306006133-1-23-2026-22-AS-APAO-DR26TU-20260205200607

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006133
Report Date: 01/23/2026
Date Signed: 01/23/2026 01:46:58 PM

Unsubstantiated

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
01/16/2026 and conducted by Evaluator Claudia Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260116102240

FACILITY NAME:	HILLS OF ROCKAWAY, THE		FACILITY NUMBER:	306006133
ADMINISTRATOR:	JOANNA GOMEZ		FACILITY TYPE:	740
ADDRESS:	919 E ROCKAWAY DRIVE		TELEPHONE:	(909) 450-1699
CITY:	PLACENTIA	STATE: CA	ZIP CODE:	92870
CAPACITY:	6	CENSUS: 5	DATE:	01/23/2026
		UNANNOUNCED	TIME BEGAN:	10:42 AM
MET WITH:	Chester Gutierrez		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility is in financial distress
Insufficient staffing to meet residents' needs

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Staff Chester Gutierrez and explained the purpose of the inspection.

Regarding allegation, Facility is in financial distress, the following was revealed: It is alleged the facility is in financial distress due to notice received from the water company indicating the water at the facility would be shut off, staff salaries not being paid, and food delivery being delayed due to bills not paid. Interviews were conducted with five facility residents and three staff. During their interview, three of five residents were unable to confirm or deny the allegation, however, stated the utilities at the facility have been and continue to be operational and food supply is always sufficient in quantity to meet their needs. Two of three residents were unable to confirm or deny allegations or indicate if there has been an interruption in utility services or if they are provided sufficient food in quantity. (Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

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 3

Control Number 22-AS-20260116102240

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 ROCKAWAY, THE	FACILITY NUMBER: 306006133
	VISIT DATE: 01/23/2026

NARRATIVE

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During their interview, Staff 1 (S1) denied the facility is in financial distress and stated there have not been any interruptions to utility services at the facility. S1 stated all facility staff has been paid up to date and groceries are delivered to the facility on a weekly basis, with food supply being maintained at a 2-day supply perishable and 7-day supply of non-perishable food. During their interview, Staff 2 (S2) stated they have personally been paid up to date and stated to their knowledge all facility staff have been paid. Per S2, the utilities have been and continue to be operational and food supply is always maintained at a minimum of 2-day supply perishable and 7-day supply non-perishable food. S2 stated there was recently a change in the day of the week groceries are being delivered and stated groceries used to be delivered between Sunday and Monday and groceries are now delivered between Thursday and Friday. During their interview, Staff 3 (S3) stated they have personally been paid up to date and stated to their knowledge all facility staff have been paid. S3 stated the utilities have been and continue to be operational and food supply is always maintained at the minimum 2-day perishable and 7-day non-perishable food requirement. During the course of the investigation, the Yorba Linda Water District was contacted, and an interview was conducted with a Water District Representative, who denied the water at the facility would be shut off and stated there were no outstanding balances currently due as all bills have been paid to date. During initial 10-day inspection on January 22, 2026, LPA conducted a tour of the facility and observed all utilities were operational. LPA also observed a 2-day supply of perishable and a 7-day supply of non-perishable food and obtained the facility’s most recent grocery order, set for delivery on the following day, Friday, January 23, 2026, between 10 a.m. - 12 p.m. On January 23, 2026, LPA made an additional visit to the facility and observed groceries had been delivered and food supply exceeded 2-day supply of perishable and a 7-day supply of non-perishable food.

Regarding allegation, Insufficient staffing to meet residents' needs, the following was revealed: It is alleged there is insufficient staffing to meet residents’ needs due to S2 being left alone all day and all night and a resident being feed meals without their dentures. During their interview, three of five residents denied the allegation and stated staff is always available to assist them. Two of three residents were unable to confirm or deny allegation. During their interview, S1 denied the allegation and stated there have not been any staff issues at the facility. During their interview, S2 stated there are always at least two staff present during shifts, except overnight, when there is only one staff on shift. S2 denied being left alone all day and stated there is sufficient staff to meet the needs of the residents. (Cont. LIC9099-C)

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20260116102240

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 ROCKAWAY, THE	FACILITY NUMBER: 306006133
	VISIT DATE: 01/23/2026

NARRATIVE

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During their interview, S3 denied any staffing issues and stated there is sufficient staff to meet the needs of the residents. Per S3, R3 wears dentures and on one particular morning, R3 did not have their dentures on at breakfast and staff immediately retrieved R3’s dentures from the solution they are kept in overnight. S3 stated this was an isolated event and staff had simply forgotten to put R3’s dentures in following their morning shower and was not due to lack of staffing. An interview was conducted with R3 on two separate occasions, however, R3 was unable to confirm or deny allegation.

Based on observations made during complaint investigation and due to allegations being uncorroborated during interviews conducted, the Department is unable to determine if Facility is in financial distress or if there is Insufficient staffing to meet residents' needs. Although the above allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

LIC9099 (FAS) - (06/04)

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