306006485-6-3-2026-22-AS-APAO-DVS5SY-20260707201330

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006485
Report Date: 06/03/2026
Date Signed: 06/03/2026 01:33:48 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
09/19/2024 and conducted by Evaluator Cassandra Mikkelson

COMPLAINT CONTROL NUMBER: 22-AS-20240919083232

FACILITY NAME:	HILLS OF VIA DEL SOL, THE		FACILITY NUMBER:	306006485
ADMINISTRATOR:	CUYSON, ELEAZAR		FACILITY TYPE:	740
ADDRESS:	26462 VIA DEL SOL		TELEPHONE:	(714) 430-7672
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92626
CAPACITY:	6	CENSUS:	DATE:	06/03/2026
		UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:			TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff mismanaged resident's medications.
Staff did not ensure resident's oxygen machine was working properly.
Staff did not provide adequate food service.
Staff did not ensure facility had adequate supplies.
Staff does not ensure bathroom is clean and sanitized.
Staff did not accord resident privacy.

INVESTIGATION FINDINGS:

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On 06/03/2026, Licensing Program Analyst (LPA) contacted the licensee via email to deliver final findings regarding a complaint that was received on 09/19/2024.

**Continued on 9099-C page

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20240919083232

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: HILLS OF VIA DEL SOL, THE	FACILITY NUMBER: 306006485
	VISIT DATE: 06/03/2026

NARRATIVE

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Staff mismanaged resident's medications.

Based on the information obtained during the course of the investigation, the Department is unable to determine the validity of the allegation listed above. Therefore, the allegation listed is unsubstantiated.

Staff did not ensure resident's oxygen machine was working properly.

Staff did not provide adequate food service.

Staff did not ensure facility had adequate supplies.

Staff does not ensure bathroom is clean and sanitized.

Staff did not accord resident privacy.

A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Licensee was advised a copy of this report will be sent via certified mail. Two copies of this report will be sent. The Licensee is to sign and return a copy to the Orange County Regional office.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026

LIC9099 (FAS) - (06/04)

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