MAUREEN GUEST HOME

9362 MAUREEN, Garden Grove CA 92841

Facility 300606024 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 14, 2025Licensed

Additional info
Licensee
THERESIA KOZITSKY AND VICTOR MCKENZIE
Administrator
MCKENZIE, VICTOR
Contact
MCKENZIE, VICTOR
License first date
Sep 23, 1985
License effective date
Sep 23, 1993
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 3 Type A and 12 Type B deficiencies for this facility.

Most recent inspection
Oct 14, 2025
Most recent deficiency
Sep 9, 2025

1 later report, on Oct 14, 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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 3 Type A and 12 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

More than the typical 4

2 in the last 12 months

Recorded deficiencies
15

Well above the typical 1

7 in the last 12 months

Type A deficiencies
3

Most this size have none

1 in the last 12 months

Type B deficiencies
12

Well above the typical 1

6 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
3

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
Not classified in the sourceType B
Official classification
Type B
Official code
1569.311
Regulation authority
HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation, resident rooms did not have smoke detectors and some of them are no longer working. This poses as a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Licensee replace the smoke detectors with operational ones and get new ones for rooms missing smoke detectors by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(c)
Regulation authority
CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement During the physical plant tour LPA discovered the screen door for the sliding back door is broken, taken off. This poses as potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Facility will fix the sliding the door by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(a)
Regulation authority
HSC

What the official deficiency says

(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated by the licensee with notice to the department, shall be responsible for the operation of the facility when the administrator is temporarily absent from the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA review of records, there is currently no qualified administrator for the facility. Recent administrator passed away. Designated administrator does not have administrator certificate. Licensee does not have a qualified administrator certificate. This poses as a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Facility/Licensee will show proof that designated Administrator will be obtaining their administrator certificate by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
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 LPA's observation the medication was stored in boxes in the living room and not in a locked secured centrally stored location. This poses as an immediate health and safety risk to residents in care.

Official plan of correction

POC Due Date: 09/10/2025 Plan of Correction

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

Personnel Requirements ... 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 LPA observation of staff records, staff have outdated First Aid and CPR training. This poses as a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Facility will have caregivers obtain first aid/CPR certification by POC due date

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(h)(6)
Regulation authority
CCR

What the official deficiency says

Incidental Medical and Dental Care ... The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's review of medication, facility does not properly maintain a centrally stored medication list. Some residents had some, some just had a list. This poses as potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Facility will created a centrally stored medication list for each resident that lists routine and PRN medication for every month. Creating a new medication list for each month, and keep the old ones for record keeping by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(a)(2)
Regulation authority
HSC

What the official deficiency says

Emergency Plans(a)(2) ... Facility must plan to be self-reliant for a period of at least 72 hours immediately following any emergency or disaster (including a long-term power failure). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation of emergency supplies, facility had expired emergency food and not enough water for residents for at least 72 hours during an emergency and disaster.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Facility will get new emergency food supply that is not expired and more cases of water for emergency by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(3)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation water temperature was too low and too high. This could be a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/08/2024 Plan of Correction Facility will fix and regulate the water temperature by POC due date, submitting proof to LPA.

Plan of correction recorded
Correction not verified in available records
View official report
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 LPA's review of facility records, there is no proof of staff annual staff training in files. This could pose a potential health and safety risk to resident's in care.

Official plan of correction

POC Due Date: 10/08/2024 Plan of Correction Facility/Licensee will provide proof of staff training by POC date 10/08/2024 and submit proof to LPA Tea.

Plan of correction recorded
Correction not verified in available records
View official report
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 LPA's observation of facility records there are no documentation of emergency drills conducted quarterly. This can pose as a potential safety risk to resident's in care.

Official plan of correction

POC Due Date: 10/08/2024 Plan of Correction Facility/Licensee will conduct a diaster drill and document every quarterly and log in a book. Will submit proof to LPA by POC due date 10/08/2024.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType B
Official classification
Type B
Official code
87705(c)(5)
Regulation authority
CCR

What the official deficiency says

Care of Persons with Dementia ... 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 LPA's review of resident records, one resident who is diagnosed with dementia does not have a current medical assessment, the last medical report was done was in 09/11/2023. Which poses as a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/08/2024 Plan of Correction Licensee/Facility will obtain a current medical report for resident with dementia and submit proof by POC due date 10/08/2024.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303
Regulation authority
CCR

What the official deficiency says

Maintenance and Operation ... The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation during facility tour the stove had one working burner and required a candle lighter to light up the other stove burners. Also electrical outlet cover in the female resident room needs to be replaced, it is cracked. Also bathroom needs to be cleaned, there is cobwebs and dust in the corners of the ceiling. This could be a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 10/08/2024 Plan of Correction Facility/Licensee will repair and clean up the areas mentioned in the deficiencies by POC due date 10/08/24 and submit proof to LPA.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(6)
Regulation authority
CCR

What the official deficiency says

Personal Accommodations and Services ... All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation during facility tour, there are alot of supplies, boxes in the hallway, obstructing the walkway. This could pose as a potential safety risk for residents in care.

Official plan of correction

POC Due Date: 10/08/2024 Plan of Correction Licensee/Facility will clear hallway and put away supplies to prevent tripping hazard and obstruction for the safety of residents by POC due date 10/08/24 and will submit proof to LPA.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

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 LPAs observed unsecured medicine cabinet which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/13/2022 Plan of Correction Licensee corrected during visit.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType A
Official classification
Type A
Official code
87705(f)(2)
Regulation authority
CCR

What the official deficiency says

UNSECURE TOXINS The following shall be stored inacessible to residents with Dementia: 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. LPAs observed unsecured cleaning supplies under kitchen sink which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 09/13/2022 Plan of Correction Licensee corrected during visit.

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