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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306006571
Report Date: 07/06/2026
Date Signed: 07/06/2026 11:53:04 AM

Document Has Been Signed on 07/06/2026 11:53 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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, THEFACILITY NUMBER:
306006571
ADMINISTRATOR/
DIRECTOR:		BHONALYN LADIAFACILITY TYPE:
740
ADDRESS:11541 HIGHLAND LANETELEPHONE:
(657) 660-5308
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY: 6CENSUS: 5DATE:
07/06/2026
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Administrator Heddymae OysonTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On July 6, 2026, Licensing Program Analysts (LPAs) Brandon Lopez and Tran Nguyen made an unannounced visit to the facility to conduct a Case Management - Health Checks. LPAs were greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Heddymae Oyson was present and also assisted on today's visit.

On today's visit, there are five residents in care and there were two care giving staff present. LPAs observed residents to be in clean clothes. LPAs, accompanied by the AD, conducted a tour of the physical plant. LPAs inspected the five resident bedrooms and observed them to be free of hazards. LPAs observed the lights in each of the resident's bedroom to be operational. LPAs observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed resident beds to have clean linens and blankets. LPAs inspected the five bathrooms located in the facility. LPAs observed bathrooms to be clean. Bathrooms are equipped with grab bars and non-skid floor mats. Hot water temperature measured between 124.3 and 126.1 degrees Fahrenheit.

LPAs inspected the facility's kitchen area and observed it to be clean. LPAs observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPAs observed the facility has a three day emergency food and water supply stored in the pantry. LPAs, accompanied by the AD, conducted a tour of the exterior portions of the facility. LPAs observed multiple trash bags, boxes, and unused furniture on the southside of the facility. LPAs also observed palm tree branches, leaves, and debris to be present in the walkways. LPAs observed the palms trees have not been trimmed and the bushes to be overgrown. LPAs conducted an interview with the landlord of the property, Witness #1 (W1) during the visit. W1 said that the facility did not pay the July 2026 rent and currently has an outstanding balance of $65,500.00, which includes past owed rent, late fees, and property taxes. CONTINUED ON LIC809-C
NAME OF LICENSING PROGRAM MANAGER: Sheila Santos
NAME OF LICENSING PROGRAM ANALYST: Brandon Lopez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 07/06/2026
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W1 also said that there is currently no installment agreement to address the facility's outstanding balance. On May 8, 2026, the Department notified the Licensees that they have began proceedings to revoke the license of the facility. Per Health and Safety Code Section 1569.38(e): "(e) Upon providing the notice described in subdivision (b), the licensed residential care facility shall also post a written notice, in at least 14-point type, in a conspicuous location in the facility, that may include where the mail boxes are located, where the facility license is posted, or any other easily accessible location in the facility. The posting shall include all of the following information:" On today's visit, LPAs observed that the facility did not have a copy of the notice posted in the facility. No health or safety concerns were observed during the visit. LPAs observed all of the facilities utilities to be operational during the visit. LPAs additionally conducted interviews with three staff and five residents during the visit.

Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809D pages. The Licensee will be issued a civil penalty for a repeat violation in the amount of $250.00, since the Licensee was previously issued a citation for California Code of Regulation Title 22 Section 82713 on June 17, 2026. The Licensee will be issued a second civil penalty for a repeat violation in the amount of $250.00, since the Licensee was also previously issued a citation for California Code of Regulation Title 22 Section 87303(e)(2) on June 17, 2026. The Licensee will also be issued a third civil penalty for a repeat violation in the amount of $250.00, since the Licensee was also previously issued a citation for California Code of Regulation Title 22 Section 87303(a) on February 5, 2026. The Licensee will receive a total of $750.00 in civil penalties. An exit interview was conducted with Administrator Heddymae Oyson. A copy of the report and appeal rights were provided to the facility at time of visit.
NAME OF LICENSING PROGRAM MANAGER: Sheila Santos
NAME OF LICENSING PROGRAM ANALYST: Brandon Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 07/06/2026 11:53 AM - It Cannot Be Edited


Created By: Brandon Lopez On 07/06/2026 at 11:18 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 07/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/06/2026
Section Cited
HSC
1568.39(e)

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ยง1569.38 Posting of licensing reports; disclosure to new residents: (e) Upon providing the notice described in subdivision (b), the licensed residential care facility shall also post a written notice.. in the facility..
This requirement is not evidenced by:
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The Administrator stated that she will post the notice of the proceeding in the facility. The Administrator agreed to provide LPAs proof of posting via email or fax by POC due date. LPAs will also conduct a follow up visit to confirm the notice has been posted.
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Based on observation, the Licensee did not ensure that a notice regarding the proceedings was posted at the facility as LPAs did not observe it during today's visit. Staff also corroborated that the notice has not been posted. This poses an immediate health and safety risk to persons in care.
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Type A
07/17/2026
Section Cited
CCR87213

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87213 Finances: The licensee shall have a financial plan.. shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency...
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The Licensee stated that he will provide LPAs a written financial plan on how they will address the outstanding rent balance. The Licensee agreed to provide LPA the written plan via email or fax by POC date.
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Based on interviews conducted, the Licensee does not have a sufficient financial plan as the have an outstanding rent balance of $65,500.00. 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.
Sheila Santos
NAME OF LICENSING PROGRAM MANAGER:
Brandon Lopez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2026


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 07/06/2026 11:53 AM - It Cannot Be Edited


Created By: Brandon Lopez On 07/06/2026 at 11:25 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 07/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/17/2026
Section Cited
CCR
87303(e)(2)

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87303 Maintenance and Operation: (e) Water supplies ..shall be maintained as follows: (2) Faucets .. shall deliver hot water. Hot water .. shall be maintained .. not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).
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The Administrator stated that she will adjust the hot water temperature to be within regulatory requirements. The Administrator agreed to provide LPAs a hot water temperature log once the water has been adjusted and will provide LPAs the log via email of fax by POC due date.
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Based on observation, the Licensee did not ensure that the facility's water was within regulatory requirements as the hot water temperature measured between 124.3 & 126.1 degrees Fahrenheit. This poses a potential health and safety risk to persons in care.
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Type B
07/17/2026
Section Cited
CCR87303(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 is not evidenced by:
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The Administrator stated that she will arrange for the items to be disposed of and for the backyard and sideyard to be cleaned. LPAs will conduct a subsequent visit to ensure the exterior has been cleaned.
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Based on observations, the Licensee did not ensure that the exterior was clean and safe since LPAs observed multiple items in the side yard. LPAs also observed the sideyard and backyard has not been cleaned or maintained. This poses a potential health and safety 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.
Sheila Santos
NAME OF LICENSING PROGRAM MANAGER:
Brandon Lopez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2026


LIC809 (FAS) - (06/04)
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