Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
CROWN MANOR AT PASEO GRANDE
819 NORTH DELPHINE PL, Fullerton CA 92833
6 bedsLatest official report Mar 2, 2026Licensed
Additional info
- Telephone
- (714) 870-1198
- Licensee
- CROWN INVESTMENTS AND MANAGEMENT LLC
- Administrator
- BIM, KEVIN
- Contact
- BIM, KEVIN
- License first date
- Mar 26, 2019
- License effective date
- Mar 26, 2019
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY
Summary
The available records show 7 Type A and 5 Type B deficiencies for this facility.
- Most recent inspection
- Mar 2, 2026
- Most recent deficiency
- Feb 20, 2025
1 later report, on Mar 2, 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 984 Orange County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 Type A and 5 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 12
- Type A deficiencies
- 7
- Type B deficiencies
- 5
- Substantiated complaints
- 0
- Repeated topics
- 2
About the same as most this size
1 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size also 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.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
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
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. 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 in which poses an immediate health, safety or personal rights risk to persons in care. During residents' medication and medication record review, LPA observed that Resident #3 (R3), Resident #5 (R5), and Resident #6 (R6) were being provided medication without a proper Physician's order.
Official plan of correction
POC Due Date: 02/21/2025 Plan of Correction AD agreed to destroy the medications without a Physician's order for Resident #3 (R3) , Resident #5 (R5), and Resident #6 (R6). LPA observed AD seperate the medications and prepare them for destruction at time of visit. POC cleared during visit.
Official record says corrected or clearedRecorded in report dated Feb 20, 2025
Plan of correction recorded
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 in which poses/posed a potential health, safety or personal rights risk to persons in care. During resident file review, LPA observed that the Reappraisals for Resident #1 (R1), Resident #5 (R5), and Resident #6 (R6) were outdated. LPA also observed that there was not a Reappraisal on file for Resident #3 (R3).
Official plan of correction
POC Due Date: 03/06/2025 Plan of Correction AD agreed to get new Reappraisals for Resident #1 (R1), Resident #3 (R3), Resident #5 (R5), and Resident #6 (R6). AD agreed to submit the Reappraisals to LPA via email or fax by POC date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 in which poses/posed a potential health, safety or personal rights risk to persons in care. During the facility file review, LPA observed that the facility conducted their last emergency disaster drill on 09/17/2024. The facility did not conduct an emergency disaster drill for the last quarter of 2024.
Official plan of correction
POC Due Date: 03/06/2025 Plan of Correction AD agreed to conduct an emergency disaster drill and submit proof of completion to LPA via email or fax by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (2) 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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPA observed unsecured medications on kitchen counter and in the refridgerator which poses an immediate health, safety risk to persons in care.
Official plan of correction
POC Due Date: 03/26/2024 Plan of Correction Administrator corrected during LPA's visit.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87645(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPA observed pre-poured medications for AM and PM which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/26/2024 Plan of Correction Administrator agreed to utilize Medication Administration Records and provide an inservice training to staff. Administrator to provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. 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 in 1 out of 6 persons which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/26/2024 Plan of Correction Administrator agreed to have updated LIC 602 Physicians Report and provide proof to LPA Mendivil by POC due date.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPA observed unsecured knvies in kitchen drawer which poses an immediate health and safety to persons in care.
Official plan of correction
POC Due Date: 03/26/2024 Plan of Correction Adminstrator corrected during LPA's visit.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as LPA Mendivil observed unsecured toxins under stove in the kitchen which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/26/2024 Plan of Correction Administrator corrected during LPA's visit.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) 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 for 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 other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 4 out of 6 persons as LPA observed 4 out of 6 residents did not have physician's orders for postural supports which poses an immediate health and safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/26/2024 Plan of Correction Administrator agreed to remove postural supports until physician's orders are obtained and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.269(2)
- Regulation authority
- HSC
What the official deficiency says
(2) To be granted a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as LPA observed audio monitors in 2 out of 5 residents bedrooms without resident consent which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/01/2024 Plan of Correction Adminstrator agreed to remove auditory monitors until resident/responsible party consent is obtained and recorded on file. Administrator to provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
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: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview with Administrator Kevin Bim, the licensee did not comply with the section cited above as Administrator stated they did not have emergency food or water supplies which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 04/01/2024 Plan of Correction Administrator to purchase emergency food and water and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. 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 as the last documented drill was conducted on 09/12/2023 which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 04/01/2024 Plan of Correction Administrator agreed to conduct an emergency drill and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
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