374603778-5-4-2023-08-AS-LTEZ-CSBQ5C-20230530115139

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 05/04/2023
Date Signed: 05/04/2023 02:26:40 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/29/2023 and conducted by Evaluator Dawn Segura

COMPLAINT CONTROL NUMBER: 08-AS-20230429073516

FACILITY NAME:	HERITAGE HILLS		FACILITY NUMBER:	374603778
ADMINISTRATOR:	STEFANIE ANCHETA		FACILITY TYPE:	740
ADDRESS:	2108 EL CAMINO REAL		TELEPHONE:	(760) 206-7930
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92054
CAPACITY:	74	CENSUS: 66	DATE:	05/04/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Stefanie Ancheta, Executive Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Licensee did not meet residents' dietary needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to commence a complaint investigation. LPA introduced herself, was granted entry into the facility, and met with Stefanie Ancheta, Executive Director, to whom LPA disclosed the reason for the visit. During the visit, LPA toured the facility, reviewed facility records, and spoke with resident, facility staff and outside source.

It was alleged that the facility does not provide food to meet the dietary needs of residents in care. It was reported that meals are being prepared and offered to residents; however, if residents choose not to eat the meal being served, staff members eat the meals and residents are left with no food.

While touring the facility, LPA observed meals prepared for lunch service to the residents, which consisted of the same food items as was listed on the facility’s weekly main menu. Interviews revealed and LPA observed an a la carte menu, with a variety of food choices, including sandwiches, burgers, and fish, that are available as additional options, in the event that a resident does not elect to have the meal served from the main facility

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dawn Segura	TELEPHONE: (619) 417-3928
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023

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 08-AS-20230429073516

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: HERITAGE HILLS	FACILITY NUMBER: 374603778
	VISIT DATE: 05/04/2023

NARRATIVE

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menu. The investigation also revealed that snacks are available to residents outside of meal service times.

The investigation did not yield sufficient evidence to conclude that the licensee does not have food available to meet the dietary needs of residents. Based upon the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Stefanie Ancheta, Executive Director, and a copy of this report and Licensee/Appeal Rights (LIC 9058) were provided to the Executive Director at the conclusion of the visit.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Dawn Segura	TELEPHONE: (619) 417-3928
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023

LIC9099 (FAS) - (06/04)

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