374603778-7-15-2026-08-AS-LTEZ-DWMTD5-20260804143747

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 07/15/2026
Date Signed: 07/15/2026 02:18:04 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
04/02/2026 and conducted by Evaluator Ramin Hashemi

COMPLAINT CONTROL NUMBER: 08-AS-20260402090829

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: 77	DATE:	07/15/2026
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Executive Director Tanya Pontecorvo		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

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Lack of supervision, resulting in hospitalization

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 (ED) Tanya Pontecorvo.

On 04/02/26 it was alleged, "Lack of supervision, resulting in hospitalization." The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, outside sources, and records review.

Regarding the allegation, "Lack of supervision, resulting in hospitalization", it was alleged that a resident collapsed while at the facility and was transported to the hospital. While at the hospital, the resident tested positive for fentanyl.

(Continued on LIC9099C, Page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Ramin Hashemi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026

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-20260402090829

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: 07/15/2026

NARRATIVE

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(Continued from LIC9099, Page 1)

Staff interviews revealed that Resident 1 (R1) had collapsed at the facility, was showing a higher than normal temperature, and was sent out for that reason. Staff 1 (S1) stated that the resident didn't seem to be a baseline and had recently started to under eat. Staff 2 (S2) corroborated S1's interview and stated that R1 was not eating enough. S1 and S2 confirmed that another staff member was present when R1 had collapsed in the facility, caught by staff, and helped R1 safely to the ground to be checked by the onsite medical staff. Staff 3 (S3) stated that when R1's vitals were checked, R1 appeared to have a fever. All staff confirmed that the resident did not return to the facility after the hospital visit and was moved to another assisted living facility following the hospital stay. Staff unanimously stated that there were no fentanyl treatments given to any other residents during R1's stay at the facility.

Outside source interviews revealed conflicting statements from the hospital staff. Outside Source 4 (OS4) reviewed the medication list for R1 and stated that one of the medications taken by R1 could provide a false positive. Outside Source 2 (OS2) stated that one of the charge nurses at the hospital confirmed it was a false positive for fentanyl. Outside Source 3 (OS3) stated that when R1 was at the hospital, they were at their baseline. During the interview with the LPA, OS3 was vehement that they did not believe that this was a false positive result and that R1 was drugged.

Records review revealed the medication list for the resident contained a medication that could produce a false positive for fentanyl.

Based on interviews 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 the ED, 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: 07/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2026

LIC9099 (FAS) - (06/04)

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