GENTLE SENIOR CARE

4193 TERESA AVE, Cypress CA 90630

Facility 306005496 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jun 12, 2026Licensed

Additional info
Licensee
HARMONY CARE CORPORATION
Administrator
MIRABUENO, MARIA PRICILLA
Contact
MIRABUENO, MARIA PRICILLA
License first date
Mar 20, 2019
License effective date
Mar 20, 2019
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
Jan 13, 2026
Most recent deficiency
Jun 12, 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 4 reports for this facility: 3 inspections, 1 complaint investigation, and 0 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
3

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
4

More than the typical 1

1 in the last 12 months

Type A deficiencies
2

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
1

Most this size have none

1 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.

Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited

Administrator qualificationsType B
Official classification
Type B
Official code
87405(a)
Regulation authority
CCR

What the official deficiency says

All facilities shall have a qualified and currently certified administrator...When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. This requirement was not met as evidenced by: The facility failed to ensure administrative coverage during the administrator's absence. As a result, no designated person was available to make decisions regarding Resident 1's return to the facility, delaying the resident's discharge from the hospital and return to the facility.

Official plan of correction

Facility shall develop a written plan identifying the designated back up administrator and outlining responsibilities during periods when the administrator is unavailable. POC will be submitted to LPA by the POC due date.

Deadline recorded: Jul 3, 2026. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 3, 2026
Correction not verified in available records
View official report
Inspection
Dementia careType B
Official classification
Type B
Official code
87705(h)
Regulation authority
CCR

What the official deficiency says

87705(h) Care of Persons with Dementia. Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 2 out of 2 exit gates which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/01/2022 Plan of Correction Licensee to ensure the exit gates have self-closing latches 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
Health conditions and treatmentsType A
Official classification
Type A
Official code
87608(a)
Regulation authority
CCR

What the official deficiency says

87608(a) (3) Postural Supports. Based on the individual's preadmission appraisal , and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require additional documentation if needed to verify the order. Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 2 out of 5 residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2022 Plan of Correction Licensee to ensure there is a written physician order indicating the need for the postural supports is present in a resident's record 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 feature to monitor exits, if exiting presents a hazard to any resident. Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 3 doors which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2022 Plan of Correction Licensee to ensure there are auditory alarms present on every exit door 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