Inspection Reports for
Adelya Senior Home II
16419 Vernon Street, Fountain Valley, CA 92708, Fountain Valley, CA, 92708
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
20% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
67% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 1
Date: Mar 16, 2026
Visit Reason
Licensing Program Analyst Eboni Bentley conducted a case management deficiency visit after observing a deficiency during a complaint visit (22-AS-20260310175337).
Complaint Details
The visit was triggered by a complaint (22-AS-20260310175337) and involved a case management deficiency visit.
Findings
A strong urine odor was observed in one resident's bedroom, confirmed by staff to be coming from the commode, posing a potential health and safety risk. A deficiency was cited under Title 22 Division 6 Chapter 8.
Deficiencies (1)
The facility was not clean, safe, sanitary, and in good repair as evidenced by a strong urine odor in a resident's bedroom coming from the commode.
Report Facts
Capacity: 6
Census: 4
Plan of Correction Due Date: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lourdes Montoya | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Jimmy Estrella | Caregiver | Met with during the inspection and interviewed regarding the urine odor |
| Lawrence Lindsey | Administrator/Director | Facility Administrator named in the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 5
Date: Jul 14, 2025
Visit Reason
An unannounced required continuation annual visit was conducted to evaluate compliance with licensing requirements.
Findings
The inspection found multiple deficiencies including incomplete annual training for three staff members, missing physician bed rail orders for three residents, incomplete Needs and Appraisal forms for all five residents, incomplete centrally stored Medication Administration Records, and missing slip mats in three bathrooms which were later provided.
Deficiencies (5)
Three out of five resident records lacked a written physician order for postural support (bed rails).
Three out of three staff did not have current required dementia care training.
Needs and Services Plans were incomplete for five out of five resident records.
Centrally stored medication records and MARs were incomplete for five out of five residents.
Three out of three showers lacked slip-resistant mats at the time of initial inspection.
Report Facts
Residents interviewed: 5
Staff interviewed: 1
Resident files audited: 5
Staff files audited: 3
Deficiencies cited: 5
Plan of Correction Due Date: Jul 22, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence Lindsey | Administrator/Director | Licensee who was contacted by phone and unable to attend the visit |
| Emelda Estrella | Caregiver | Facility staff who greeted the Licensing Program Analyst and signed for the report |
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 5
Date: Jul 14, 2025
Visit Reason
An unannounced required continuation annual visit was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The inspection found multiple deficiencies including incomplete annual training for three staff members, missing physician bed rail orders for three residents, incomplete Needs and Appraisal forms for all five residents reviewed, incomplete centrally stored Medication Administration Records, and missing slip mats in three bathrooms which were later provided.
Deficiencies (5)
Three out of five resident records lacked a written physician order for postural support (bed rails).
Three out of three staff members did not have current required dementia care training completed.
Needs and Services Plans were incomplete for all five resident records reviewed.
Centrally stored medication records and Medication Administration Records were incomplete for all five residents.
Three out of three showers lacked slip-resistant mats at the time of initial inspection.
Report Facts
Residents interviewed: 5
Staff interviewed: 1
Resident files audited: 5
Staff files audited: 3
Deficiencies cited: 5
Plan of Correction due date: Jul 22, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Lawrence Lindsey | Administrator | Facility administrator; unable to attend visit but authorized caregiver to sign. |
| Emelda Estrella | Caregiver | Met with Licensing Program Analyst during inspection and received report. |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Date: Jul 3, 2025
Visit Reason
The inspection was an unannounced required 1-Year annual visit to evaluate compliance with licensing requirements using the CARE Inspection Tool.
Findings
The facility was generally sanitary and appropriately furnished, but deficiencies were cited for excessively high water temperatures in resident bathrooms, insufficient emergency food and water supplies, and maintenance issues with stove burners and refrigerator.
Deficiencies (3)
Water temperature in three resident bathrooms measured between 132.6 to 138.2 degrees F, exceeding the allowed maximum of 120 degrees F.
Two out of four stove burners were not operational without an external ignitor and the kitchen refrigerator was in need of repairs.
Insufficient emergency food and water supplies in the garage; only a two-day supply of perishable food and two cases of emergency water were available, with no non-perishable emergency food supply.
Report Facts
Capacity: 6
Census: 5
Emergency food supply: 2
Emergency water supply: 2
Stove burners: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence Lindsey | Licensee/Administrator | Named in relation to deficiencies and plan of correction |
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection and signed the report |
| Emelda Estrella | Caregiver | Met with Licensing Program Analyst during inspection and received report |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
Date: Jul 3, 2025
Visit Reason
The inspection was an unannounced required 1-Year annual visit to evaluate compliance with licensing requirements using the CARE Inspection Tool.
Findings
The facility was generally sanitary, appropriately furnished, and maintained a comfortable temperature. However, deficiencies were cited for excessively high water temperatures in resident bathrooms, insufficient emergency food and water supplies, and maintenance issues with stove burners and the kitchen refrigerator.
Deficiencies (3)
Water temperatures in three resident bathrooms measured between 132.6 to 138.2 degrees F, exceeding the allowed maximum of 120 degrees F.
Two out of four stove burners were not operational without an external ignitor and the kitchen refrigerator needed repairs.
Insufficient emergency food and water supplies in the garage; only a two-day supply of perishable food and two cases of emergency water were available, with no non-perishable emergency food supply.
Report Facts
Capacity: 6
Census: 5
Water temperature: 132.6
Water temperature: 138.2
Emergency food supply: 2
Emergency water supply: 2
Stove burners non-operational: 2
Fire extinguisher purchase date: Jun 16, 2025
Liability insurance effective date: Jul 1, 2025
Liability insurance expiration date: Jul 1, 2026
Administrator certificate expiration: Dec 25, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence Lindsey | Licensee/Administrator | Named in relation to facility operation and plan of correction |
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection and authored the report |
| Imelda Estrella | Caregiver | Met with the Licensing Program Analyst during the inspection and signed report on behalf of Licensee |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Date: Sep 18, 2023
Visit Reason
Licensing Program Analyst Ruth Martinez conducted an unannounced visit to complete an annual inspection of the facility.
Findings
The facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations with no deficiencies noted. Observations included safe storage of medications and chemicals, adequate food supply, proper safety measures in bathrooms, and operational smoke detectors.
Report Facts
Residents reviewed: 4
Staff records reviewed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Lawrence Lindsey | Administrator | Facility administrator named in report |
| Imelda Estrella | Caregiver | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Date: Sep 18, 2023
Visit Reason
The Licensing Program Analyst conducted an unannounced visit to complete an annual inspection of the facility.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies noted. The environment was safe, well-maintained, and within capacity limits, with proper storage of medications and chemicals, operational smoke detectors, and adequate food supplies.
Report Facts
Residents receiving hospice services: 2
Food supply duration: 7
Food supply duration: 2
Water temperature: 119.8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Lawrence Lindsey | Administrator | Facility administrator mentioned in the report. |
| Imelda Estrella | Caregiver | Greeted the Licensing Program Analyst and accompanied the tour. |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Date: Mar 20, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 03/17/2023 alleging that the facility is dirty.
Complaint Details
The complaint alleging that the facility is dirty was investigated and found to be unsubstantiated due to lack of evidence to prove or refute the allegation.
Findings
The Licensing Program Analyst conducted a tour, interviews, and record reviews and found the facility to be clean, in good repair, and free of odors. Seven interviews with staff and residents did not corroborate the allegation. The complaint was deemed unsubstantiated and no citations were issued.
Report Facts
Residents on hospice: 3
Interviews conducted: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence Lindsey | Administrator | Facility administrator who provided consent for staff to receive and sign report |
| Celine DePerio | Licensing Program Analyst | Evaluator who conducted the complaint investigation visit |
| Imelda Estrella | Caregiver | Staff on duty who received and signed report and participated in the tour |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
Date: Mar 20, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to a complaint alleging that the facility is dirty.
Complaint Details
Complaint alleging the facility is dirty was investigated and found unsubstantiated due to lack of preponderance of evidence.
Findings
The Licensing Program Analyst conducted a tour, interviews, and record reviews and found the facility to be clean, in good repair, and free of odors. Seven interviews with staff and residents did not corroborate the allegation. No citations were issued, and the complaint was deemed unsubstantiated.
Report Facts
Residents on hospice: 3
Total interviews conducted: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Celine DePerio | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Lawrence Lindsey | Administrator | Facility administrator who provided consent for staff to receive and sign report |
| Imelda Estrella | Caregiver | Staff on duty who received and signed the report and participated in the facility tour |
| Luz Adams | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 2
Capacity: 6
Deficiencies: 1
Date: Jul 12, 2021
Visit Reason
Licensing Program Analyst Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required annual inspection of the facility.
Findings
The facility appeared clean and sanitary with residents well cared for, but deficiencies were cited due to unsecured prescription and over-the-counter medications in the unlocked caregiver room, posing an immediate health and safety risk.
Deficiencies (1)
Unsecured prescription medications and over-the-counter medications observed in the unlocked caregiver room, posing an immediate health and safety risk to persons in care.
Report Facts
Capacity: 6
Census: 2
Plan of Correction Due Date: Jul 13, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Lawrence Lindsey | Administrator | Facility administrator with certificate expiring 12/25/2021 |
| Imelda Estrella | Caregiver | Met with LPA during inspection and discussed compliance issues |
Inspection Report
Annual Inspection
Census: 2
Capacity: 6
Deficiencies: 1
Date: Jul 12, 2021
Visit Reason
Licensing Program Analyst Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required annual inspection.
Findings
The facility appeared clean and sanitary with residents well cared for, but unsecured prescription and over-the-counter medications were observed in the unlocked caregiver room, posing an immediate health and safety risk.
Deficiencies (1)
Unsecured prescription medications and over-the-counter medications observed in the unlocked caregiver room, posing an immediate health and safety risk to persons in care.
Report Facts
Deficiencies cited: 1
Capacity: 6
Census: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Lawrence Lindsey | Administrator | Facility administrator with certificate expiring 12/25/2021 |
| Imelda Estrella | Caregiver | Met with LPA and involved in discussion about findings |
| Alisa Ortiz | Licensing Program Manager | Supervisor of the inspection |
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