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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006571
Report Date: 02/05/2026
Date Signed: 02/05/2026 02:23:21 PM

Substantiated


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
01/26/2026 and conducted by Evaluator Brandon Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260126155937
FACILITY NAME:HILLS OF HIGHLAND, THEFACILITY NUMBER:
306006571
ADMINISTRATOR:BHONALYN LADIAFACILITY TYPE:
740
ADDRESS:11541 HIGHLAND LANETELEPHONE:
(657) 660-5308
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 3DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee Allen MedinaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not complete required training
Resident records are incomplete
Administrator not present at the facility a sufficient number of hours
Facility is in financial distress
Facility is in disrepair
INVESTIGATION FINDINGS:
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On February 5, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by Licensee Allen Medina after explaining the purpose for the visit.

During the course of the investigation, LPA conducted a tour of the physical plant of the facility, interviewed residents, interviewed staff, reviewed and obtained pertinent documents to this complaint. Regarding the allegation, staff did not complete required training, the following has been concluded: LPA reviewed the files for five staff. LPA observed that all five staff had valid CPR/First Aid training cards. However, LPA observed that three staff did not complete the required initial training upon hire and that they did not have any documented training on file. Additionally, LPA observed that two staff did not complete the required annual training for the year of 2025 and that they did not have any training on file for that year. LPA conducted interviews with all five staff. Five out of the five staff interviewed corroborated the allegation.
CONTINUED ON LIC9099-C
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
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 7
Control Number 22-AS-20260126155937
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 HIGHLAND, THE
FACILITY NUMBER: 306006571
VISIT DATE: 02/05/2026
NARRATIVE
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Staff interviewed stated that they did not complete any training upon hire or that they did not complete any annual training for the year of 2025.

Regarding the allegation, resident records are incomplete, the following has been concluded: LPA reviewed the records for the three residents of the facility. LPA observed that the resident records were incomplete for all three residents. LPA observed that the Admission Agreement on file for Resident #1 (R1) was not signed by a facility representative. LPA observed that there was no Pre-Admission Appraisal on file for R1. LPA observed that there was no Reappraisal on file for R1 and the Reappraisal on file for Resident #2 (R2) was outdated. LPA also observed that there were no functional capability assessments on file for the three residents in of the facility.

Regarding the allegation, Administrator not present at the facility a sufficient number of hours, the following has been concluded: LPA reviewed the facility's personnel report dated January 30, 2026 which stated that the current facility Administrator (AD) is present at the facility three hours on Monday and three hours on Friday, for a total of six hours a week. LPA conducted an interview with the current facility AD. The AD stated that he took over operation of the facility in December 2025. The AD stated that he is currently overseeing five licensed facility's. Additionally, the AD admitted that he is currently not follow the personnel report schedule and has only been at the facility once or twice since December 2025. During the course of the investigation, LPA observed the facility to be in disrepair, staff training has not been completed, resident records are incomplete, and the facility is in financial distress. Therefore, it does not appear that the Administrator is present at the facility a sufficient number of hours to permit adequate attention to the management and administration of the facility.

Regarding the allegation, facility is in financial distress, the following has been concluded: LPA spoke with the landlord of the property, Witness #1 (W1), who stated that the Licensee currently owes him $26,450.00. W1 said that $4,750.00 is owed from September through December 2025 for rent late fees and partial property taxes owed. W1 also said that $21,700.00 is from missed rent payments and late fees before September 2025. During the Case Management visit conducted to the facility on February 4, 2026, LPA observed that the facility was experiencing a water shut off. Staff present during the visit confirmed that the water was shut off due to the facility having an outstanding balance with the water company. LPA spoke with Licensee Allen Medina and Maricel Nepomuceno who confirmed the facility had an outstanding balance with the water company for a total of $2,247.03. The Licensees were unable to provide the remaining utility bills for the facility to determine if they are up to date on their payments. CONTINUED ON LIC9099-C
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 22-AS-20260126155937
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 HIGHLAND, THE
FACILITY NUMBER: 306006571
VISIT DATE: 02/05/2026
NARRATIVE
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LPA conducted five staff interviews. Three out of the five staff interviewed confirmed that they are up to date on their salary and were paid on time for January 2026. However, the three staff stated that they have been paid late in previous pay periods. Additionally, two out of the five staff interviewed stated that they have not received all of the wages that are owed to them and that they have been paid late in the previous pay periods.

Regarding the allegation, facility is in disrepair, the following has been concluded: LPA conducted a tour of the facility, including the interior and exterior portions. LPA observed that a light in one of the five bathrooms was not operational. LPA observed that the paint in the kitchen pantry area was peeling. LPA observed that the air filters located in the hallways were extremely dirty and full of debris. Two staff present stated that the air filters had not been changed in months. LPA observed that the side yard and backyard were overgrown. LPA observed the grass to be overgrown, bushes to be overgrown, weeds to present in the yards, the palm trees have not been trimmed, and debris to be present in the walkways. Three staff stated that the facility has not had a gardener in months. LPA observed the roof of the house and it's gutters to be dirty and full of debris. Additionally, LPA observed the outdoor furniture in the backyard to be dirty and faded. One resident interviewed stated that she no longer goes outside because of how dirty it is and due to the outdoor furniture not being in good condition.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the five allegations The preponderance of evidence standards has been met; therefore, the above allegations are SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099-D pages. An exit interview was conducted with Licensee Allen Medina. A copy of the report and Appeal Rights were provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 22-AS-20260126155937
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 HIGHLAND, THE
FACILITY NUMBER: 306006571
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/20/2026
Section Cited
CCR
87411(c)
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87411 Personnel Requirements - General: (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69
This requirment was not evidenced by:
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The Licensee stated that he will have the five staff complete the required training. The Licensee agreed to provide LPA proof of the training for the five staff via email or fax by POC date.
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Based on observation and records reviewed, the Licensee did not ensure that five staff had received the proper intiial or annual training. This poses a potential health, safety, and personal rights risk to persons in care.
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Type B
02/20/2026
Section Cited
CCR
87506(b)(17)
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87506 Resident Records: (b) Each resident’s record shall contain at least the following information: (17) Documents and information required by the following:
This requirement was not evidenced by:
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The Licensee stated that he will conduct an in service training with staff regarding proper documentation in record files. The Licensee agreed to provide LPA proof of training via email or fax by POC date.
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Based on observations and records reviewed, the Licensee did not ensure that three resident records were complete. This poses a potential health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 22-AS-20260126155937
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 HIGHLAND, THE
FACILITY NUMBER: 306006571
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/20/2026
Section Cited
CCR
87405(a)
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87405 Administrator - Qualifications and Duties: (a) All facilities shall have a.. certified administrator... and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility ...
This requirment was not evidenced by:
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The Licensee stated that he will create a plan on how he will ensure an Administrator is present at the facility a sufficient amount of hours to remain in compliance. The Licensee agreed to provide the plan to LPA via email or fax by POC date.
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Based on records reviewed and interviewed conducted, the Licensee did not ensure the Administrator was present at the facility a sufficient amount of hours to ensure compliance. This poses a potential health, safety, and personal rights risk to persons in care.
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Type B
02/27/2026
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
This requirement was not evidenced by:
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The Licensee stated that he will make the necessary repairs to the facility. LPA will conduct a subsequent visit to ensure that all repairs have been made.
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Based on observations, the Licensee did not ensure the facility was in good repair as LPA noted a light not operational, paint peeling, the yards being overgrown, and outdoor furniture to be in disrepair. This poses a potential health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 22-AS-20260126155937
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 HIGHLAND, THE
FACILITY NUMBER: 306006571
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/06/2026
Section Cited
CCR
87213
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87213 Finances: The licensee shall have a financial plan... that assures sufficient resources to meet operating costs for care of residents...
This requirement was not evidenced by:
Based on observations, interviews, and records reviewed, the Licensee does not
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The Licensee stated that he will create a financial plan to ensure the needs of the residents and of the facility are met. The Licensee agreed to provide LPA the financial plan via email or fax by POC date.
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have an adequate financial plan to meet the needs of the residents. The facility has an outstanding rent balance, water was shut off due to non-payments, staff have not received full wages or were not paid on time. This poses an immediate health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
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
01/26/2026 and conducted by Evaluator Brandon Lopez
COMPLAINT CONTROL NUMBER: 22-AS-20260126155937

FACILITY NAME:HILLS OF HIGHLAND, THEFACILITY NUMBER:
306006571
ADMINISTRATOR:BHONALYN LADIAFACILITY TYPE:
740
ADDRESS:11541 HIGHLAND LANETELEPHONE:
(657) 660-5308
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 3DATE:
02/05/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee Allen MedinaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not complete a health screening
INVESTIGATION FINDINGS:
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On February 5, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by Licensee Allen Medina after explaining the purpose for the visit.

During the course of the investigation, LPA interviewed staff, reviewed and obtained pertinent documents to this complaint. Regarding the allegation, staff did not complete a health screening, the following has been concluded: LPA reviewed the files for five facility staff. LPA observed that each facility staff had a health screening report on file. LPA conducted five staff interviews. Five out of the five staff interviewed confirmed they completed a health screening upon hire.

Based on the evidence gathered during this investigation, the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. An exit interview was conducted with Licensee Allen Medina and a copy of the report was provided.
Unfounded
Estimated Days of Completion: 90
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Brandon Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 7 of 7