Inspection Reports for
Adelya Senior Home III
6533 via Estrada, Anaheim Hills, CA 92807, Anaheim Hills, CA, 92807
Back to Facility ProfileCitations (last 6 years)
Citations (over 6 years)
1.7 citations/year
Citations are regulatory findings recorded during state inspections.
58% better than California average
California average: 4 citations/yearCitations per year
8
6
4
2
0
Occupancy
Latest occupancy rate
67% occupied
Based on a March 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Citations: 0
Date: Mar 12, 2026
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations of neglect, staff providing care beyond the scope of the license, failure to provide linens, unmet toileting needs, and lack of daily activities for residents.
Complaint Details
The complaint involved multiple allegations including neglect resulting in pressure injuries, staff providing wound care beyond their license, failure to provide linens, unmet toileting needs, and lack of daily activities. The investigation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff interviews and resident statements indicated that wound care was provided by home health, linens were provided as needed, residents were rotated regularly, toileting needs were met, and activities were offered though residents often chose not to participate. Therefore, the allegations were deemed unsubstantiated.
Report Facts
Capacity: 6
Census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Martinez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Larry Lindsey | Licensee | Facility representative met during the investigation |
| Maricel Lindsey | Administrator | Named as facility administrator |
Inspection Report
Census: 3
Capacity: 6
Citations: 0
Date: Oct 13, 2025
Visit Reason
Licensing Program Analyst Rose Ruppert made an unannounced case management visit to amend a deficiency page from a visit on September 25, 2025.
Findings
The Plan of Correction cited for a Basic Services in-service with staff was completed, and the LIC9099 deficiency page was amended and re-signed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maricel Lindsey | Administrator | Met with Licensing Program Analyst during the visit and involved in exit interview. |
| Larry Lindsey | Licensee spoken to via phone regarding the purpose of the visit and amendment of deficiency page. | |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 3
Capacity: 6
Citations: 0
Date: Oct 7, 2025
Visit Reason
Licensing Program Analyst Rose Ruppert made an unannounced case management visit to amend a deficiency page from a visit on September 25, 2025, and to audit current resident files to ensure all licensing forms were completed.
Findings
The Plan of Corrections cited on the previous deficiency page were acknowledged as completed, including staff in-services for 9-1-1 protocols and documentation for change of condition/re-appraisals. An amended deficiency page was prepared and left at the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maricel Lindsey | Administrator | Met with Licensing Program Analyst during the visit and involved in auditing resident files. |
| Larry Lindsey | Licensee spoken to by phone regarding the purpose of the visit and amendment of deficiency page. | |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Citations: 2
Date: Sep 25, 2025
Visit Reason
An unannounced visit was conducted to complete a Case Management Deficiency investigation related to complaint control number 22-AS-20250414124920 concerning a resident fall and related care issues.
Complaint Details
The visit was complaint-related under control number 22-AS-20250414124920. The complaint involved a resident fall with delayed emergency response and inadequate supervision. The deficiencies were substantiated as the facility failed to provide immediate medical response and failed to update resident assessments despite known risks.
Findings
The investigation found that Resident #1 had an unwitnessed fall on May 13, 2025, with a delay of approximately 52 minutes before 911 was called. The facility failed to provide adequate night supervision despite knowing the resident was a fall risk and wandering at night. The facility also failed to update the resident's reappraisal to reflect new behaviors and fall risk, resulting in a fall with injury and hospitalization.
Citations (2)
Failure to immediately telephone 9-1-1 after a resident's injury or imminent threat to health, resulting in a delay in medical attention after a fall.
Failure to document significant changes in the resident's condition on reappraisal, including fall risk and wandering behavior, leading to inadequate supervision.
Report Facts
Deficiencies cited: 2
Resident census: 4
Facility capacity: 6
Delay in calling 911: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced inspection visit and authored the report |
| Maricel Lindsey | Administrator | Facility Administrator involved in exit interview and cited in findings |
| Larry Lindsey | Licensee | Facility Licensee involved in incident and exit interview |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Citations: 2
Date: Jul 11, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not provide access to a resident's record and did not properly sanitize the facility.
Complaint Details
The complaint was substantiated. Staff denied the Ombudsman access to Resident 1's medical records despite written consent and verbal confirmation from the resident. Staff also failed to properly sanitize the facility, with a strong urine odor observed, especially in Resident 2's room.
Findings
The investigation substantiated that staff denied the Ombudsman access to Resident 1's medical records despite written consent, and that the facility had a strong urine odor, particularly in Resident 2's room, indicating inadequate sanitation and maintenance.
Citations (2)
Failure to provide access to Resident 1's medical records despite written consent, violating confidentiality regulations.
Facility was not clean or sanitary, evidenced by strong urine odor and warped flooring in Resident 2's room.
Report Facts
Capacity: 6
Census: 4
Deficiencies cited: 2
Plan of Correction Due Date: Jul 25, 2025
Plan of Correction Due Date: Aug 8, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Maisyarah Sumantri | Facility staff member met during the investigation |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Citations: 3
Date: Jun 16, 2025
Visit Reason
The inspection was an unannounced required 1-Year annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.
Findings
The facility was found to have unsanitary conditions in the kitchen and bathroom, clutter and toxin storage issues in the garage, and an exit gate in need of repair. Additionally, there were incomplete medical assessments and medication administration records not fully documented for all residents.
Citations (3)
Resident #1 has an incomplete Physician's Report with primary diagnosis missing and missing date next to Physician's signature.
Unsanitary conditions observed in the kitchen and bathroom, clutter and storage of toxins in the garage, and only one exit gate in the backyard which is in need of repair.
Medication administration records (MAR) were not documented for all residents since 6/6/2025, with five out of five resident records deficient.
Report Facts
Residents on census: 5
Total licensed capacity: 6
Medication records deficient: 5
Staff files reviewed: 3
Resident files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lawrence Lindsey | Administrator | Facility administrator contacted by phone during inspection |
| Connie Martinez | Caregiver | Met with Licensing Program Analyst during inspection and received report copy |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Citations: 2
Date: Jun 19, 2024
Visit Reason
Licensing Program Analyst Jerome Haley conducted an unannounced visit to complete the required annual inspection of the facility.
Findings
The facility was generally compliant with regulations, but citations were issued for the stove being in disrepair and a screen door needing repair. The dishwasher was found to be operational after further investigation. Other areas such as hygiene supplies, emergency drills, and safety equipment were adequate.
Citations (2)
The stove is missing knobs and two burners and the warmer will not light unassisted, posing a potential health and safety risk.
The screen door on the sliding door leading to the backyard is in disrepair with a large hole near the handle; oil on kitchen stove knobs; several spiders and spider webs observed in the bathroom near bedrooms.
Report Facts
Deficiencies cited: 2
Staff files reviewed: 3
Resident files reviewed: 5
Residents present: 5
Capacity: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Larry Lindsey | Licensee/Administrator | Met during inspection and named in plan of correction for deficiencies. |
| Jerome Haley | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Lourdes Montoya | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Citations: 1
Date: Nov 16, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 11/08/2023 regarding the facility's failure to report a resident's fall and injury.
Complaint Details
The complaint alleged the facility failed to report a resident’s fall and injury. The allegation was substantiated based on interviews with the Director, staff, Resident 1's son-in-law, physician, hospice provider, and document review.
Findings
The investigation substantiated that the facility failed to report Resident 1's unwitnessed fall and injury to the Regional Office. Interviews and document reviews confirmed the fall occurred on October 18, 2023, and no incident report was submitted as required by regulations.
Citations (1)
Failure to submit a written incident report to the licensing agency within seven days regarding a resident's fall and injury.
Report Facts
Capacity: 6
Census: 5
Plan of Correction Due Date: Nov 22, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Maricel Lindsy | Director | Interviewed during investigation; confirmed failure to report incident |
| Luz Adams | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Citations: 0
Date: May 17, 2022
Visit Reason
Licensing Program Analyst Michelle Reed made an unannounced visit to the facility to conduct an Annual visit as part of the required 1 Year inspection.
Findings
The facility was found to be in compliance with no deficiencies noted. Infection control measures, emergency plans, and safety equipment were all in place and operational. The Administrator's certificate had expired but she was awaiting renewal.
Report Facts
Administrator Certificate Expiry: Feb 3, 2022
Administrator Certificate Expiry: Dec 25, 2023
PPE Supply Duration: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the annual inspection visit |
| Maricel Lindsey | Administrator | Facility Administrator with expired certificate awaiting renewal |
| Larry Lindsey | Licensee met with LPA during inspection; certificate valid until 12/25/23 |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Citations: 0
Date: Aug 20, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that a resident sustained a pressure injury while in care and that the facility refused medical services for the resident.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included a resident sustaining a pressure injury and refusal of medical services by the facility. The investigation included interviews and record reviews and concluded no neglect or refusal of care occurred.
Findings
The investigation found that the allegations were unsubstantiated. Records showed the resident developed a Stage 1 pressure injury prior to the investigation and received appropriate home health and wound care services. There was no preponderance of evidence that the facility neglected the resident or refused medical services.
Report Facts
Facility capacity: 6
Census: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maricel Lindsey | Administrator | Facility administrator met during investigation |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Citations: 0
Date: Jun 29, 2021
Visit Reason
Licensing Program Analyst Michelle Reed made an unannounced visit to the facility for an Annual visit as part of the required 1 Year inspection.
Findings
The facility was found to be clean and sanitary with all required postings and emergency plans in place. No deficiencies were noted during the visit. Staff were advised on maintaining PPE supplies and visitor screening procedures.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the annual inspection visit. |
| Maricel Lindsey | Administrator | Facility administrator contacted during the visit. |
| Connie Martinez | Staff member met during the visit and received a copy of the report. |
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