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Facility Evaluation Report

Hills of Rockaway, the, Placentia03/10/2026Licence 306006133

Capacity6
Census4
Date signed03/10/2026 11:35:10 AM
Name of licensing program analystClaudia Gutierrez
Name of licensing program managerArmando J Lucero
The inspector’s account

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Joey Sarmiento. LPA met with Staff Adrian Brucal and the purpose of the inspection was discussed.

During today’s inspection, residents were observed resting in their respective bedrooms and watching television in the living room. LPA conducted record review for four of four resident files and observed one of four files to be incomplete and did not include an admission agreement, a medical assessment, or a pre-appraisal. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. Water temperature tested at 106.8 degrees Fahrenheit. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable food. LPA observed liability insurance certificate for the facility to be expired and a current liability insurance certificate was not available for review. Interviews were conducted with two staff and facility residents. During their interview, two of two staff stated they were paid incomplete or partial wages from two pay periods ago and have not been paid for the last pay period at all, however, stated facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable.

The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of today’s date, the full extent of the records requested have not been received by the Department.

Based on observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction