Inspection
No deficiencies recorded in this report
MATSONIA LANE HOMES
19691 MATSONIA LANE, Huntington Beach CA 92646
6 bedsLatest official report Mar 23, 2026Licensed
Additional info
- Telephone
- (714) 965-2710
- Licensee
- VIA TERCERO HOMES, INC.
- Administrator
- MYLENE AYALA
- Contact
- MYLENE AYALA
- License first date
- Mar 30, 2012
- License effective date
- Mar 30, 2012
- 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
- Mar 23, 2026
- Most recent deficiency
- Mar 21, 2025
1 later report, on Mar 23, 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 3 reports for this facility: 3 inspections, 0 complaint investigations, 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
- 3
- Recorded deficiencies
- 3
- Type A deficiencies
- 2
- Type B deficiencies
- 1
- Substantiated complaints
- 0
- Repeated topics
- 0
Fewer 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 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.
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
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary, and in good repair at all times. Maintenance shall include provisions of maintenance services and procedures for the safety and well-being or residents and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview confirmation from staff, the licensee did not comply with the section cited above in which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/28/2025 Plan of Correction The stove will be repaired or replaced by the POC due date. The licensee/Administrator will email LPA Haley a video of all the burners on the stove being light unassisted. Photos are not acceptable.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: 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 which poses an immediate health, safety and personal rights risk to persons in care. Individual 1 (ID1) was observed in the facility as a trainee. ID 1 said their first day was Thursday, March 20, 2025.
Official plan of correction
POC Due Date: 03/21/2025 Plan of Correction The individual was asked to leave the facility and is not allowed back inside the facility until being fingerprint cleared and properly associated to the facility roster.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- 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, which poses an immediate health and safety risk to persons in care. One of the staff members present during the inspection confirmed there has been no recent emergency evacuations.
Official plan of correction
POC Due Date: 03/24/2025 Plan of Correction The facility will complete an emergency evacuation drill by the close of business Monday, March 24, 2025 for all staff on each shift. The Licensee/Administrator will email LPA Haley the sign in sheet that shows the date, time, type of emergency, and all participants (residents and staff).
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