Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
ACACIA VILLAS
1620 E. CHAPMAN AVENUE, Fullerton CA 92831
99 bedsLatest official report Aug 12, 2026Licensed
Additional info
- Telephone
- (714) 879-0920
- Licensee
- KAIROS MANAGEMENT ONE, LLC
- Administrator
- TAMMY JOO
- Contact
- TAMMY JOO
- License first date
- Jul 29, 2015
- License effective date
- Jul 29, 2015
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY
Summary
The available records show 5 Type B deficiencies for this facility.
- Most recent inspection
- Jul 10, 2026
- Most recent deficiency
- Apr 16, 2026
2 later reports, from Jul 10, 2026 through Aug 12, 2026, 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 102 Orange County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 12 reports for this facility: 8 inspections, 4 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 5 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 8
- Recorded deficiencies
- 5
- Type A deficiencies
- 0
- Type B deficiencies
- 5
- Substantiated complaints
- 0
- Repeated topics
- 1
About the same as most this size
2 in the last 12 months
About the same as most this size
3 in the last 12 months
Fewer than the typical 2
0 in the last 12 months
More than the typical 2
3 in the last 12 months
Fewer than the typical 2
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.
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(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 water temperature in Rooms 129, 122, 107, 202, and 231 tested at 122, 121, 126, 128, and 123 degrees F, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 05/14/2026 Plan of Correction During the inspection, the licensee adjusted the water temperature and LPA confirmed. Licensee stated they will have their water system inspected, conduct temperature checks, and submit proof 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
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, S7 and S10 have been working without current first aid certificates, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 05/14/2026 Plan of Correction Licensee stated they will have these staff renew their first aid 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 through R10 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: 05/14/2026 Plan of Correction Licensee stated they will obtain new physician's reports for these residents on the new form and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
87463 Reappraisals (a) The pre-admission appraisal… shall be updated in writing as frequently as necessary … to note significant changes in condition… and to keep the appraisal accurate… Based on interview and documents, the licensee did not update R1’s appraisal after R1’s stroke to include R1’s new fall prevention plan, which poses a potential safety risk to persons in care.
Official plan of correction
Licensee stated they will create a protocol for updating residents’ appraisals in response to changes in condition, train relevant staff on the protocol, and submit proof to LPA by POC due date.
Deadline recorded: Jan 30, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 30, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services … (f) Basic services shall at a minimum include: (1) Care and supervision... This requirement was not met as evidenced by: Based on interview and documents, the licensee did not provide adequate supervision to R1 when R1 eloped, was missing for a short period of time, and was found nearby with no injuries, which poses a potential safety risk to persons in care.
Official plan of correction
Licensee stated they will create a list of residents who are unable to leave the facility unassisted and retrain staff on the elopement protocol and submit proof to LPA 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
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