The available records show 4 Type A and 1 Type B deficiencies for this facility.
Most recent inspection
Sep 15, 2025
Most recent deficiency
Sep 15, 2025
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 7 reports for this facility: 6 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 4 Type A and 1 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
Official inspections
6
More than the typical 4
1 in the last 12 months
Recorded deficiencies
5
More than the typical 1
1 in the last 12 months
Type A deficiencies
4
Most this size have none
0 in the last 12 months
Type B deficiencies
1
About the same as most this size
1 in the last 12 months
Substantiated complaints
1
Most this size 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.
(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 as drills have been conducted only annually which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/16/2025 Plan of Correction Licensee formalized the intent to schedule the next drill in December after it was conducted in August (as reviewed during the visit) and quarterly thereafter.
87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training (...) (3) The training shall include, but not be limited to, the following: (...) (D) Policies and procedures regarding medications, (...) This requirement is not met as evidenced by the observations and interviews conducted during the site visit.
Official plan of correction
Licensee agrees to provide documentation of the onboarding and annual training on medication handlign and dispensation.
Deadline recorded: Jun 2, 2022. A deadline is not proof that correction was completed.
87621 Colostomy/Ileostomy the licensees shall be responsible for the following: (A) The ostomy bag (...) may be changed by facility staff who have been instructed by the professional. (B) There shall be written documentation by an appropriately skilled professional outlining the instruction of the procedures delegated and the names of facility staff (...) This requirement is not met as evidenced by the absence
Official plan of correction
Licensee agrees to provide LPA with documentation of adequate training provided to all facility staff involved in caring for resident R1 colostomy bag.
Deadline recorded: Jun 2, 2022. A deadline is not proof that correction was completed.
Personal Rights of Residents in all facilities-(a)(2) To be accorded safe, healthful and comfortable accomodations, furnishings and equipment. The licensee failed to protect the personal rights of residents in care as evidenced by the LPA's observation. This poses an immediate risk to the health and safety of residents in care.
Official plan of correction
Licensee will train staff to perform screening before entry as well as ensure appropriate screening is being systematically performed before entry of any visitor into the facility.
Deadline recorded: Feb 10, 2022. A deadline is not proof that correction was completed.
Incidental Medical and Dental Care Services. Centrally stored medications shall be kept in a safe locked place that is not accessible to persons ther than employees responsible for the supervision of the medication. This requirement is not met as evidenced by: LPAs observed 24hr supply of prepared medication being stored in an unlocked drawer. This poses an immediate risk to the health and safety of residents in care.
Official plan of correction
The 24hr supply of medication will be stored in the locked cabinet.
Deadline recorded: Feb 10, 2022. A deadline is not proof that correction was completed.
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.