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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006155
Report Date: 01/30/2026
Date Signed: 01/30/2026 03:14:20 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
01/07/2026 and conducted by Evaluator Hanna Gough
COMPLAINT CONTROL NUMBER: 22-AS-20260107125840
FACILITY NAME:COTTAGES AT ARTESIA ANAHEIM, THEFACILITY NUMBER:
306006155
ADMINISTRATOR:RODGERS, NORAFACILITY TYPE:
740
ADDRESS:8792 CERRITOS AVENUETELEPHONE:
(657) 256-1062
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:38CENSUS: 31DATE:
01/30/2026
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Nora RodgersTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff did not safeguard resident's personal belongings
Staff was verbally abusive towards resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to investigate the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Nora Rodgers and discussed the purpose of the visit.

The investigation into the allegations of Staff did not safeguard resident’s personal belongings and Staff was verbally abusive towards residents revealed the following: It was alleged that facility staff was given hearing aids and a watch for Resident #1(R1) by Witness#1 (W1) and upon moving out of the facility they did not receive them back. LPA observed R1 moved into the facility on November 25, 2025. LPA observed a physician’s report for R1 signed and dated by a physician on November 24, 2025, stating that R1 does not have auditory impairment and has a diagnosis of dementia. LPA observed a preplacement appraisal dated November 24, 2025, for R1 that was done by facility staff that states that R1 wears hearing aids.

Continue on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
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 2
Control Number 22-AS-20260107125840
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: COTTAGES AT ARTESIA ANAHEIM, THE
FACILITY NUMBER: 306006155
VISIT DATE: 01/30/2026
NARRATIVE
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LPA observed a LIC621 for R1 that does not state they have hearing aids as their personal property at the facility that was signed and dated by facility staff on November 25, 2025. LPA observed a theft and loss policy stating that the Responsible Party of the resident shall fill out an LIC621 on the day of move in and all items will be discharged at the time of move out. The policy also states that if an item goes missing, the resident or responsible party can fill out a LIC9060 theft and loss record form. LPA did not observe an LIC9060 for R1. LPA observed a notice of transfer/discharge for R1 from Downey Post Acute stating that on November 25, 2025, R1 will be transferred to the facility. This form has an itemized list of R1s belongings and upon discharge R1 had 2 hearing aids that were noted on the form. This document was signed and dated by W1 and nursing staff on November 25, 2025.

Upon interviews with two of three staff it was revealed that R1 arrived at the facility with the clothes they were wearing and their cell phone, and no hearing aids. One of three staff informed LPA that they arrived via non emergency ambulance without family or their responsible party. Two of three staff informed LPA that they did not recall R1 having hearing aids during their short time at the facility. One of three staff informed LPA that R1 did not have hearings aids or a watch and was not informed if staff had received such items.

Upon interviews with W1 it was revealed that they handed staff R1s hearing aids, but could not recall the staffs name. W1 informed LPA that they did not fill out a valuables and property form for R1. W1 informed LPA that they are not sure about a watch.

Regarding the allegation of Staff was verbally abusive towards resident revealed the following: It was alleged that staff would yell at R1 and call them derogatory names.

Upon interviews with three of three staff it was revealed that they never have verbally abused R1 and had not observed other staff in the facility verbally abuse residents. Upon interviews with four of four residents it was revealed that two of four residents were unable to confirm or deny if they had heard staff verbally abuse residents. Two of four residents informed LPA that they have never been verbally abused and had not heard staff verbally abuse other residents in care.

Based on interviews, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
LIC9099 (FAS) - (06/04)
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