Inspection
No deficiencies recorded in this report
PATCHWORK QUILT GUEST HOME FOR THE ELDERLY, THE
23565 DURYEA DR., Lake Forest CA 92630
6 bedsLatest official report Sep 9, 2025Licensed
Additional info
- Telephone
- (949) 455-1326
- Licensee
- TRIPLE K SENIOR SERVICES, INC.
- Administrator
- RIZALINA REYES
- Contact
- RIZALINA REYES
- License first date
- Sep 27, 2001
- License effective date
- Sep 27, 2001
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY
Summary
The available records show 3 Type A and 1 Type B deficiencies for this facility.
- Most recent inspection
- Sep 9, 2025
- Most recent deficiency
- Sep 27, 2024
1 later report, on Sep 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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 1 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 4
- Type A deficiencies
- 3
- Type B deficiencies
- 1
- Substantiated complaints
- 0
- 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
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
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 which poses a potential health, safety or personal rights risk to persons in care. LPA did not observe documentation of the quarterly emergency drills.
Official plan of correction
POC Due Date: 10/04/2024 Plan of Correction Licensee to email updated proof of quarterly drills by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 87365(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87365(h)(2) Incidental Medical and Dental Care (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, interview and file review, the facility failed to keep the centrally stored medication in a safe and locked place that is not accessible to residents in care, other than employees responsible for the supervision of centrally stored medication. LPAs observed resident 1 (R1) having possession of tubes of prescribed ointment that is used orally and topically. LPA also observed an open bottle of Milk of Magnesia Suspension in the kitchen. This poses an immediate threat on the health and safety of the residents in care.
Official plan of correction
POC Due Date: 09/20/2022 Plan of Correction CG removed ointments from R1’s room and locked the bottle of Milk Magnesia Suspension. Threat reduced. Administrator will provide training to staff on regulations cited. Licensee will comply with the POC on or by 9/20/2022 and submit proof to assigned LPA and Community Care Licensing.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms, and other items which could post a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, licensee failed to lock disinfectants, cleaning solutions, poisons, and other items which could post a danger. LPA observed cleaning supplies and disinfectants stored in an unlocked cabinet located under the bathroom sink. LPA also observed bottles of rubbing alcohol in an unlocked kitchen cabinet. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/20/2022 Plan of Correction Licensee will lock and ensure that all toxins and disinfectants are inaccessible to residents in care. CG removed all disinfectants and transferred them into a locked room. Threat reduced. Licensee will comply with the POC on or by 9/20/2022 and submit proof to assigned LPA and Community Care Licensing.
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
87705(f)(1) Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, 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, licensee failed to lock knives, and other items that could constitute a danger to the resident(s) which could post a danger. LPA observed knives, sharps and scissors in an unlocked kitchen drawer. CG removed all sharp items and knives and placed it in a locked cabinet. Threat reduced. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/20/2022 Plan of Correction Licensee will lock and ensure all sharps and knives are inaccessible to residents in care. Licensee will comply with the POC on or by 9/20/2022 and submit proof to assigned LPA and Community Care Licensing.
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