<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530236
Report Date: 04/28/2026
Date Signed: 07/16/2026 03:37:28 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
04/23/2026 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20260423082736
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: DATE:
04/28/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Adminstrator Regina ChavezTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide resident's authorized representative with invoices
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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 was removed from The Hills of Stillman on 03/06/26 and admitted to the hospital due to a heart attack, where R1 passed on 03/22/26. Residents authroized representative have requested invoices from facility staff with no response.

Based on the evidence and interviews 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: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
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-20260423082736
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: 04/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/29/2026
Section Cited
CCR
87506(c)(1)
1
2
3
4
5
6
7
87506(c)(1)Resident Records. (c) All information and records..The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative..This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Administrator provided proof of invoice being received at the time of visit. Administrator will be contacting R1's representative that the invoice has been received and will be providing the invoice to the required third party provider
8
9
10
11
12
13
14
Based on observation, the licensee did not comply with the section cited above by not providing R1's representative records, which poses/posed a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2