Resident rights
Cited in 2 reports, with 2 deficiencies in total.
ADULT CARE OC SATURNA
24591 SATURNA DRIVE, Mission Viejo CA 92691
6 bedsLatest official report Jun 4, 2026Licensed
Additional info
- Telephone
- (949) 593-9290
- Licensee
- ADULT CARE OC SATURNA
- Administrator
- SCHOTT, BRIAN
- Contact
- SCHOTT, BRIAN
- License first date
- Jun 17, 2021
- License effective date
- Jun 17, 2021
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY, 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 7 Type A and 1 Type B deficiencies for this facility.
- Most recent inspection
- Jun 4, 2026
- Most recent deficiency
- Jul 28, 2025
4 later reports, from Aug 11, 2025 through Jun 4, 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 9 reports for this facility: 7 inspections, 2 complaint investigations, and 0 licensing or administrative records.
Those records contain 7 Type A and 1 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 7
- Recorded deficiencies
- 8
- Type A deficiencies
- 7
- Type B deficiencies
- 1
- Substantiated complaints
- 1
- Repeated topics
- 1
More than the typical 4
1 in the last 12 months
Well above 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 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
CCR 87355(e)(3) on Criminal Record Clearance “All individuals subject to a criminal record review (....) shall prior to working (...) in a licensed facility: (…) (3) Request a transfer of a criminal record clearance as specified in Section 87355(c)”. This requirement is not met as evidenced by: Per a review of the Guardian background clearance system, AA May Kwok was never associated to the present licensed facility. This constitutes an immediate risk to the health, safety and personal rights of individuals in care. Civil penalty assessed.
Official plan of correction
Licensee stated they will associate AA criminal record clearance by the due date. The Licensee stated they will verify all staff associations for all current employees by POC due date and send confirmation to the LPA.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
Per CCR 87466: “The licensee shall ensure that residents are regularly observed for changes in physical (..) functioning and that appropriate assistance is provided when such observation reveals unmet needs.” This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, resident R2 had been identified as a fall risk, with multiple occurrences of fall prior and on October 6, 2022. The lack of adequate precautions resulted in the resident becoming injured and requiring surgery. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.
Official plan of correction
POC: Licensee stated they will review the regulation and forward a statement of understanding to LPA by POC due date along with a fall prevention in-service training verification conducted with current facility staff.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87217(d)(2)
- Regulation authority
- CCR
What the official deficiency says
CCR 87217(d)(2) “Except as provided in approved continuing care agreements, no licensee or employee of a facility shall: accept any general or special power of attorney for any such person” This requirement is not being met as evidenced by: Based on record review and interview, Licensee failed to ensure an employee of the facility was not designated as a power of attorney for R1. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee stated they would review the regulations and provide documentation of understanding to LPA by POC due date.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
Per CCR 87211(a)(1) " A written report shall be submitted to the licensing agency (...) within seven days of the occurrence of any of the events specified in (A) through (D) below. (...) (A) Death of any resident from any cause regardless of where the death occurred " ” This requirement is not met as evidenced by: No death or incident reports corresponding to the incidents evidenced during the investigation were found to have been submitted to the Department.
Official plan of correction
Licensee indicated they would conduct an in-service training to staff in charge of reporting serious incidents and deaths. Documentation of training to be provided to the Department.
Deadline recorded: Jul 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2025
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87606(c)
- Regulation authority
- CCR
What the official deficiency says
Per CCR 87606(c): " To accept or retain a person who is bedridden, other than for a temporary illness or recovery from surgery, a licensee shall obtain and maintain an appropriate fire clearance as specified in Section 87202, Fire Clearance. " This requirement is not met as evidenced by: Based on facility observation and records review, resident R3 is assessed as bedridden, however the current fire clearance for the facility does not include any provision for bedridden residents. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.
Official plan of correction
Licensee stated they would submit an updated LIC200 application form to request an update to the current fire clearance.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
Per CCR87468.2(a)(8): " (...)residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, (...). This requirement is not met as evidenced by: Based on evidence reviewed, after activing administrator May Kwok obtained attorney-in-fact status access to two residents’ bank accounts, multiple payments were evidenced to have been made from those accounts for unrelated business and personal expenses. This constitutes an immediate risk to the health, safety and personal rights of individuals in care. Immediate Civil Penalty Assessed.
Official plan of correction
Licensee stated they will refund to R2 or R2’s estate all misappropriated funds taken from their account which amounts to a total of $119,459.40.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87507(g)(3)(C)
- Regulation authority
- CCR
What the official deficiency says
CCR 87507(g)(3)(C) regarding Admission Agreements: “Admission agreements shall specify the following: (C)Any fee that is charged prior to or after admission, shall be clearly specified. This requirement is not met as evidenced by: Based on evidence reviewed, facility staff obtained payments in excess of the actual amounts due for R1 and R2 totaling $97,038 of overpayments. This constitutes an immediate risk to the health, safety and personal rights of individuals in care.
Official plan of correction
Licensee stated that all excessive funds received in payment will be refunded to R2 or R2’s estate in the total amount of $97,038.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(g)
- Regulation authority
- CCR
What the official deficiency says
CCR 87465 (g) “Incidental Medical and Dental Care. The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health appropriate to the conditions and needs of residents.” This requirement is not met as evidenced by: Based on the evidence gathered, despite the repeated pain complaints, it was confirmed that facility staff did not obtain adequate medical attention for the residents’ needs which constitutes an immediate risk to the health, safety and personal rights of individuals in care.
Official plan of correction
Licensee will conduct an in-service training to caregiving staff to ensure appropriate response to falls incidents resulting in potential injury. Civil penalty assessed.
Deadline recorded: Jul 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 29, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
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