Inspection
No deficiencies recorded in this report
KAMSTRA CARE HOME
5265 CANTERBURY DRIVE, Cypress CA 90630
6 bedsLatest official report Sep 25, 2025Licensed
Additional info
- Telephone
- (562) 637-3392
- Licensee
- KAMSTRA CARE HOME, INC.
- Administrator
- OSVALDO SANTA ANA
- Contact
- OSVALDO SANTA ANA
- License first date
- Sep 18, 2006
- License effective date
- Sep 18, 2006
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 2 Type A and 1 Type B deficiencies for this facility.
- Most recent inspection
- Sep 25, 2025
- Most recent deficiency
- Jan 24, 2023
2 later reports, from Sep 20, 2024 through Sep 25, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.
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: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 2 Type A and 1 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 3
- Type A deficiencies
- 2
- Type B deficiencies
- 1
- Substantiated complaints
- 1
- Repeated topics
- 0
More than the typical 4
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
About the same as most this size
0 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.
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
No deficiencies recorded in this report
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(A-D)
- Regulation authority
- CCR
What the official deficiency says
Reporting Requirements. Each Licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: A written report shall be submitted to the licensing agency and to the person responsible for the resident seven days of the occurrence of any of the events specified in (A) through (D) below. This requirement is not met as evidenced by: based on record review and interview the Licensee did not submit an LIC 624 for R2's hospitalization.
Official plan of correction
The Licensee to ensure written reports are submitted to the Department pursuant to this regulation. The Licensee to provide LPA a written statement indicating they have read this section of Title 22 regulation and how exactly they intend to adhere to it by POC due date.
Deadline recorded: Jan 31, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 31, 2023
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
Basic Services. Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidenced by: based on record review and interviews the licensee did not observe R2's change in condition with R2's pressure injuries. This poses an immediate risk to the health & safety of residents in care.
Official plan of correction
The Licensee will provide staff an in-service training regarding this regulation by 01/25/23. Licensee to provide the name of the instructor, their qualifications, and submit written proof of the staff training to LPA by POC due date.
Deadline recorded: Jan 25, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 25, 2023
Correction not verified in available records
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional...and that appropriate assistance...when such observation reveals unmet needs...licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person (RP). This requirement is not met as evidenced by: based on record review and interview the licensee did not observe R2's pressure injuries and did not notify R2's RP. This poses an immediate risk to the health and safety of residents in care.
Official plan of correction
The Licensee will provide staff an in-service training regarding this regulation by 01/25/23. Licensee to provide the name of the instructor, their qualifications, and submit written proof of the staff training to LPA by POC due date.
Deadline recorded: Jan 25, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 25, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
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