The available records show 3 Type A and 8 Type B deficiencies for this facility.
Most recent inspection
Sep 29, 2025
Most recent deficiency
Sep 29, 2025
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 984 Orange County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 8 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Official inspections
5
More than the typical 4
1 in the last 12 months
Recorded deficiencies
11
Well above the typical 1
1 in the last 12 months
Type A deficiencies
3
Most this size have none
1 in the last 12 months
Type B deficiencies
8
Well above the typical 1
0 in the last 12 months
Substantiated complaints
0
Most this size also have none
0 in the last 12 months
Repeated topics
0
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA observed shared resident bathroom hot water temperature measured at 121.6 degrees F and resident room #1 bathroom temperature measured at 129. 3 degrees F.This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2025 Plan of Correction Licensee stated they will make sure resident room #1 bathroom and shared resident bathroom hot water temperature are within 105 degrees F and 120 degrees F. Licensee will send proof with a photo and video showing water temperature within Title 22 regulation to CCLD via email to edward.kim@dss.ca.gov by POC due date September 30, 2025,
(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, the licensee did not comply with the section cited above by having unsecured knives in the oven which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/10/2024 Plan of Correction Administrator replaced the locking mechanism during the visit. POC corrrected and cleared.
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, facility did not ensure at least one out of the two staff on duty is CPR and First Aid certified which poses a potential Health or Safety to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Adminstrator stated that proof of CPR and First Aid training will be completed for S1 and S2 by POC due date.
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, licensee did not maintain complete personnel records for two out of two staff which poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Administrator stated that the missing personnel records for S1 and S2 will be completed by POC due date.
(e) Each person who provides employee training under this section shall meet the following education and experience requirements: (3) The licensed residential care facility for the elderly shall maintain the following documentation on each person who provides employee training under this section: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, licensee did not maintain employee training records for two out of two staff that were reviewed during the visit which poses a potential Health, Safety, or Personal risk to persons in care.
Official plan of correction
POC Due Date: 10/15/2024 Plan of Correction Adminstrator stated that S1 and S2 will meet the required training and will provide proof of documentation to LPA via email by POC due date.
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, licensee did not conduct a pre-appraisal for four out of four residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Administrator stated that pre-appraisals and re-appraisals (as needed) will be completed by POC due date.
(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, licensee did not ensure a medical assessment was kept on file for one out of four residents which poses a potential risk to Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Administrator stated that a medical assessment will be obtained for R2 by POC due date.
(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, licensee did not maintain a TB test exam results in one out of four residents in care which poses a potential Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Adminstrator stated that the TB test will be obtained for R2 by POC due date.
(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 observation, interview, and record review, licensee did not maintain a emergency drill log which poses a potential Health, Safety, or Personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Adminstrator stated that emergency drills accounting various scenarios will be conducted quarterly and willl maintain a log documenting the drills by POC due date.
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, licensee did not maintain an annual medical assessment for two out of four residents with dementia which poses a potential Health or Safety risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Administrator stated that the physician's report forms will be updated for R1 and R3 by POC due date.
87355 Criminal Recrod Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, one out of two staff were not fingerprint cleared prior to employment which poses an immediate Health, Safety, or Personal Rights risk to persons in care. CIVIL PENALTY ASSESSED.
Official plan of correction
POC Due Date: 09/20/2022 Plan of Correction Administrator agrees to obtain a Califormia clearance for all prospective staff prior to employment and to submit a fingerprint clearance of S1 by POC due date to LPA via email.
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.