BLUE JASMINE VILLA
18 SEQUOIA TREE LANE, Irvine CA 92612
6 bedsLatest official report Dec 9, 2025Licensed
Additional info
- Telephone
- (949) 350-2338
- Licensee
- BLUE JASMINE VILLA, INC.
- Administrator
- CHAVOSHPOUR, KAVEH
- Contact
- CHAVOSHPOUR, KAVEH
- License first date
- Dec 7, 2015
- License effective date
- Dec 7, 2015
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 2 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Dec 9, 2025
- Most recent deficiency
- Aug 10, 2023
9 later reports, from Aug 24, 2023 through Dec 9, 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 30 reports for this facility: 7 inspections, 23 complaint investigations, and 0 licensing or administrative records.
Those records contain 2 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 7
- Recorded deficiencies
- 4
- Type A deficiencies
- 2
- Type B deficiencies
- 2
- 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
More than the typical 1
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.
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportResident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(1)
- Regulation authority
- CCR
What the official deficiency says
... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To have a reasonable level of personal privacy in... communications... resident and family groups This req is not being met as evidenced by:. Based on observation, Licensee failed to ensure residents are afforded privacy in communications with family or residents. Facility audio recorded with the ring device. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee to submit a statement of understanding to LPA by POC due date.
Deadline recorded: Aug 23, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 2 unfounded · investigated over 2 visits
No deficiencies recorded in this reportPart of the complaint whose outcome is recorded on Mar 16, 2023 · Control 22-AS-20221228143511
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 4 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations3 substantiated · 1 unsubstantiated · 2 unfounded · 3 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87224(c)
- Regulation authority
- CCR
What the official deficiency says
87224 Eviction Procedures (c) The licensee shall...seeking approval from the Department... This requirement was not met as evidence by: Licensee issued a 3-day eviction to the resident and rseponsible party on 12/6/22, and recinded it on 12/7/23. Threat reduced. This can pose a potential health and safety risk to residents in care.
Official plan of correction
As POC, licensee will send assigned LPA proof of understanding regarding the regulation cited on or by 3/20/23.
Deadline recorded: Mar 16, 2023. A deadline is not proof that correction was completed.
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (e) For every prescription... there shall be a signed, dated written order from a physician... This requirement is not met as evidence by: Based on LPAs observations, record reviews and interviews, licensee failed to obtain a dated, written order from a physican. This can pose an immediate health and safety risk to residents in care.
Official plan of correction
As POC, licensee will provide assigned LPA with proof of understanding of the regulation cited on or by 3/20/23.
Deadline recorded: Mar 16, 2023. A deadline is not proof that correction was completed.
Incident reportingType A
- Official classification
- Type A
- Official code
- 87211(a)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: Based on LPAs observations, record reviews and interviews, licensee failed to report resident's injury to licesning agency. This can pose an immediate health and safety risk to residents in care.
Official plan of correction
As POC, licensee will provide assigned LPA with proof of understanding of the regulation cited on or by 3/20/23.
Deadline recorded: Mar 16, 2023. A deadline is not proof that correction was completed.
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this report1 complaint has no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Nov 9, 2023 · Control 22-AS-20230830093120
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
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