prior administrator left the position in December 2025. Administrator states being designated as administrator at five facilities. Three out of three staff and two out of two witnesses confirm Licensee has been slow to pay salaries with wait periods of up to two months. LPA observed facility has bare minimum food supply of two day perishables and seven day non-perishables. All utilities were operational during investigation. LPA reviewed training records and Staff 1 (S1) and S2 do not have proof of required training in the file. CONTINUED ON LIC 9099C DATED 02/03/2026
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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 5
Control Number 22-AS-20260126160621
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: HILLS OF SIERRA CHULA, THE
FACILITY NUMBER: 306006566
VISIT DATE: 02/03/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA observed all staff have proof of CPR/ First aid training. LPA reviewed resident records during the investigation. Three out of three resident files do not contain the Functional Capabilities Assessment. LPA reviewed the Medication Administration Record (MAR) for February 2026 and it appeared to be in order. The MAR for January is not available as the facility transitioned from electronic to paper with the transition to a new management company in January 2026.
Based on record review and interviews conducted, the allegations are determined to be SUBSTANTIATED, meaning the complaint allegations are valid and that a violation has occurred.

Based on above findings deficiencies are being cited per California Code of Regulations Title 22 Division 6 chapter 8.

An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20260126160621
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: HILLS OF SIERRA CHULA, THE
FACILITY NUMBER: 306006566
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/04/2026
Section Cited
CCR
87213
1
2
3
4
5
6
7
The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; This req is not met as evidenced by:
1
2
3
4
5
6
7
Licensee will submit a written plan of action to LPA via email by POC date, that ensures Licensee will have sufficient resources to meet the operating costs of the facility.
8
9
10
11
12
13
14
Based on interviews conducted, the Licensee did not comply with the section cited above as Licensee does not have sufficient resources to meet operating costs, which poses an immediate health, safety, and personal rights risk to persons in care. CIVIL PENALTY ASSESSED
8
9
10
11
12
13
14
Type A
02/04/2026
Section Cited
CCR
87405(a)
1
2
3
4
5
6
7
All facilities shall have a qualified and currently certified administrator... The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours... This req is not met as evidenced by:
1
2
3
4
5
6
7
Licensee to submit a plan of action on how to provide oversight along with an accurate schedule and forward proof to LPA by poc due date.
*This is an amended report
8
9
10
11
12
13
14
Based on interviews conducted, Licensee did not ensure administrator is on site a sufficient amount of hours. This poses an immediate health and safety risk to residents in care.
8
9
10
11
12
13
14
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: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20260126160621
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: HILLS OF SIERRA CHULA, THE
FACILITY NUMBER: 306006566
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2026
Section Cited
CCR
87506(b)(17)(B)
1
2
3
4
5
6
7
Each resident’s record shall contain at least the following information:
Documents and information required by the following:
(B)Section 87459, Functional Capabilities; This req is not met as evidenced by:
1
2
3
4
5
6
7
Licensee to complete a Functional Capabilities Assessment for all three residents and forward proof to LPA by POC due date.
8
9
10
11
12
13
14
Based on record review, Licensee failed to ensure a Functional Capabilities Assessment was completed for three out of three residents which poses a potential health and safety risk to residents in care.
8
9
10
11
12
13
14
Type B
02/17/2026
Section Cited
CCR
87412(c)
1
2
3
4
5
6
7
Licensees shall maintain in the personnel records verification of required staff training and orientation. This req is not met as evidenced by:
1
2
3
4
5
6
7
Licensee to conduct training and forward proof to LPA by POC due date.
8
9
10
11
12
13
14
Based on record review, Licensee failed to ensure staff have required training in the file. Staff 1 and 2 do not have required training which poses a potential health and safety risk to residents in care.
8
9
10
11
12
13
14
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: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/26/2026 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20260126160621

FACILITY NAME:HILLS OF SIERRA CHULA, THEFACILITY NUMBER:
306006566
ADMINISTRATOR:LADIA, BHONALYNFACILITY TYPE:
740
ADDRESS:19462 SIERRA CHULATELEPHONE:
(949) 316-2123
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY:6CENSUS: 3DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Gregorio CorpuzTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not complete a health screening
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA toured the facility and reviewed staff records. Regarding the allegation that staff did not complete a health screening, the investigation revealed the following: LPA reviewed five staff personnel records and observed all five have proof of health screen in the file.

Based on records reviewed, the allegation is deemed UNFOUNDED, meaning that the allegation was false, could not have happened and/or are without a reasonable basis.

Exit interview conducted and a copy of this report was left at the facility.
*This is an amended report
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 5