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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006155
Report Date: 07/08/2026
Date Signed: 07/08/2026 11:36:12 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
01/06/2026 and conducted by Evaluator Hanna Gough
COMPLAINT CONTROL NUMBER: 22-AS-20260106122151
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: 34DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Nora RodgersTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Resident developed pressure injuries while in care due to lack of care and supervision.
Staff are not adequately assisting resident while in care.
Staff did not ensure that resident had access to an emergency call button while in care.
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 Rodgers and discussed the purpose of the visit.

It was alleged that resident #1 (R1) developed pressure injuries while in care due to lack of care and supervision, Staff are not adequately assisting resident while in care and staff did not ensure that resident had access to an emergency call button while in care.

The investigation conducted by the Department revealed the following: LPA reviewed an admission agreement dated July 12, 2024, for R1 signed by facility staff and R1s Responsible Party. LPA observed a physicians report dated August 25, 2025, stating that R1 has a diagnosis of dementia, has motor impairment, requires full assistance with repositioning and has a history of skin breakdown.
Continue on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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 4
Control Number 22-AS-20260106122151
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: 07/08/2026
NARRATIVE
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R1 also was marked as able to communicate and was marked as non-ambulatory. LPA reviewed daily charting notes for R1 from September 2025 to December 2025 that did not indicate if the resident was turned. Notes reviewed did not indicate staff repositioning R1 or attending to R1s pressure injuries. LPA observed text messages between facility staff and R1s POA regarding R1s pressure injury with updates starting on December 18, 2025, with the last picture update sent on December 23, 2025.

Interviews with staff revealed that 3 of 4 staff were aware of the pressure injuries R1 had obtained. 2 of 4 staff informed LPA that they were treating the pressure injures and communicating with R1s family and providing updates. 1 of 4 staff informed LPA that they inform the medtech on duty when they find something on a resident and the medtech informs the family. 1 of 4 staff were not present at the facility when the pressure wounds were found on R1. 3 of 4 staff informed LPA that they do not recall a time when R1 did not have access to their pull chord.

LPA interviewed 6 residents in care including R1. 3 of 6 residents interviewed did not confirm or deny the allegations. 2 of 6 residents informed LPA that staff help them whenever they call for assistance. 2 of 6 residents informed LPA that the staff answer the pull chord system whenever they have pulled it, even if it was on accident. 1 of 6 residents stated that staff did not always respond to the pull chord system or assist them in a timely manner. 1 of 6 residents informed LPA that the pull chord often fell where they could not reach it making it to where they could not call staff for assistance.

LPA reviewed current staff training on topics such as Resident Care, Skin Care and Elder Abuse. 1 of 4 staff have an active administrators certificate expiring on January 12, 2027.

LPA toured the facility and observed the pull chord system to be operational with all pull chords within reach of residents beds.

Based on information gathered, interviews and tour of the physical plant, 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 violations occurred; therefore, the allegations are deemed UNSUBSTANTIATED and no citation was issued.

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: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
01/06/2026 and conducted by Evaluator Hanna Gough
COMPLAINT CONTROL NUMBER: 22-AS-20260106122151

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: 34DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Nora RodgersTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not notify resident's responsible party of resident's change in condition as necessary.
Staff are not providing resident's responsible party with requested documents as necessary.
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 Rodgers and discussed the purpose of the visit.

Regarding the facility allegation of staff did not notify resident’s responsible party of resident’s change in condition as necessary and Staff are not providing resident's responsible party with requested documents as necessary revealed the following: It was alleged that staff did not inform Resident #1 (R1s) Power of Attorney (POA) of a pressure injury before a doctors visit and that staff were not providing R1s POA with shower and rotation logs for R1.

LPA observed text messages between facility staff and R1s POA regarding R1s pressure injury with updates starting on December 18, 2025.
Continue on LIC9099C
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20260106122151
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: 07/08/2026
NARRATIVE
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LPA observed emails between AD and R1s POA dated January 9, 2025. AD sent the required Community Care Licensing documentation to R1s POA, but did not have shower or rotation logs for R1 during the time requested.

AD informed LPA that they provided R1s POA with all documentation requested that they had found on file and informed R1s POA that they did not have shower or rotation logs for R1 during the time frame that was being requested. Per Title 22 regulations, shower and rotation logs are not a required to be maintained unless it is stated in the residents care plan. LPA did not review such notations in R1s file.

Upon interviews with R1s POA it was revealed to LPA that they were informed verbally of a pressure injury the day after the pressure injury was found after returning from a doctors appointment. Per Title 22 regulations, facilities have seven days from the occurrence to report to the person responsible for the resident in care.

Based on the evidence gathered, the Department finds that the allegations are unfounded, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis.

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: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4