Inspection
No deficiencies recorded in this report
ORANGE SENIOR HOME INC.
4994 VIA ROSA, Yorba Linda CA 92887
6 bedsLatest official report Jun 4, 2026Licensed
Additional info
- Telephone
- (714) 213-4840
- Licensee
- ORANGE SENIOR HOME INC.
- Administrator
- KIM, TAE SUN
- Contact
- KIM, TAE SUN
- License first date
- May 19, 2025
- License effective date
- May 19, 2025
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY
Summary
The available records show 11 Type B deficiencies for this facility.
- Most recent inspection
- Jun 4, 2026
- Most recent deficiency
- May 1, 2026
1 later report, on 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 5 reports for this facility: 2 inspections, 0 complaint investigations, and 3 licensing or administrative records.
Those records contain 0 Type A and 11 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 2
- Recorded deficiencies
- 11
- Type A deficiencies
- 0
- Type B deficiencies
- 11
- Substantiated complaints
- 0
- Repeated topics
- 0
Fewer than the typical 4
2 in the last 12 months
Well above the typical 1
11 in the last 12 months
Most this size also have none
0 in the last 12 months
Well above the typical 1
11 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
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's review of records, there is no death report for a former resident on hospice reported to the department. This poses as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will provide death report to LPA by POC due date or during POC visit.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- 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 review of facility records, licensee unable to provide proof of liability for the facility. This poses as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will agree to get required liability insurance and provide proof of liability coverage for the facility to LPA by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement During the physical plant tour, LPA tested the water temperature and had a low temperature reading of 94.6 F. This poses as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will fix the water temperature to meet department standards between 105-120 F. Will provide proof of water temeperature reading to LPA by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on the physical plant tour, LPA observed an unused bed frame was in the middle of the hallway path. This poses as a potential health and safety risk to residents in care..
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will make sure pathways are clear of obstruction, remove objects and furniture by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87413(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) When regular staff members are absent, there shall be coverage by personnel with qualifications adequate to perform the assigned tasks. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's review of records there is no staff roster or schedule. LPA is worried there is insufficient staff at the facility. This poses as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will create and provide a staff roster, LIC 500 to show scheduling and provide to LPA by POC due date or by POC visit.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on review of facility records, there were no staff files to review. Licensee did not create staff files with the required documentation. This poses as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction LIcensee will create, organized, and maintain staff files to include the following: Personnel Record form (LIC501), Background Clearance Notice, Health Screening form (LIC503) with TB test results, Proof of 1st Aid/CPR, and Staff annual training. LIcensee will complete this by POC due date or by POC visit and provide proof of completed files and documents.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of records. The administrator did not complete annual staff training. This poses as a potential health and safey risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will provide proof of 20 hours of annual required training to LPA by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on review of resident records. Current resident does not have any documents completed such as medical assessment, personal rights forms, pre-appraisal, needs and service, resident appraisal forms. This poses as a potential health and safety risk to residents in care..
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will complete and organize resident files to include: medical assessment, personal rights forms, medical consent forms, pre-appraisal forms, needs and service forms, resident appraisal forms, Identification and emergency contact form completed by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation. There was no emergency food supply for disasters. This poses as a potential health and safety of residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will have emergency food for the facility and provide proof to LPA by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
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 LPA's review of facility records, licensee did not conduct any quarterly emergency disaster drills. This poses as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will create disaster drill log for the facility and conduct drills and record them and provide proof to LPA by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(e)(1)
- Regulation authority
- HSC
What the official deficiency says
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (1) A resident roster with the date of birth for each resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's review of facility records, there is no client/resident roster. This poses as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 06/01/2026 Plan of Correction Licensee will create a client roster list to LPA and provide proof of completion by POC due date or POC visit.
Plan of correction recorded
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
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