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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530236
Report Date: 04/23/2026
Date Signed: 04/23/2026 03:41:43 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/20/2026 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20260420150228
FACILITY NAME:HILLS OF STILLMAN, THEFACILITY NUMBER:
365530236
ADMINISTRATOR:CHAVEZ, REGINAFACILITY TYPE:
740
ADDRESS:940 STILLMAN AVENUETELEPHONE:
(714) 363-3752
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:18CENSUS: 9DATE:
04/23/2026
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Administrator Regina ChavezTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff did not issue a refund for resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Regina Chavez, and discussed the purpose of the visit.

LPA’s investigation revealed that R1 moved into The Hills of Stillman on 12/22/25. R1’s responsible party paid the admission fee covering 12/22/25 through 12/31/25, as well as the full month of January 2026. R1 passed away on 01/09/26, and R1’s responsible parties retrieved R1’s belongings the same day. For several months, R1’s responsible party has attempted to contact the Licensee regarding a prorated refund for the period of 01/09/26 through 01/31/26, but has not received a response.

Based on the evidence gathered during the investigation, the above allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where this report LIC 9099 and LIC 9099D and Appeal Rights were discussed, and a copy was provided to Administrator .
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
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 2
Control Number 56-AS-20260420150228
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: HILLS OF STILLMAN, THE
FACILITY NUMBER: 365530236
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/22/2026
Section Cited
CCR
87507(5)(A)
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87507 Admission Agreements
(5) Refund conditions(A) Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652. This requirement is not met as evidenced by:
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Licensee will contact R1's family and issue a prorated refund amount estimating $5420 and provide proof of payment to LPA by POC due date (5/22/26)
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Based on interviews and record review the licensee did not comply with the section cited above by not issuing a refund to R1's family after their death which 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.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2026
LIC9099 (FAS) - (06/04)
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