CALIFORNIA LIFESTYLES IV

715 CALLE AMABLE, San Clemente CA 92673

Facility 306004272 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Apr 9, 2026Licensed

Additional info
Licensee
CALIFORNIA LIFESTYLES, LLC
Administrator
ROY OR SHEILA MOELLER
Contact
ROY OR SHEILA MOELLER
License first date
Apr 22, 2011
License effective date
Apr 22, 2011
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 1 Type B deficiency for this facility.

Most recent inspection
Apr 9, 2026
Most recent deficiency
Apr 14, 2025

2 later reports, from Apr 1, 2026 through Apr 9, 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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 0 Type A and 1 Type B deficiencies.

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

Official inspections
5

More than the typical 4

2 in the last 12 months

Recorded deficiencies
1

About the same as most this size

0 in the last 12 months

Type A deficiencies
0

Most this size also have none

0 in the last 12 months

Type B deficiencies
1

About the same as most this size

0 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
Medical and dental careType B
Official classification
Type B
Official code
87465(d)(3)
Regulation authority
CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. 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. Facility is not documenting PRN medication administration which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/28/2025 Plan of Correction Licensee to provide an in-service on PRN administration and forward proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official 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