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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 04/29/2025
Date Signed: 04/29/2025 01:54:31 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/23/2025 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20250423154013
FACILITY NAME:HERITAGE HILLSFACILITY NUMBER:
374603778
ADMINISTRATOR:MICHAEL MCCOYFACILITY TYPE:
740
ADDRESS:2108 EL CAMINO REALTELEPHONE:
(760) 206-7930
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:78CENSUS: 70DATE:
04/29/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Excutive Director Michael McCoyTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Neglect resulted in infections
Resident room was unsanitary
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong made an unannounced visit to open an investigation on the above-mentioned allegations. LPA met with Executive Director Michael McCoy and discussed the basic elements of the complaint.

According to allegations, Resident 1’s (R1) care was neglected resulting in infections and R1’s room was unsanitary. During the investigation, LPA Strong collected facility records, conducted interviews and completed a facility visual inspection.

According to the first allegation, R1 was moved out of the facility in February of 2025 after R1 sustained a urinary track infection and viral infection. Records collected revealed that R1 lived at the facility from October 28, 2024, until November 9, 2024, a total of nine days. Interviews with staff present established that R1 was moved out of the facility because responsible party was requesting a private room, and none was available.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
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 2
Control Number 08-AS-20250423154013
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: HERITAGE HILLS
FACILITY NUMBER: 374603778
VISIT DATE: 04/29/2025
NARRATIVE
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Records collected corroborated R1’s request for a private room. Outside source records revealed that as of October 31, 2024, R1 was receiving antibiotics for undisclosed medical diagnosis. Such records also revealed that R1 was admitted to hospital on November 11, 2024 for a viral infection and previous antibiotics were stopped. Based on this information, R1 was only at the facility for two days prior to being hospitalized.

It was also alleged that in February of 2025, R1’s room had feces on the floor and was often messy. Records collected revealed that R1 lived at the facility from October 28, 2024, until November 9, 2024, a total of nine days. Records collected also showed R1 was not present at the facility as of November 6, 2024, when responsible party removed R1 and did not return. LPA facility observations made on today’s date did not reveal any information to prove facility is not sanitary or unclean.

Based on interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Executive Director Michael McCoy, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2