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Inspection visit

Health check

HILLS OF HIGHLAND, THELicense 3060065713 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On February 5, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Health Checks inspection. LPA is following up on the visit that was conducted yesterday, please see LIC809 report dated February 4, 2026. In additional, the visit is being conducted in conjunction with the complaint visit for complaint control 22-AS-20260126155937. LPA was greeted and granted entry into the facility by Licensee (LI) Allen Medina after explaining the purpose for the visit. On today's visit, the facility has a census of three residents, however, no residents were physically present during the visit. LPA, accompanied by the LI, conducted a tour of the physical plant. LPA inspected the five resident bedrooms and observed them to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the five bathrooms located in the facility, three of which are dedicated for resident use. LPA observed bathrooms to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. The water in each bathroom was operational and hot water measured between 116 and 119.8 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the six burner gas stove lights unassisted. LPA observed the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA observed all of the facility's utilities, such as the electricity, gas, water, and internet, to be operational during the visit. CONTINUED ON LIC809-C During the complaint visit, LPA reviewed the medication administration records for January and February 2026 for the three residents of the facility. LPA observed that the medication administration record for R1 was incomplete for both January and February 2026. LPA also observed the medication administration record for R2 was incomplete for January 2026. LPA observed that facility staff failed to initial the medication administration records for R1 and R2, indicating that the medications were dispensed according to their prescribed orders. During the complaint visit, LPA was also informed that R2 was abruptly removed from the facility on January 29, 2026. The two staff present when R2 was removed from the facility stated that they believe she was taken by family. However, the two staff stated that they were unable to confirm the identity of who exactly removed R2. In additional, the staff stated that they did not have the family sign in on the facility's visitation log, despite signing in being a facility policy. In addition, California Code of Regulation Title 22 Section 87205 Accountability of Licensee Governing Body states: (a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. Based on the recent visits conducted to the facility, it does not appear that the licensee has provided sufficient supervision as the facility is in disrepair, the facility in financial distress, resident records are incomplete, staff training has not been completed, and the facility does not have an Administrator present a sufficient amount of hours. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-D pages. An exit interview was conducted with Licensee Allen Medina. A copy of the report and Appeal Rights were provided.

Citations

8 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87213Type A

    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(a)Type B

    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(b)(17)Type B

    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(a)Type A

    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(a)Type B

    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(a)(4)Type A

    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(a)Type B

    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.

  • 87411(c)Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the February 5, 2026 inspection of HILLS OF HIGHLAND, THE?

This was a other inspection of HILLS OF HIGHLAND, THE on February 5, 2026. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to HILLS OF HIGHLAND, THE on February 5, 2026?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87213 Finances: The licensee shall have a financial plan... that assures sufficient resources to meet operating costs fo..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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