Inspection Reports for
Acacia Villas
1620 E. CHAPMAN AVENUE, FULLERTON, CA, 92831
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
100% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 99
Capacity: 99
Deficiencies: 0
Date: Jan 22, 2026
Visit Reason
The inspection was an unannounced complaint investigation into allegations that facility staff were not ensuring resident safety and not following a resident's care plan.
Complaint Details
The complaint alleged that facility staff were not ensuring the safety of Resident #1 (R1) and not following R1's care plan, including concerns about emotional abuse by R1's responsible party, rash care, incontinence care, medication issues, and urinary tract infections. The investigation included interviews with staff, residents, R1, R1's responsible party, and review of medical and hospice records. No evidence was found to substantiate the allegations.
Findings
The investigation found the allegation of staff not ensuring resident safety to be unfounded with no corroborating evidence. The allegation that staff were not following the resident's care plan was deemed unsubstantiated due to insufficient evidence to prove or refute the claim.
Report Facts
Capacity: 99
Census: 99
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Tammy Joo | Administrator | Facility administrator met during inspection |
| Michelle Kwak | Assistant Administrator | Interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 99
Deficiencies: 0
Date: Nov 12, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to investigate an allegation that staff did not prevent a resident from falling multiple times while in care.
Complaint Details
The complaint alleged that staff did not prevent a resident from falling multiple times while in care. The allegation was unsubstantiated after investigation due to lack of sufficient evidence.
Findings
The investigation found that Resident #1 had three falls in September 2023, with no injuries sustained. Staff increased monitoring after the first fall and recommended apartment changes to the family, which were declined. The allegation was deemed unsubstantiated due to insufficient evidence to prove or refute it.
Report Facts
Falls: 3
Estimated Days of Completion: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Lopez | Licensing Program Analyst | Conducted the complaint investigation and visit. |
| Tammy Joo | Executive Director | Facility representative met during the investigation and exit interview. |
Inspection Report
Follow-Up
Census: 97
Capacity: 99
Deficiencies: 1
Date: Jan 2, 2025
Visit Reason
This unannounced Case Management – Incident inspection was conducted to follow up on a self-reported incident involving Resident #1, specifically regarding a fall and related care concerns.
Findings
The inspection found that Resident #1 had a fall resulting in a fractured clavicle and that the facility had a fall prevention plan which was updated after the fall. However, the facility failed to update the resident's appraisal in writing after the stroke-related readmission to document the fall prevention plan, posing a potential safety risk.
Deficiencies (1)
CCR 87463(a) requires pre-admission appraisals to be updated in writing as frequently as necessary to note significant changes in condition and keep the appraisal accurate. The licensee did not update Resident #1’s appraisal after the stroke to include the new fall prevention plan, posing a potential safety risk.
Report Facts
Capacity: 99
Census: 97
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Joo | Administrator | Named in relation to the incident and appraisal update finding |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Follow-Up
Census: 98
Capacity: 99
Deficiencies: 0
Date: Dec 24, 2024
Visit Reason
This unannounced inspection was conducted for a health and safety check and to follow up on a self-reported incident report received by the Orange County Regional Office on 12/24/2024.
Findings
The Licensing Program Analyst observed no health and safety issues during the inspection. The facility was clean and organized, with proper supplies and medication storage. Further investigation was advised.
Inspection Report
Annual Inspection
Census: 97
Capacity: 99
Deficiencies: 0
Date: Dec 14, 2024
Visit Reason
The visit was an unannounced 1-year annual inspection to evaluate compliance with licensing requirements for Acacia Villas Facility.
Findings
The facility was found to be in compliance with all regulations with no deficiencies observed. The facility was clean, well-maintained, and all safety equipment was functional. Infection control practices were observed and found adequate.
Report Facts
Resident service records reviewed: 10
Resident medication records reviewed: 10
Staff files reviewed: 5
Carbon Monoxide detectors: 10
Smoke detectors: 80
Fire extinguishers: 12
Annual Licensing Fee: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Joo | Administrator | Named as facility administrator and involved in inspection process; certification expired at time of inspection |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 0
Date: Nov 20, 2024
Visit Reason
The visit was an unannounced complaint investigation to determine if a resident was not receiving showers as alleged in a complaint received on March 16, 2023.
Complaint Details
The complaint alleged that a resident was not receiving showers. The investigation included interviews with residents and staff, review of shower schedules and billing, and found the complaint to be unfounded.
Findings
The investigation found that all residents interviewed confirmed receiving showers on their scheduled days and additional showers beyond the agreed two per week. The complaint was determined to be unfounded based on the evidence reviewed.
Report Facts
Capacity: 99
Census: 97
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Joo | Administrator | Met during investigation and exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation |
| Michelle Kwak | Business Office Manager | Confirmed shower schedule updates |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 99
Deficiencies: 1
Date: May 29, 2024
Visit Reason
This unannounced Case Management – Incident inspection was conducted for a health and safety check and to follow up on a self-reported incident involving a resident who left the facility unobserved during an overnight shift.
Complaint Details
The investigation was triggered by a self-reported incident on May 23, 2024, regarding Resident #1 leaving the facility unobserved on May 22, 2024. The resident was found nearby with no injuries and relocated to a memory care unit. The complaint was substantiated with a cited deficiency.
Findings
The facility was found clean and organized with no health and safety issues observed. However, a deficiency was cited for inadequate supervision when Resident #1 eloped and was missing for a short period, posing a potential safety risk.
Deficiencies (1)
CCR 87464(f)(1) Basic services shall include care and supervision. The licensee did not provide adequate supervision to Resident #1 when they eloped and were missing for a short time, posing a safety risk.
Report Facts
Census: 95
Total Capacity: 99
Deficiency count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tammy Joo | Administrator | Met with Licensing Program Analyst during inspection and discussed incident |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Annual Inspection
Census: 83
Capacity: 99
Deficiencies: 0
Date: Jun 13, 2022
Visit Reason
This unannounced inspection was conducted for the purpose of an Annual Inspection to evaluate compliance with regulations.
Findings
The inspection found no health and safety issues. Common areas, resident rooms, laundry, and kitchen were clean and organized. Facility policies and COVID-19 protocols were reviewed and found compliant.
Inspection Report
Annual Inspection
Census: 75
Capacity: 99
Deficiencies: 0
Date: Sep 13, 2021
Visit Reason
This unannounced inspection was conducted for the purpose of an Annual Inspection to evaluate compliance with regulations.
Findings
The inspection found no health and safety concerns. The facility was clean, organized, and compliant with COVID-19 related policies and procedures. No deficiencies were cited.
Inspection Report
Follow-Up
Census: 68
Capacity: 99
Deficiencies: 0
Date: Apr 29, 2021
Visit Reason
The inspection was an unannounced Case Management tele-visit conducted due to COVID-19 and as a precautionary follow-up on a self-reported incident involving two residents leaving the facility unnoticed.
Findings
The Licensing Program Analyst found both residents in good health with no health or safety issues. The facility's procedures for resident check-out and safety checks were confirmed, and no deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Martha Marin | Supervisor | Met with the Licensing Program Analyst during the inspection and provided information about the incident. |
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