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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 12/18/2025
Date Signed: 12/18/2025 11:33:04 AM

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
10/27/2022 and conducted by Evaluator Ramin Hashemi
COMPLAINT CONTROL NUMBER: 08-AS-20221027142705
FACILITY NAME:HERITAGE HILLSFACILITY NUMBER:
374603778
ADMINISTRATOR:STEFANIE ANCHETAFACILITY TYPE:
740
ADDRESS:2108 EL CAMINO REALTELEPHONE:
(760) 206-7930
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:78CENSUS: 75DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Mike McCoy Executive DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff caused injuries to resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director (ED) Mike McCoy.

On 10/27/2022 it was alleged that "staff caused injuries to resident." The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review.

Regarding the allegation, "staff caused injuries to resident", it was alleged that facility staff forced a resident to go to bed early against their will and that staff injured a resident while they were showering.

(Continued on LIC9099C, Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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-20221027142705
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: 12/18/2025
NARRATIVE
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(Continued from LIC9099, Page 1)

Interviews with staff demonstrated knowledge of the rights of residents. Staff consistently reported no knowledge of other staff members who were rough or caused injuries to residents. Staff denied forcing residents to go to bed early. When asked about forcing residents to bed, S3 stated that it was counterproductive for the facility to force residents to bed as it increases a resident's likelihood to practice exit-seeking behaviors. S3 stated, "residents are happier when we provide choices and freedoms for them."

Interviews with Residents corroborated staff interviews that caregivers do not tell residents to go to bed early or that they physically force residents to go to bed against their will. With reference to injuries from showering, in an interview with R1, they stated that even though they know they are not supposed to shower without help due to a history of falls, they attempted to shower by themselves before they were found by care staff and assisted.

Records review confirmed that R1 has a history of Dementia, Major Depressive Disorder, and Anxiety Disorder. The care notes for R1 stated on 10/17/2022, (10 days prior to the initiated complaint), R1 "demanded to go to bed at 3pm." When staff came back to check on R1 an hour later, they found R1 on the floor. Staff did a safety check to ensure there were no injuries and helped them back into their bed. Additionally, R1's care plan corroborated that R1 required assistance with showering.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with ED Mike McCoy, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2