374603778-12-31-2025-08-AS-LTEZ-DQQVAF-20260127151551

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 12/31/2025
Date Signed: 12/31/2025 12:42:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
11/18/2025 and conducted by Evaluator Ramin Hashemi

COMPLAINT CONTROL NUMBER: 08-AS-20251118135554

FACILITY NAME:	HERITAGE HILLS		FACILITY NUMBER:	374603778
ADMINISTRATOR:	MICHAEL MCCOY		FACILITY TYPE:	740
ADDRESS:	2108 EL CAMINO REAL		TELEPHONE:	(760) 206-7930
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92054
CAPACITY:	78	CENSUS: 73	DATE:	12/31/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Executive DIrector Mike McCoy		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff left resident in facility vehicle

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director, Mike McCoy.

On 11/18/2025 it was alleged that "staff left resident in facility vehicle." The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review.

Regarding the allegation, "staff left resident in facility vehicle", it was alleged that facility staff drove Resident 1 (R1) on an outing away from the facility and when staff returned to the facility, they left R1 in the vehicle for an unknown amount of time without supervision
(Continued on LIC9099-C, Page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:	DATE: 12/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025

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-20251118135554

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: HERITAGE HILLS	FACILITY NUMBER: 374603778
	VISIT DATE: 12/31/2025

NARRATIVE

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(Continued from LIC9099, Page 1)

Interviews with staff revealed that residents are taxied in the van if they are scheduled for a doctor's appointment or if they had signed up for an activity that took place off property. Staff 1 (S1) confirmed that R1 was not signed up for any activities that day and did not have a doctor's appointment scheduled. Staff 2 (S2) stated that they were present when R1 was found near the van and reported that R1 had not been scheduled for a doctor's visit that day and instead had tried to elope from the facility through the stairwell leading to the parking garage.

Interviews with Outside Source 1 (OS1) revealed that R1 was found near the van in the parking garage on the facility grounds. OS1 was able to stay with R1 until they could ask S2 to come and retrieve R1 and return them to the building. OS1 did not report seeing R1 inside the van at the time of discovery.

Records review confirmed that R1 has a history of Alzheimer's disease. An activities calendar for November showed a scheduled outing for November 18th, 2025 at 1:30pm titled, "Oceanside Coffee Date." On the Sign up sheet for the outing R1's name is absent which corroborates staff interviews.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Executive Director Mike McCoy, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:	DATE: 12/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2025

LIC9099 (FAS) - (06/04)

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