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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006155
Report Date: 10/05/2026
Date Signed: 10/05/2026 03:33:14 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/28/2026 and conducted by Evaluator Hanna Fuller
COMPLAINT CONTROL NUMBER: 22-AS-20260928161436
FACILITY NAME:COTTAGES AT ARTESIA ANAHEIM, THEFACILITY NUMBER:
306006155
ADMINISTRATOR:RODGERS, NORAFACILITY TYPE:
740
ADDRESS:8792 CERRITOS AVENUETELEPHONE:
(657) 256-1062
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:38CENSUS: 31DATE:
10/05/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nora RodgersTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff does not provide adequate food service to residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hanna Fuller made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegation. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Nora Rodgers and discussed the purpose of the visit.

The facility allegation of Staff does not provide adequate food service to residents revealed the following: It was alleged that Resident #1 (R1) was getting stomach aches after eating the facility food and that staff are putting something in the food provided to make them get a stomach ache. LPA reviewed R1s file and R1 moved into the facility on January 31, 2024, and is self responsible. LPA reviewed a physicians report dated May 2, 2025, stating that R1s primary diagnosis is heart failure and does not have a mental impairment. The report has R1 marked as needing a heart healthy diet, is able to follow instructions, able to communicate their needs and is able to leave the facility unassisted. R1 also is able to feed themselves. This report was signed and dated by a medical professional.
Continue on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Fuller
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 22-AS-20260928161436
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: COTTAGES AT ARTESIA ANAHEIM, THE
FACILITY NUMBER: 306006155
VISIT DATE: 10/05/2026
NARRATIVE
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LPA interviewed 7 residents including R1 and LPA could not qualify 6 of 7 residents, but 3 of 7 residents stated that the food was good. 1 of 6 residents informed LPA that their stomach hurt after eating the facility food.

LPA interviewed 3 staff and 3 of 3 staff denied putting anything in the facility meals that would harm the residents, including R1. 3 of 3 staff informed LPA that the food is not expired and the residents are being served quality food. 1 of 3 staff informed LPA that the freezer and fridge temperatures are off and already being addressed by the licensee.

LPA toured the facility kitchen and did not observe any expired non perishable foods in the kitchen pantries. LPA did observe the fridge to be at 43 degrees Fahrenheit and the freezer to be at 29 degrees Fahrenheit with food in the freezer not completely frozen.

Based on interviews conducted, record review and information gathered during the investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 Division 6 are being cited on the attached LIC 9099D.

An exit interview was conducted and a copy of this report, LIC9099-D and appeal rights were left at the facility.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Fuller
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20260928161436
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: COTTAGES AT ARTESIA ANAHEIM, THE
FACILITY NUMBER: 306006155
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/06/2026
Section Cited
CCR
87555(b)(21)
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General Food Service Requirements (b)(21) Freezers of adequate size shall be maintained at a temperature of 0 degrees F (-17.7 degrees C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C)...
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Licensee stated they will fix the fridge and freezer or buy a new one and send proof to LPA by POC due date.
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This requirement was not met as evidence by: LPA toured the facility kitchen and observed the fridge to be at 43 degrees Farenheit and the freezer to be at 29 degrees Fareneheit. This poses an immediate health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Fuller
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3