Inspection
No deficiencies recorded in this report
TRADITIONS AT LUCERO WAY
17801 LUCERO WAY, Tustin CA 92780
6 bedsLatest official report Oct 3, 2025Licensed
Additional info
- Telephone
- (714) 769-5858
- Licensee
- CROWN PACIFIC VENTURES, INC
- Administrator
- REYES, LORDELE DE LOS
- Contact
- REYES, LORDELE DE LOS
- License first date
- Sep 27, 2021
- License effective date
- Sep 27, 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 6 Type A and 7 Type B deficiencies for this facility.
- Most recent inspection
- Oct 3, 2025
- Most recent deficiency
- Sep 23, 2025
1 later report, on Oct 3, 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: 4 inspections, 0 complaint investigations, and 1 licensing or administrative record.
Those records contain 6 Type A and 7 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 13
- Type A deficiencies
- 6
- Type B deficiencies
- 7
- Substantiated complaints
- 0
- Repeated topics
- 0
About the same as most this size
2 in the last 12 months
Well above the typical 1
10 in the last 12 months
Most this size have none
5 in the last 12 months
Well above the typical 1
5 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
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.605
- Regulation authority
- HSC
What the official deficiency says
On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and observation Administrator Lordele De Los Reyes stated facility could not produce liability insurance.
Official plan of correction
POC Due Date: 09/24/2025 Plan of Correction Administrator stated will produce a copy of liability insurance to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed and interviews the licensee did not comply with the section cited above in 1 out of 3 staff members which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 09/24/2025 Plan of Correction Corrected during visit. An immediate civil penalty assessed.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed the licensee did not comply with the following in 1 out of 5 residents as Resident 1 on LIC 858 did not have results of TB test on record. This poses an immediate health and safety risks to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee to obtain negative tb test for R1 and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed the licensee did not comply with the above in 5 out of 5 residents as no apprasials were conducted or updated as needed. This poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee to complete appraisals for all 5 residents and provide proof by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87463(h)(1)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed the Licensee did not comply with the following in 3 out of 5 residents as 3 residents did not have any updated medical assessment or documentation of visits. This poses an immediate health and safety risks to persons in care.
Official plan of correction
POC Due Date: 09/24/2025 Plan of Correction Licensee agreed to obtain updated physician's reports for the 3 residents in care and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(g)
- Regulation authority
- CCR
What the official deficiency says
(g) All personnel records shall be maintained at the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation Licensee did not maintian staff records at the facility in 2 out of 3 staff members, This poses a potential health and safety risks to persons in care.
Official plan of correction
POC Due Date: 09/23/2025 Plan of Correction Corrected during visit. Licensee brought files to facility and agreed to maintain facility staff files on premises.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)(11)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed the licensee did not comply with the following in 2 out of 3 staff members as they did not have a health screening on record. This poses a potential health and safety risks to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee agreed to have staff retain a health screening on record and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468(c)(2)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20” x 26” in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the cited above as the licensee does not have PUB 475 in regulation size of 20X 26.
Official plan of correction
POC Due Date: 10/01/2025 Plan of Correction Licensee to obtain PUB 475 in regulation size and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(8)
- Regulation authority
- CCR
What the official deficiency says
(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations the licensee did not comply with the cited above as there were expired food items (seasonings and instant mashed potatoes) in kitchen cabinets. This poses a potential health risks to persons in care.
Official plan of correction
POC Due Date: 09/23/2025 Plan of Correction Corrected during visit. Licensee agreed to conduct quarterly checks on food expiration dates and keep records of dates.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed the licensee did not compy with the cited above as 5 out of 5 residents' admission agreements were missing facilty representative's signature. This poses a potential personal rights risks to persons in care.
Official plan of correction
POC Due Date: 10/01/2025 Plan of Correction Licensee agreed to sign all admission agreements and provide proof by POC due date. Licensee agreed to implement a check list for pre admission paperwork.
Plan of correction recorded
Correction not verified in available records
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)(2)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on Licensing Program Analyst observation, interviews and record review the licensee did not comply with the section cited above in one of five residents which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/06/2024 Plan of Correction Administrator will obtain updated physician's report with change to non-ambulatory status since resident was on hospice services and was released from hospice.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose 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 Licensing Program Analyst (LPA) observations the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 08/30/2024 Plan of Correction Licensee immediately secured Chlorox bleach in a locked storage area.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on Licensing Program Analyst (LPA) observation, interview and 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.
Official plan of correction
POC Due Date: 09/06/2024 Plan of Correction Licensee obtained orders for one of the two postrual supports needed and will obtain physician's orders for full bed rails by POC correction date. Proof of documentation will be sent to LPA via email.
Plan of correction recorded
Correction not verified in available records
Inspection
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