Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
ANNA'S PARK HAVEN
3911 PARK AVENUE, Hemet CA 92544
6 bedsLatest official report Mar 30, 2026Licensed
Additional info
- Telephone
- (951) 658-6223
- Licensee
- ANNA'S PARK HAVEN LLC
- Administrator
- ANNA ESTANIEL
- Contact
- ANNA ESTANIEL
- License first date
- Mar 4, 2016
- License effective date
- Mar 4, 2016
- District office
- RIVERSIDE ASC · (951) 248-2222
- Regional office
- 18
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 9 Type B deficiencies for this facility.
- Most recent inspection
- Mar 30, 2026
- Most recent deficiency
- Mar 26, 2025
1 later report, on Mar 30, 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 486 Riverside County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 1 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 10
- Type A deficiencies
- 1
- Type B deficiencies
- 9
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 3
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
Well above the typical 1
0 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- 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: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Delgado's observation, interview and record review the licensee did not comply with the section cited above in a fire extinguisher is expired with the date of 2/20/2024, and bedrooms #1 and #3 for residents are not setup according to the approved fire inspection report dated 7/6/2011 which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/27/2025 Plan of Correction Licensee will obtain a current fire extinguisher and set up client bedrooms #1 and #3 according to the facility sketch.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(d)
- Regulation authority
- CCR
What the official deficiency says
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in medical training for Administrator was requested to review and was not provided to LPA to review which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/23/2025 Plan of Correction Licensee will ensure copies of training for Administrator will be in file and email copies to LPA by POC due date.
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 Delgado's observation, interview and record review, the licensee did not comply with the section cited above in no emergency food was observedwhich poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/23/2025 Plan of Correction Licensee will obtain emergency food and email receipt and picture to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(c)
- Regulation authority
- CCR
What the official deficiency says
Maintenance and Operation: (c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in LPA observed three exterior windows missing or torn which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/23/2025 Plan of Correction Licensee will repair window screens and email invoice and pictures to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87305(a)
- Regulation authority
- CCR
What the official deficiency says
Alterations to Exiting to Exiting Buildings or New Facilities: (a) Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in outdoor patio has new electric outlets for power and Administrator confirmed no permits were requested by the City which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/23/2025 Plan of Correction Licensee will obtain building permits for alterations to the patio and email copies to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(5)
- Regulation authority
- CCR
What the official deficiency says
Medical Assessment: (5) The determination whether the person is ambulatory or nonambulatory as defined in Section 87101, Definitions, or bedridden as defined in Health and Safety Code section 1569.72. The assessment shall indicate whether nonambulatory status is based upon the resident's physical condition, mental condition or both This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Delgado's observation, interview and record review, the licensee did not comply with the section cited above in R1 did not have a current phyisican's report and primary diagnosis is Dementia in file poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/24/2025 Plan of Correction Licensee will ensure that resident's LIC602 will be completed and obtain an current LIC602 for resident and email a copy to LPA by POC due date
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care Services: (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 LPA Delgado's observation, interviewand record review, the licensee did not comply with the section cited above in Resident #2 PRN medications were not documented when dosage was taken which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/24/2025 Plan of Correction Licensee will conduct in-service training and provide copies of documentation for PRN medication to LPA by POC due date
Plan of correction recorded
Correction not verified in available records
Inspection
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 observation, the licensee did not comply with the section cited above in that about three chemicals/cleaners were observed to be accessible in bathroom #2. This poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 03/28/2024 Plan of Correction The Administrator immediately removed the chemicals/cleaners and placed them in a secure area at time of inspection.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(C)
- Regulation authority
- CCR
What the official deficiency says
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. 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 in one out of one residents who did not have a written record of care on file. This poses a potential health, safety and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/30/2024 Plan of Correction The Administrator stated a written record of care will be completed for R3 and a copy provided to the Department by the POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)
- Regulation authority
- CCR
What the official deficiency says
(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: 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 in one out of one hospice care plan for one out of one residents. R1 did not have a complete hospice care plan on file for R1. This poses a potential health, safety and personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/28/2024 Plan of Correction The Administrator obtained a copy of R1's Hospice Care Plan from the Hospice agency during the visit.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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