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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006155
Report Date: 04/16/2026
Date Signed: 04/16/2026 10:34:20 AM

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
02/04/2026 and conducted by Evaluator Hanna Gough
COMPLAINT CONTROL NUMBER: 22-AS-20260204143815
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: 33DATE:
04/16/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Nora Rodgers TIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff hit resident in care
Staff spoke inappropriately to resident in care
Staff did not follow reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Nora Rogers and discussed the purpose of the visit.

The investigation into the facility allegation of staff hit resident in care and staff spoke inappropriately to resident in care revealed the following: It was alleged that Staff #1(S1) was speaking roughly to Resident #1 (R1) and pummeling R1s back and shoulders. LPA reviewed a Physicians Report for R1 dated August 21, 2025, stating that R1 had no cognitive conditions and is able to communicate their needs. This report was signed and dated by a medical professional on August 27, 2025.

Witness #1 (W1) informed LPA via email that S1 may have meant absolutely no harm, but suspected that R1 was intimidated by S1 before W1 looked over at the pair and saw what appeared to be a disturbed look on R1s face. Continue on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026
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-20260204143815
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: 04/16/2026
NARRATIVE
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W1 provided their email account to AD that stated that something drew their attention to S1 and got the impression that S1 spoke to R1 roughly. W1 informed AD via email that they observed S1 pummeling R1s back and shoulders as though playfully, good natured, or mock aggression once S1 saw W1 look over.

Witness #2 (W2) informed LPA that W1 informed them that they did not actually see an incident occur between S1 and R1, but saw S1 pummeling/massaging R1s back and found it disturbing.

Witness #3 (W3) informed LPA that they had no concerns of R1s care and was at the facility every day to check on R1. W3 informed LPA that they do not believe the incident occurred as reported and had no complaints regarding R1s care. W3 informed LPA that they spoke to facility staff and confirmed that the AD informed them of the alleged incident verbally.

LPA interviewed staff and 5 of 5 staff denied the allegations.

LPA interviewed 6 residents in care and 2 of 6 residents informed LPA that they have never been harmed or yelled at by facility staff. 4 of 6 residents did not confirm or deny the above mentioned allegations.

LPA was unable to view video footage at the facility due to it already being recorded over.

LPA was unable to interview R1 due to no longer residing at the facility.

LPA reviewed staff training for S1 and observed personal rights training was last conducted on August 18, 2025.

The investigation into the facility allegation of staff did not follow reporting requirements revealed the following: It was alleged that staff did not cross report an alleged incident that occurred. The SOC341 was submitted to LPAs email inbox on January 30th 2026, stating that on January 23rd, 2026, they were informed of an incident where S1 was handling R1 in a rough manner.

LPA interviewed AD and informed LPA that they sent an SOC341 to licensing and the Ombudsman and notified R1s family. AD was unable to verify when they sent the form to the ombudsman.

LPA interviewed Witness #4 (W4) and informed LPA that they did not receive an SOC341 from the facility regarding the incident that occurred.

Continue on LIC9099C

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20260204143815
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: 04/16/2026
NARRATIVE
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Based on information gathered and interviews conducted, 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: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3