Inspection Reports for Adelya Senior Home
495 S. Westridge Circle Anaheim Hills, CA 92807, CA, 92807
Back to Facility Profile
Inspection Report
Plan of Correction
Census: 4
Capacity: 6
Deficiencies: 1
Sep 23, 2025
Visit Reason
An unannounced Plan of Corrections Inspection was conducted to verify correction of a deficiency issued on 2025-03-26 during the required annual inspection.
Findings
The stove top has been replaced and is operational; however, two out of four auditory exit alarms are not operational. The Plan of Corrections has not been fulfilled by the assigned due date, thus the deficiency remains.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Two out of four auditory exit alarms are not operational which poses a potential health and safety risk to persons in care. | Type B |
Report Facts
Auditory exit alarms not operational: 2
Total auditory exit alarms: 4
Census: 4
Total capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the Plan of Corrections Inspection |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
| Oscar Jay Quililan | Facility staff who greeted and granted entry to Licensing Program Analyst |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 4
Mar 26, 2025
Visit Reason
An unannounced required annual visit was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to have several deficiencies including non-operational stove burners and audible exit alarms, unsecured utility knife, lack of PRN medication record keeping, and insufficient emergency water supply. Other areas such as resident rooms, bathrooms, food storage, and emergency plans were found to be in compliance.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| 6 out of 6 stove burners are not operational without an external ignitor and 4 out of 4 exits have non-operational audible exit alarms posing an immediate health and safety risk. | Type A |
| A utility knife was found in an unlocked drawer in the living room next to the kitchen posing an immediate health and safety risk. | Type A |
| PRN medications are not recorded when administered, posing a potential health, safety or personal rights risk. | Type B |
| Facility has only 2 gallons of emergency water available for 4 residents and 2 staff members, posing a potential health, safety or personal rights risk. | Type B |
Report Facts
Census: 4
Total Capacity: 6
Deficiencies cited: 4
Emergency water supply: 2
Emergency water supply plan: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the inspection and authored the report |
| Larry Lindsey | Administrator | Facility administrator present during inspection |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Sep 20, 2021
Visit Reason
Licensing Program Analyst Michelle Reed made an unannounced visit to conduct an Annual visit focusing on Infection Control at the facility.
Findings
No deficiencies were noted during the visit. The facility was found to have adequate infection control measures including posted Covid signs, sanitization stations, sufficient PPE supplies, social distancing, and emergency plans.
Report Facts
PPE supply duration: 30
Facility capacity: 6
Resident census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Reed | Licensing Program Analyst | Conducted the inspection visit. |
| Larry Lindsey | Administrator | Facility administrator present during the visit and named in the report. |
Loading inspection reports...
