Staffing, personnel, and training
Cited in 2 reports, with 2 deficiencies in total.
MARY'S LOVING CARE A
341A 16TH PLACE, Costa Mesa CA 92627
6 bedsLatest official report Mar 24, 2026Licensed
Additional info
- Telephone
- (949) 200-9378
- Licensee
- MARY'S LOVING CARE INC
- Administrator
- HAN, XU
- Contact
- HAN, XU
- License first date
- Mar 21, 2023
- License effective date
- Mar 21, 2023
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 2 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Mar 24, 2026
- Most recent deficiency
- Mar 24, 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 8 reports for this facility: 4 inspections, 1 complaint investigation, and 3 licensing or administrative records.
Those records contain 2 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 4
- Type A deficiencies
- 2
- Type B deficiencies
- 2
- Substantiated complaints
- 1
- Repeated topics
- 1
About the same as most this size
1 in the last 12 months
More than the typical 1
1 in the last 12 months
Most this size have none
0 in the last 12 months
More than the typical 1
1 in the last 12 months
Most this size 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
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 record review, two out of three staff do not have evidence of completing 20 hours of annual training which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2026 Plan of Correction AD stated updated training will start this month and will complete the annual training by POC due date. AD to submit proof to LPA.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87204(a)
- Regulation authority
- CCR
What the official deficiency says
87204 Limitations - Capacity and Ambulatory Status (a) " A licensee shall not operate a facility beyond the conditions and limitations specified on the license... " This requirement was not met as evidenced by: Based on observation, interviews, and record review, R1 does not meet the age requirement specified on the license which poses an immediate risk to the Heath, Safety, or Peronal Rights risk to persons in care.
Official plan of correction
Administrator stated that they will move out and/or relocate R1 immediately and to submit an age exception request to the Department (should the licensee desires to continue to provide care) along with the Acknowledgement of Understanding of the said deficiency to LPA via email by POC due date.
Deadline recorded: Jun 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 5, 2024
Correction not verified in available records
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility. This requirement is not met as evidenced by: Deficient Practice Statement S1 has been working in the facility since being hired in March of 2023 without a fingerprint clearance. Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 5 persons which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/13/2024 Plan of Correction Licensee/Administrator Xu Han will remove Staff 1 (S1) from the schedule and not allow the S1 back until fingerprinted, cleared, and associated to the facility roster. S1 left the facility during the visit. Licensee/Administrator will email LPA Haley an new LIC500 when S1 has been removed. POC Due date: March 13, 2024 at 1:00PM
Corrective action observedRecorded in report dated Mar 12, 2024
Plan of correction recorded
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 All staff files were incomplete and missing required documents. Based on observation and record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/19/2024 Plan of Correction Licensee/Administrator Xu Han will completed all staff files and email LPA Haley the missing documents for each staff member. POC due date: March 19, 2024 at 1:00PM
Plan of correction recorded
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this 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