The Hills of Highland

87203 Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. Based on observation, the Licensee did not ensure that all fire extinguishers at the facility were serviced annually, which violates State Fire Marshal regulations. This poses a potential health and safety risk to persons in care.

87213 Finances: The licensee shall have a financial plan.. shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency...This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not provide all the requested documents to Community Care Licensing as requested. The Licensee has also not resolved previous staff wage issues. This poses an immediate health, safety, and personal rights risk to persons in care.

87303 Maintenance and Operation: (e) Water supplies and plumbing fixtures shall be maintained as follows (2)Faucets used by residents .. shall be maintained to .. not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement is not evidenced by: Based on observation, the Licensee did not ensure the hot water temperature was within regulatory requirements as LPA measured the resident bathrooms to be between 128.3 and 129.9 degrees Fahrenheit. This poses a potential health, safety, and personal rights risk to persons in care.

87213 Finances: The licensee shall have a financial plan.. shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency...This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not provide all the requested documents to Community Care Licensing as agreed upon. Additionally, the Licensee did not ensure staff have been paid on schedule. This poses an immediate health, safety, and personal rights risk to persons in care.

87213 Finances: The licensee shall have a financial plan.. shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency...This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not provide all the requested documents to Community Care Licensing as agreed upon. Additionally, the Licensee did not ensure staff have been paid on schedule. This poses an immediate health, safety, and personal rights risk to persons in care.

87156 Licensing Fees: (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185.This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not pay the facility's annual fees for 2025 depsite previous reminders. This poses a potential health, safety, and personal rights risk to persons in care.

87213 Finances: The licensee shall have a financial plan.. shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency...This requirement was not evidenced by: Based on observation and records reviewed, the Licensee did not provide all the requested documents to Community Care Licensing as agreed upon. Additionally, the Licensee did not ensure staff have been paid on schedule. This poses an immedate health, safety, and personal rights risk to persons in care.

87411 Personnel Requirements - General: (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69This requirment was not evidenced by: Based on observation and records reviewed, the Licensee did not ensure that five staff had received the proper intiial or annual training. This poses a potential health, safety, and personal rights risk to persons in care.

87213 Finances: The licensee shall have a financial plan... that assures sufficient resources to meet operating costs for care of residents...This requirement was not evidenced by:Based on observations, interviews, and records reviewed, the Licensee does not have an adequate financial plan to meet the needs of the residents. The facility has an outstanding rent balance, water was shut off due to non-payments, staff have not received full wages or were not paid on time. This poses an immediate health, safety, and personal rights risk to persons in care.

87405 Administrator - Qualifications and Duties: (a) All facilities shall have a.. certified administrator... and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility ...This requirment was not evidenced by: Based on records reviewed and interviewed conducted, the Licensee did not ensure the Administrator was present at the facility a sufficient amount of hours to ensure compliance. This poses a potential health, safety, and personal rights risk to persons in care.

87506 Resident Records: (b) Each resident’s record shall contain at least the following information: (17) Documents and information required by the following:This requirement was not evidenced by: Based on observations and records reviewed, the Licensee did not ensure that three resident records were complete. This poses a potential health, safety, and personal rights risk to persons in care.

87205 Accountability of Licensee Governing Body: (a) The licensee.. shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations...This requirment was not evidenced by: Based on observations, interviews, and records reviewed, the Licensee has not provided sufficient supervision as the facility is in disrepair, in financial distress, and does not have an Administrator present a sufficient amount of hours. This poses an immediate health, safety, and personal rights risk to persons in care.

87208 Plan of Operation: (a)The licensee shall have and maintain a current, written definitive plan of operation for the facility. .. and may be cited for not doing so ...This requirement was not evidenced by: Based on interviews conducted, the Licensee did not ensure staff followed the facility's plan of operation since staff did not ensure visistors signed into the vistor log. This poses a potential health, safety, and personal rights risk to persons in care.

87465 Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility..(4) The licensee shall assist residents with self-administered medications as needed.This requirement was not evidenced by: Based on observations and records reviewed, the Licensee did not ensure the medication administration records for two residents were completely accurately. This poses an immediate health, safety, and personal rights risk to persons in care.

87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not evidenced by: Based on observations, the Licensee did not ensure the facility was in good repair as LPA noted a light not operational, paint peeling, the yards being overgrown, and outdoor furniture to be in disrepair. This poses a potential health, safety, and personal rights risk to persons in care.

87507 Admission Agreements: (c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative..This requirement was not evidenced by: Based on observation and record review, the Licensee did not ensure that Resident #1 (R1) Admission Agreement was signed by a facility representative. This poses a potential health, safety, and personal rights risk to persons in care.

87457 Pre-Admission Appraisal: (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs...This requirement was not evidenced by: Based on observations and records reviewed, the Licensee did not ensure there was a Pre-Admission Appraisal on file for Resident #1 (R1). This poses a potential health, safety, and personal rights risk to persons in care.

87303 Criminal Record Clearance: (e) All individuals subject to a criminal record review ..shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department orThis requirement was not evidenced by: Based on observation and record review, the Licensee did not ensure all staff had a criminal record clearance as one care giving staff present during the visit, Staff #4 (S4) was not background cleared. This poses an immediate health, safety, and personal rights risk to persons in care.

87303 Maintenance and Operation: (e) Water supplies ..shall be maintained as follows: (2) Faucets .. shall deliver hot water. Hot water .. shall be maintained .. not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This requirement was not evidenced by: Based on observation, the Licensee did not ensure the facility had water as the facility was experiencing a water shutoff upon LPA's arrival. The facility remained without water for the duration of the visit. This poses and immediate health, safety, and personal rights risk to persons in care.

87459 Functional Capabilities: (a) The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living. Such activities shall include, but not be limited to.. This requirement was not evidenced by: Based on observations and records reviewed, the Licensee did not ensure that there were functional capability assessments on file for the three residents of the facility. This poses a potential health, safety, and personal rights risk to persons in care.

87463 Reappraisals: (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first...This requirement was not evidenced by: Based on records reviewed, the Licensee did not ensure there was a Reappraisal on file for Resident #1 (R1) and that the Reappraisal for Resident #2 (R2) was updated as frequently as necessary. This poses a potential health, safety, & personal rights risk.

87755 Authority of the Licensing Agency: (c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours....This requirement is not evidenced by: The Licensees did not submit the requested documents for all sixteen licensed facility's by the due date as agreed upon during the annual inspection conducted on November 4, 2025. This poses a potential health, safety, and personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPAs observed there was no Reappraisal on file for Resident #3 (R3). LPAs also observed that the Reappraisals on file for Resident #2 (R2), Resident #4 (R4), and Resident #5 (R5) were outdated.

Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed the Licensees do not currently have liability insurance for the facility. LPAs observed the Licensees did not renew their liability insurance after it expired on April 26, 2025.