JASMIN'S CARE HOME

2817 SAN JUAN LANE, Costa Mesa CA 92626

Facility 306001102 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Feb 13, 2026Licensed

Additional info
Licensee
PEREZ, MANUEL G. & VILMA S.
Administrator
MANUEL G. PEREZ
Contact
MANUEL G. PEREZ
License first date
Feb 7, 2000
License effective date
Feb 7, 2000
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 3 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Feb 13, 2026
Most recent deficiency
Feb 13, 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 6 reports for this facility: 4 inspections, 2 complaint investigations, and 0 licensing or administrative records.

Those records contain 3 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
5

More than the typical 1

1 in the last 12 months

Type A deficiencies
3

Most this size have none

0 in the last 12 months

Type B deficiencies
2

More than the typical 1

1 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.

Inspection
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 LPA observation, the faciilty does not have an emergency disaster plan available for review which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2026 Plan of Correction AD stated he will create a new disaster plan and send copy to LPA by POC due date

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Licensing and administrationType A
Official classification
Type A
Official code
1569.605
Regulation authority
HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, 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: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction Licensee to provide valid liability insurance by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 2 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

87465(h)(2) Incidental Medical and Dental Care. The follwoing requirements shall apply to medications which are centrally stored: Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as 2 prescription medication bottles were stored on top of the medication cabinet easily accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/24/2022 Plan of Correction Licensee shall ensure that all medications are properly locked and inaccessible to residents at all times. Licensee shall provide staff training on proper medication storage and submit written proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType A
Official classification
Type A
Official code
87705(j)
Regulation authority
CCR

What the official deficiency says

87705(j) Care of Persons with Dementia. The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard for any resident. Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 2 out of 3 exit doors which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2022 Plan of Correction Licensee to repair or replace the inoperable auditory alarms and submit written proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType B
Official classification
Type B
Official code
87555(b)(32)
Regulation authority
CCR

What the official deficiency says

87555(b)(32) General Food Service Requirements. The following food service requirements shall apply: Equipment or appropriate size and type shall be provided for the storage, preparation, and service of food and for sanitizing utensils and table shall be well maintained. Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 4 stove top burners which poses/posed a potential health, safety or personal rights risk to persons in care. The right front stove top burner was inoperable.

Official plan of correction

POC Due Date: 03/02/2022 Plan of Correction Licensee to ensure all the stove top burners are in operating condition at all times and submit written proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report

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