Admission, assessment, and eviction
Cited in 3 reports, with 4 deficiencies in total.
CONCORDIA GUEST HOME - 2
212 JUNIPER STREET, Brea CA 92821
6 bedsLatest official report Jun 16, 2026Licensed
Additional info
- Telephone
- (714) 671-6085
- Licensee
- VELASCO, CONCORDIA P.
- Administrator
- MICHAEL O ROACH
- Contact
- MICHAEL O ROACH
- License first date
- Jun 21, 2005
- License effective date
- Jun 21, 2005
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 3 Type A and 18 Type B deficiencies for this facility.
- Most recent inspection
- Jun 16, 2026
- Most recent deficiency
- Jun 16, 2026
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: 4 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 3 Type A and 18 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 21
- Type A deficiencies
- 3
- Type B deficiencies
- 18
- Substantiated complaints
- 0
- Repeated topics
- 5
About the same as most this size
1 in the last 12 months
Well above the typical 1
9 in the last 12 months
Most this size have none
2 in the last 12 months
Well above the typical 1
7 in the last 12 months
Most this size also have none
0 in the last 12 months
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.
Staffing, personnel, and training
Cited in 3 reports, with 4 deficiencies in total.
Fire safety and emergency preparedness
Cited in 2 reports, with 5 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 3 deficiencies in total.
Health conditions and treatments
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- 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 is not met as evidenced by: Deficient Practice Statement Based on observation and admission, the facility lost the keys to the lockable medication cabinet, the lockable knife drawer, and the lockable garage where toxins are stored, leaving these items accessible to three residents who are not assessed to be able to safely handle these items and one of whom can ambulate with a walker, which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2026 Plan of Correction During the inspection, the licensee relocated these items to lockable storage areas and secured them with locks and LPA confirmed. Licensee stated they will train staff on securing dangerous items and submit proof to LPA by POC due date.
Corrective action observedRecorded in report dated Jun 16, 2026
Plan of correction recorded
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on documents and admission, S2 and S3 are background cleared, but are not associated to the facility and have been working for three months, which poses an immediate safety risk to persons in care. CIVIL PENALTY ASSESSED.
Official plan of correction
POC Due Date: 06/17/2026 Plan of Correction Licensee stated they will associate these staff and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(c)
- Regulation authority
- CCR
What the official deficiency says
(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the facility does not have an infection control plan, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 07/14/2026 Plan of Correction Licensee stated they will review Provider Information Notice (PIN) 22-18-ASC, as well as related PINs, and submit the Infection Control Plan to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents and admission, S2 and S3 do not have documented 40 hour initial training, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 07/14/2026 Plan of Correction Licensee stated they will complete the training for these staff and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents and admission, S3 assists with medications but has no documented initial medication training, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 07/14/2026 Plan of Correction Licensee stated they will complete this staff's medication training and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(7)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (7) A description of any known behavioral expression as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, and R3 are on the old form and do not include required information, including behavioral expressions, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 07/14/2026 Plan of Correction Licensee stated they will obtain new physician's reports on the new form and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the appraisals for R1 and R2 have not been updated in over a year, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 07/14/2026 Plan of Correction Licensee stated they will reappraise these residents, submit proof to LPA by POC due date, and will reappraise all residents yearly moving forward.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, there is no emergency disaster plan present at the facility, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 07/14/2026 Plan of Correction Licensee stated they will submit the LIC610E to LPA by POC due date and ensure it is present at the facility in the future.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- 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 documents and admission, the licensee does not have documentation of emergency disaster drills conducted this year, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 07/14/2026 Plan of Correction Licensee stated they will conduct a drill immediately, submit proof to LPA by POC due date, and ensure emergency disaster drills are conducted and documented quarterly moving forward.
Plan of correction recorded
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 1569.33(h)
- Regulation authority
- HSC
What the official deficiency says
(h) As a part of the department’s evaluation process, the department shall review the plan of operation, training logs, and marketing materials of any residential care facility for the elderly that advertises or promotes special care, special programming, or a special environment for persons with dementia to monitor compliance with Sections 1569.626 and 1569.627. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA interview and record review, the licensee did not comply with the section cited above for four of four staff which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2025 Plan of Correction Licensee (LE) will provide training documentation by POC date. LE will email LPA training logs for staff dementia training for 2025.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(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 LPA observation, interview and record review, the licensee did not comply with the section cited above in two of two staff which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2025 Plan of Correction LE will obtain staff records and provide them for all facilities. LE will email LPA staff documentation for two of two staff which includes: LIC 501, LIC 503, LIC 508 and training by POC date..
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(d)
- Regulation authority
- CCR
What the official deficiency says
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, interview and record review, the licensee did not comply with the section cited above in one of one staff member which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/16/2025 Plan of Correction LIcensee (LE) will obtain staff record for Administrator from other facility. LE will email Administrator's LIC 501, LIC 503, LIC 508, and Administrator's Certificate by POC date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(e)(3)(C)
- Regulation authority
- HSC
What the official deficiency says
(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: (C) The times, dates, and hours of training provided. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA interview and record review, the licensee did not comply with the section cited above in three of three staff which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2025 Plan of Correction LE will provide training documentation with times, dates and hours of training provided.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(a)
- Regulation authority
- CCR
What the official deficiency says
(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 is not met as evidenced by: Deficient Practice Statement Based on LPA interview and record review, the licensee did not comply with the section cited above in one of one residents which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/06/2025 Plan of Correction Licensee (LE) will search for Medical Assessment and stated it was done. LE will provide the LE to LPA by POC date via email.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- 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 observation, interview and record review, the licensee did not comply with the section cited above for all residents and staff which posesa potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2025 Plan of Correction LE conducted fire drill training in January but did not have documentation. LE will email LPA with required fire drill documentation by POC date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87618(b)(3)(B)
- Regulation authority
- CCR
What the official deficiency says
(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and interview, the licensee did not comply with the section cited above in one of four residents which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/02/2025 Plan of Correction Licensee (LE) will purchase a " No Smoking, Oxygen in Use " sign and will text LPA a picture when installed. LE will provide this by Monday, June 2, 2025.
Plan of correction recorded
Correction not verified in available records
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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, the licensee did not comply with the section cited. LPA observed bathroom 1 faucet water temperature at 164.6 degrees F and bathroom 2 faucet water temperature at 162.8 degrees F. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/14/2024 Plan of Correction Licensee states they will take photo of temperature being within 105 degrees F and 120 degrees F for each bathroom faucet, and keep a water temperature log for each faucet every hour for the next 24 hours (June 13 3:00pm to June 14 3:00pm) to CCLD via email to edward.kim@dss.ca.gov by June 14, 2024.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed three burners that do not operate on the kitchen stove. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/21/2024 Plan of Correction Licensee fixed the stove with three burners during the visit. POC was cleared during the visit.
Official record says corrected or clearedRecorded in report dated Jun 13, 2024
Plan of correction recorded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, and interview the licensee did not comply with the section cited above. LPA observed 2024 medical training verification for 20 hours, which needs to have 8 hours of dementia training was not available during the time of visit. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2024 Plan of Correction Licensee states they will send the proof POC to CCLD via email to edward.kim@dss.ca.gov by June 20, 2024.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)
- Regulation authority
- CCR
What the official deficiency says
(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 and record review, the licensee did not comply with the section cited above. LPA observed R3 was missing their pre-admission appraisal form.This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2024 Plan of Correction Licensee states they will send the Appraisal and Needs service plan form to CCLD via email to edward.kim@dss.ca.gov by June 20, 2024.
Plan of correction recorded
Correction not verified in available records
Inspection
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 87407(a)
- Regulation authority
- CCR
What the official deficiency says
Administrators shall complete at least forty (40) classroom hours of continuing education during each two (2)-year certification period... This requirement is not met as evidenced by: Deficient Practice Statement Based on interview with Licensee Concordia Velasco, the licensee did not comply with the section cited above. Licensee stated her Administrator Certificate expired 2 or 3 years ago. This poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 05/04/2022 Plan of Correction Licensee to forward proof of initiating the process to renew Administrator Certificate and/or forward documentation of assigned Administrator to LPA by 5/4/2022.
Plan of correction recorded
Correction not verified in available records
Source and limits
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.
Read the data methodology