HILLS OF HAYWARD, THE

Official classification

Type B

Official code

87205(a)

Regulation authority

CCR

What the official deficiency says

87205 Accountability of Licensee Governing Body (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 (Cont'd) individuals it serves. This requirement is not met as evidenced by: Based on LPA observations and interviews, Licensees did not ensure caregiver was background cleared which is a lack of oversight. This poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee must be accountable for the facility operations and for the health, safety and personal rights of the residents they serve. Licensees shall provide a Memo of Understanding regarding the responsibilities, duties and accountability and provide the regulations reviewed. Licensees to email LPA of this signed statement and regulations reviewed by POC due date.

Deadline recorded: Aug 31, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care a) A plan for incidental medical and dental care shall be developed...The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on LPA's observations and interviews, one of one resident is not receiving the medical care needed. This is a potential health and safety risk for the resident

Official plan of correction

Licensees and/or Administrator shall provide the appropriate level of care for one of one resident to meet the mental health needs of the resident that cannot be provided by the facility. LE and AD will notify the Department of the resident's change of condition, updated 602a and Appraisal Needs and Services Plan or relocation to an appropriate facility by POC due date.

Deadline recorded: Sep 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.17(b)(1)(C)

Regulation authority

HSC

What the official deficiency says

1569.17 (b) In addition to the applicant, the provisions of this section shall apply to criminal convictions of the following persons: (1) (C) Any person who provides client assistance in dressing, grooming, bathing, or personal hygiene...This requirement is not (cont'd) Based on LPA's Guardian review and interview the staff member has not been background cleared. This poses an immediate health and safety risk to persons in care.

Official plan of correction

Licensee (LE) was notified and uncleared staff was relieved of duties pending a cleared staff member replacement.

Deadline recorded: Aug 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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 met as evidenced (cont'd) by: Based on LPA observations and interview the toilets in two of two bathrooms were in disrepair or unclean and a pot with mold was sitting on the stove. This poses a potential health and safety risk to persons in care.

Official plan of correction

AD stated someone will be sent to the facility to repair the toilet seats and clean. The pot with mold was cleaned during the visit. AD will text LPA photos by POC due date.

Deadline recorded: Aug 31, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87207

Regulation authority

CCR

What the official deficiency says

87207 False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement is not met as evidenced by: (cont'd) LPA was informed verbally and observed documentation stating the Department will expedite and grant a license to a new operator. This poses a potential health and safety risk for three of three residents in care.

Official plan of correction

AD will speak with Licensees to provide information to residents, staff, vendors and families that are not misleading statements that misrepresent the Department. The Department is in legal proceedings and there are no agreements agreed upon between CDSS and licensees at this time.

Deadline recorded: Jul 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.38(b)(1)

Regulation authority

HSC

What the official deficiency says

§1569.38. Posting of licensing reports; disclosure to new residents. (b) A licensed residential care facility for the elderly shall provide written notice to a resident, the resident’s responsible party, if any, and the local long-term care ombudsman, within 10 days from the occurrence of either of the (cont'd) following events: (1) The department commences proceedings to suspend or revoke the license of the facility pursuant to Section 1569.50. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee shared with LPA that notices were being mailed to North County facilities' families via certified mail today.

Deadline recorded: May 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.38(e)

Regulation authority

HSC

What the official deficiency says

§1569.38 (e) Upon providing the notice described in subdivision (b), the licensed residential care facility shall also post a written notice, in at least 14-point type, in a conspicuous location in the facility, that may include where the mail boxes are located, where the facility license (cont'd) is posted, or any other easily accessible location in the facility. CIVIL PENALTY ASSESSED.

Official plan of correction

Licensee was informed by LPA that a copy of the Accusation was provided to the facility and staff posted in a prominent location by the front door.

Deadline recorded: May 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 The licensee shall have a financial plan that [...] assures sufficient resources to meet operating costs for care of residents; shall maintain adequate finances. Based on interviews conducted, the Licensee did not ensure employees are receiving their paychecks timely or the full amount. This poses an immediate health and safety risk for persons in care. CIVIL PENALTY ASSESSED

Official plan of correction

The Licensee will be working on W-2 paperwork for staff payments and re-submit a financial plan to the Department by POC due date.

Deadline recorded: May 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411(a) (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...The licensing agency may require any facility to provide additional staff whenever it determines...that the needs of the...residents,the extent of services provided...require...additional staff for the provision of adequate services. This requirement is not met as evidenced by: Based on LPA observations and interviews there is one staff to five residents; which poses an immediate health and safety risk to persons in care.

Official plan of correction

LPA spoke with Administrator (AD) to submit a Staff Plan to ensure there is enough staff to provide services necessary to meet residents' needs. AD will email LPA by end of visit today.

Deadline recorded: Mar 25, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review and interview, the licensee did not comply with the section cited above in for five of five residents which poses an immediate health, safety risk to persons in care.

Official plan of correction

POC Due Date: 03/06/2026 Plan of Correction AD conducted a quarterly fire drill with all staff present. Fire drill was documented for March 5, 2026.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

§1569.605 Liability insurance; coverage requirements: On and after July 1, 2015, all residential care facilities for the elderly... shall maintain liability insurance covering injury to residents and guests in the amount of at least...($1,000,000)...per occurrence and...($3,000,000)... caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Based on LPA file review and interview with Administrator the facility does not have current liability insurance. This poses an immediate health and safety risk to all residents in care

Official plan of correction

Licensee (LE) agrees to have the required insurance and to provide proof to the Agency (CCL) by the POC due date.

Deadline recorded: Feb 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(2)(B)

Regulation authority

CCR

What the official deficiency says

No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building. This requirement is not being met as evidenced by LPA observed and staff reported they sleep/live in the patio room next to the living room. This poses a potential health,safety and/or personal rights risk to residents in care.

Official plan of correction

Licensee agrees to not allow anyone to sleep in any room except for bedrooms and to have staff no longer sleep/live in the patio room next to the living room. Licensee to sign a statement of understanding CCR 87307 and to forward proof to the Agency (CCL) by the POC due date.

Deadline recorded: Mar 3, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances. The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents. This requirement is not met as evidenced by: Based on LPA observation and staff interviews, the facility staff have not been paid for two pay periods. This poses an immediate health and safety risk for all residents in care.

Official plan of correction

Licensee (LE) was currently creating employee accounts in the new payroll account opened with US Bank. LE stated employees should be paid by Monday, 2/23/2026. During the visit, partial payments were sent via courier to staff. Staff attempted to deposit but payment (Cont'd) was put on hold and funds were not available.

Deadline recorded: Feb 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

§1569.605 Liability insurance; coverage requirements: On and after July 1, 2015, all residential care facilities for the elderly... shall maintain liability insurance covering injury to residents and guests in the amount of at least...($1,000,000)...per occurrence and...($3,000,000)... caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Based on LPA file review the facility does not have current liability insurance. This poses an immediate health and safety risk to all residents in care.

Official plan of correction

Licensee (LE) stated new insurance contracts were obtained on Wednesday, 2/18/2026 and that once all contracts are paid, LE will forward all documentation to LPM Santos and LPA Lopez.

Deadline recorded: Feb 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

82713

Regulation authority

CCR

What the official deficiency says

87213 Finances. The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents. This requirement is not met as evidenced by: Based on LPA observation and staff interviews, the cable/internet bill was not paid and was shut-off for two days. This poses an immediate health and safety risk for the five of five residents in care.

Official plan of correction

The Chief Executive Officer (CEO) of Lotus Senior Housing was contacted and the cable/Internet was turned on at 9:15am. CEO stated that the new management is transitioning utilities from all the Hills facilities and are working to have all bills paid and current. AD will email LPA updated payments for facility by end of business January 29, 2026.

Deadline recorded: Jan 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records ( c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement was not met as evidenced by: Based on LPA review of four of four personnel records and in-service training, staff training was not documented since January 24, 2025. This poses a potential risk for residents in care.

Official plan of correction

Administrator (AD) will provide monthly in-services for staff and will document training and send to LPA by POC due date.

Deadline recorded: Feb 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement was not met as evidenced by: Based on LPA review of five of five resident records, two of five residents did not have a medical assessment on file.

Official plan of correction

AD will obtain Medical Assessments for two of five residents. AD will email LPA the two Medical Assessments by POC due date.

Deadline recorded: Feb 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) ll facilities shall have a qualified and currently certified administrator... The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility...This requirement is not met as evidenced by: Based on LPA interviews, AD is not at facility for a sufficient number of hours. This poses a potential risk for residents health and safety in care.

Official plan of correction

A designated Administrator (AD) shall be assigned to the facility that can provide the sufficient number of hours to manage operations. Licensee to submit paperwork for AD or Administrator Designee by POC date to LPA.

Deadline recorded: Feb 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances. The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents. This requirement is not met as evidenced by: Based on LPA observation and staff interviews, the electricity bill was not paid and was shut-off for one hour and thirty minutes. This poses an immediate health and safety risk for the five of five residents in care.

Official plan of correction

The Director of Operations contacted the office and the electricity bill was immediately paid. Electricity was turned on at 10:50am.

Deadline recorded: Jan 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87205(a)

Regulation authority

CCR

What the official deficiency says

87205 Accountability of Licensee Governing Body (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. This requirement was not met as evidenced by: Based on LPA observations and interviews power was shut-off due to non-payment. This poses an immediate health and safety risk for five of five residents in care.

Official plan of correction

Administrator stated that there is an immediate change of management, effective today. The accountability of licensee will be a new entitiy who has the financial resources to oversee the facility's operations.

Deadline recorded: Jan 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87213

Regulation authority

CCR

What the official deficiency says

87213 Finances. The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; 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 is not met as evidenced by: Based on LPA document review, rent payment did not have funds available and bounced back. This poses a potential health and safety risk to residents in care.

Official plan of correction

ADCuyson and LEs Nepomuceno and Medina spoke with LPA on a three way call regarding POC plan and date. AD and LEs will provide inservice to office staff regarding financial record documentation and payment procedures. AD and LEs will email LPA ACH information by POC due date

Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.