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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 09/22/2025
Date Signed: 09/22/2025 11:19:08 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRALIZED APP UNIT, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/14/2022 and conducted by Evaluator Donna Teutschel
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20220714082610
FACILITY NAME:HERITAGE HILLSFACILITY NUMBER:
374603778
ADMINISTRATOR:LEMASTER, SUZY PFACILITY TYPE:
740
ADDRESS:2108 EL CAMINO REALTELEPHONE:
(760) 206-7930
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:78CENSUS: DATE:
09/22/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mike McCoyTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of staff supervision resulted in resident sustaining serious bodily injury from another resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPMII RA, Donna Teutschel, conducted a telephone interview with Administrator, Mike McCoy. The investigation did not produce definitive supporting evidence or supporting witness statements to substantiate an allegation of neglect or lack of supervision on the part of Heritage Hills staff that caused or contributed to resident (R1) being assaulted by resident (R2) which resulted in injuries to R1. Although it was established that R2 had become more agitated and agressive he had not been physically violent with any other residents. Although the actual circumstances that led to the altercation wasn't witnessed, staff did observe R2 dragging R1 out of his room and dragging R1 down the hall, bleeding from her head area with a laceration to her forehead and a large hematoma. The staff interviewed acknowledged memory care resident R1 had “peeked” into the incorrect room occasionally but would appear to realize she was at the wrong room and then proceed down the hall. There were no witnesses to R2 striking or punching R1. The Oceanside Police Department responded to the incident and conducted an investigation. It was determined the case would not be pursued criminally and it could not be established the incident occurred due to staff neglect. The Department has determined the complaint finding to be Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stacy Barlow
LICENSING EVALUATOR NAME: Donna Teutschel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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