Inspection Reports for
Estancia Del Sol

CA, 92881

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Citations (last 5 years)

Citations (over 5 years) 0.8 citations/year

Citations are regulatory findings recorded during state inspections.

80% better than California average
California average: 4 citations/year

Citations per year

4 3 2 1 0
2021
2022
2023
2024
2025

Occupancy

Latest occupancy rate 87% occupied

Based on a September 2025 inspection.

Occupancy rate over time

64% 72% 80% 88% 96% 104% Sep 2021 Sep 2022 Nov 2023 Apr 2025 Sep 2025

Inspection Report

Annual Inspection
Census: 118 Capacity: 135 Citations: 0 Date: Sep 11, 2025

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analyst Mary Rico to evaluate the facility's compliance with licensing requirements.

Findings
The facility was found to be operating within its approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection across physical plant, food service, care and supervision, and record review areas.

Report Facts
Resident files reviewed: 10 Resident medications reviewed: 10 Hospice files reviewed: 5 Staff files reviewed: 10

Employees mentioned
NameTitleContext
Lisa HuntAdministratorMet with Licensing Program Analyst during inspection and involved in facility operations
Mary RicoLicensing Program AnalystConducted the unannounced annual inspection visit
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 118 Capacity: 135 Citations: 0 Date: May 19, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-03-04 regarding staff cleaning and sanitizing dishes, hand hygiene procedures, and treatment of residents with dignity and respect.

Complaint Details
The complaint involved three allegations: improper cleaning and sanitizing of dishes and utensils, failure to follow hand hygiene procedures, and failure to treat residents with dignity and respect. The investigation found all allegations unsubstantiated.
Findings
The investigation included resident and staff interviews, facility tour, and document review. All three allegations were found to be unsubstantiated based on evidence, with staff properly cleaning dishes, following hygiene procedures, and treating residents with dignity and respect. No deficiencies were cited during the visit.

Report Facts
Capacity: 135 Census: 118 Staff interviewed: 6 Residents interviewed: 8

Employees mentioned
NameTitleContext
Mary RicoLicensing EvaluatorConducted the complaint investigation
Lisa HuntAdministratorFacility administrator met during the investigation
Antionette DavisLicensing Program AnalystAssisted in conducting the unannounced visit
Efren MalagonSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 124 Capacity: 135 Citations: 1 Date: Apr 23, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not dispense medication as prescribed resulting in hospitalization, and that staff did not address a change in a resident's condition.

Complaint Details
The complaint investigation was triggered by allegations that facility staff did not dispense medication as prescribed resulting in hospitalization and failed to address a resident's change in condition. The medication error allegation was unsubstantiated, but the failure to observe change in condition was substantiated with one deficiency cited.
Findings
The investigation substantiated that facility staff failed to observe a resident's change in condition, resulting in a deficiency citation. However, the allegation that medication was incorrectly dispensed causing a stroke was unsubstantiated due to lack of evidence. One deficiency was cited related to failure to observe resident condition changes.

Citations (1)
Failure to observe a change in condition for Resident #1, posing an immediate health, safety, or personal rights risk.
Report Facts
Facility capacity: 135 Census: 124 Deficiencies cited: 1 Medication dosage error multiplier: 3 Time to stroke after medication error: 36 Plan of Correction due date: Apr 24, 2025

Employees mentioned
NameTitleContext
Mary RicoLicensing Program AnalystConducted the complaint investigation and delivered findings
Lisa HuntAdministratorFacility administrator met during investigation and exit interview
Efren MalagonLicensing Program ManagerOversaw licensing program and signed report

Inspection Report

Annual Inspection
Census: 119 Capacity: 135 Citations: 0 Date: Nov 8, 2024

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst Mary Rico to evaluate the facility's compliance with regulations.

Findings
The facility was found to be operating within approved capacity and in good repair with no obstructions or safety hazards. Resident rooms and common areas were adequately furnished and maintained. Food service and care staffing were sufficient. No deficiencies were cited during the inspection.

Report Facts
Resident files reviewed: 6 Resident medications reviewed: 6 Hospice files reviewed: 6 Staff files reviewed: 6

Employees mentioned
NameTitleContext
Lisa HuntAdministratorMet with Licensing Program Analyst during inspection and named in report
Mary RicoLicensing Program AnalystConducted the unannounced annual inspection
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 125 Capacity: 135 Citations: 1 Date: Nov 13, 2023

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst Ryan Gardner to evaluate compliance with regulations at the Residential Care Facility for the Elderly.

Findings
The facility was found to be operating safely and in good repair with sufficient staffing and proper record keeping. One deficiency was cited for a food service violation where uncovered Jello was found in the refrigerator, posing a potential health risk.

Citations (1)
Uncovered Jello containers in the refrigerator, violating food service requirements for storing perishable foods in covered containers.
Report Facts
Residents files reviewed: 8 Staff files reviewed: 8 Deficiencies cited: 1 Water temperature: 114.6

Employees mentioned
NameTitleContext
Lisa HuntAdministratorMet with Licensing Program Analyst during inspection and received report
Ryan GardnerLicensing Program AnalystConducted the inspection and authored the report
Efren MalagonLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 125 Capacity: 135 Citations: 2 Date: Jun 20, 2023

Visit Reason
An unannounced case management deficiencies visit was conducted in correlation to complaint control number 18-AS-20200513115313 to investigate alleged neglect and failure to meet resident needs.

Complaint Details
The visit was triggered by complaint control number 18-AS-20200513115313. The complaint was substantiated as deficiencies were cited related to neglect and failure to report an incident.
Findings
The facility failed to provide proper care and supervision to Resident #1, who was hooked up to the wrong respiratory machine, and failed to report the incident as required. Staff received counseling and training was provided to all staff on the difference between oxygen and nebulizer treatments.

Citations (2)
Neglect/lack of care and supervision - staff failed to meet resident's needs by hooking Resident #1 to the wrong respiratory machine.
Failure to report the incident of Resident #1 not being hooked up to their oxygen machine as required.
Report Facts
Census: 125 Total Capacity: 135 Plan of Correction Due Date: Jul 4, 2023

Employees mentioned
NameTitleContext
Lisa HuntExecutive DirectorFacility representative met during inspection and recipient of report and appeal rights
Javina GeorgeLicensing Program AnalystLicensing evaluator who conducted the inspection
Joel EsquivelSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Annual Inspection
Census: 126 Capacity: 135 Citations: 0 Date: Sep 23, 2022

Visit Reason
The visit was an unannounced required annual inspection with an emphasis on infection control due to the COVID-19 pandemic.

Findings
The facility was found to be in compliance with no deficiencies cited. The facility has a comprehensive COVID-19 infection control plan, adequate PPE supplies, and follows Community Care Licensing Division guidelines.

Report Facts
Staff present: 22 PPE supply duration: 30

Employees mentioned
NameTitleContext
Ryan GardnerLicensing Program AnalystConducted the inspection and authored the report
Morgan CadmusRegional Director of OperationsFacility representative met during inspection and exit interview
Karen ClemonsLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 107 Capacity: 135 Citations: 0 Date: Mar 8, 2022

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2022-03-02 regarding staff behavior towards residents, including rough handling, yelling, and pushing.

Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation included interviews with staff and residents. No evidence was found to substantiate the allegations; staff and residents denied or were unable to corroborate the claims. The allegations were determined to be unsubstantiated.

Report Facts
Capacity: 135 Census: 107

Employees mentioned
NameTitleContext
Jennifer SeminLicensing Program AnalystConducted the complaint investigation and authored the report
Lisa HuntAdministratorFacility administrator met during the investigation
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 103 Capacity: 135 Citations: 0 Date: Sep 9, 2021

Visit Reason
The inspection visit was an unannounced annual inspection limited to infection control, conducted after a COVID-19 Risk Assessment Screening.

Findings
The facility was found to be successfully incorporating its COVID-19 Mitigation Plan, with adequate hand sanitizer availability, stocked bathrooms, proper PPE supplies, and updated emergency contact information. Staff fit testing for N95 masks was ongoing with some staff already fit tested and others scheduled.

Report Facts
Staff fit testing scheduled date: Sep 14, 2021

Employees mentioned
NameTitleContext
Jennifer SeminLicensing Program AnalystConducted the inspection and met with the administrator
Lisa HuntAdministratorFacility administrator met during inspection and discussed infection control practices
Karen ClemonsSupervisorSupervisor named in the report

Report

June 20, 2023

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