DEVONSHIRE COTTAGE

23416 DEVONSHIRE DR, Lake Forest CA 92630

Facility 306006468 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report May 22, 2026Licensed

Additional info
Licensee
DEVONSHIRE COTTAGE
Administrator
ALDIANO, ANNA
Contact
ALDIANO, ANNA
License first date
May 8, 2024
License effective date
May 8, 2024
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
May 22, 2026
Most recent deficiency
May 22, 2026

No later report is available, so the records do not show what happened afterward.

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: 2 inspections, 0 complaint investigations, and 2 licensing or administrative records.

Those records contain 1 Type A and 5 Type B deficiencies.

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

Official inspections
2

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
6

Well above the typical 1

2 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
5

More than the typical 1

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

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
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 observation, interview, and record review, two out of three staff (Staff #1 and Staff #2) did not complete the full 20 hours of training annually, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/31/2026 Plan of Correction Licensee will ensure all staff complete all 20 hours of required training and submit proof to CCLD by plan of correction due date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
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, interview, and record review, the licensee did not have a physician's order for bed rails for Residents #2 and #5, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/29/2026 Plan of Correction Licensee will obtain signed physician's order for half rails for Residents #2 and #5 and submit to CCLD by plan of correction due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medical and dental careType A
Official classification
Type A
Official code
87465(a)(5)(A)
Regulation authority
CCR

What the official deficiency says

(5) Facility staff, except those authorized by law, shall not administer injections, but staff designated by the licensee may assist persons with self-administration as needed. Assistance with self-administered medications shall be limited to the following: (A) Medications usually prescribed for self-administration which have been authorized by the person's physician. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. During LPAs review of residents' medication and medication administration records, LPA observed the facility was providing seven supplements/vitamins to Resident #3 (R3) without a valid precription.

Official plan of correction

POC Due Date: 05/26/2025 Plan of Correction AD immediately removed the supplements/vitams from R3's routine medication bins. AD will get precriptions for the supplements/vitamins for R3. AD agreed to submit a statement of understanding for this regulation. AD agreed to submit the statment of understanding to LPA via email or fax by POC 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(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed that zero out of the three staff, that on present and on duty at time of visit, did not have a valid CPR or First Aid card.

Official plan of correction

POC Due Date: 06/13/2025 Plan of Correction AD agreed to have all three staff complete CPR training. AD agreed to submit proof of CPR training to LPA via email or fax by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87456(a)(2)
Regulation authority
CCR

What the official deficiency says

(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. During resident file review, LPA observed the facility did not complete a pre-admission appraisal for Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), or Resident #4 (R4).

Official plan of correction

POC Due Date: 06/13/2025 Plan of Correction AD agreed to complete Pre-admission Appraisals for all four residents. AD agreed to submit the Pre-admission Appraisals to LPA via email or fax by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(a)
Regulation authority
CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. During resident file review, LPA observed the facility did not have a medical assessment on file for Resident #2 (R2) or Resident #4 (R4).

Official plan of correction

POC Due Date: 06/13/2025 Plan of Correction AD agreed to obtain Medical Assessments for R2 and R4. AD agreed to submit the Medical Assessments to LPA via email or fax by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
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