Inspection Reports for Adelya Senior Homes
16912 Saga Drive Yorba Linda, CA 92886, CA, 92886
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Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
May 29, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation that personal items were stolen from a resident's bedroom.
Findings
The investigation found no supporting evidence that the alleged items were stolen or missing. Interviews indicated the resident was confused and the staff member alleged to have taken items was no longer employed. The complaint was determined to be unsubstantiated.
Complaint Details
Complaint was unsubstantiated due to lack of evidence supporting the allegation of stolen personal items from a resident's bedroom.
Report Facts
Capacity: 6
Census: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bethany Moellers | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Larry Lindsey | Administrator / Licensee | Facility administrator involved in the investigation |
| Jerome Haley | Licensing Program Analyst | Conducted staff and outside agency interviews |
| Carla Martinez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 2
Feb 3, 2025
Visit Reason
An unannounced required 1-Year annual visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was generally found to be in compliance with physical plant and operational standards; however, two deficiencies were cited: the facility did not provide an internet access device dedicated for resident use, and one resident had full bed rails without a hospice care plan or order.
Deficiencies (2)
| Description |
|---|
| The facility did not provide an internet access device such as a computer, smart phone, tablet, or other device dedicated for resident use. |
| Resident 4 had full bed rails without a hospice care plan or hospice order specifying the need for full bed rails. |
Report Facts
Plan of Correction Due Date: Feb 17, 2025
Number of residents with full bed rails without hospice plan: 1
Number of residents present: 4
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Edward Kim | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Lourdes Montoya | Licensing Program Manager | Supervisor of the inspection. |
| Imelda Martinez | Caregiver | Met with the Licensing Program Analyst during the inspection and received the exit interview. |
| Lawrence Lindsey | Administrator | Facility administrator who spoke with the Licensing Program Analyst by phone during the inspection. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 7
Feb 20, 2024
Visit Reason
An unannounced visit was conducted for the purpose of a required one year annual inspection of Adelya Senior Home.
Findings
The inspection found that resident bedrooms and bathrooms mostly met regulatory requirements, but there were deficiencies including a non-working smoke detector in resident room #1, stove burners requiring a lighter to ignite, hot water temperatures exceeding regulatory limits, a ripped window screen, a printer not in good repair, clutter in the backyard, and insufficient planned activities for residents.
Severity Breakdown
Type A: 3
Type B: 4
Deficiencies (7)
| Description | Severity |
|---|---|
| The stove was not in good repair; burners needed to be lit with a lighter to ignite the flame. | Type A |
| The smoke detector in resident room #1 was not in good working order. | Type A |
| Hot water temperatures in both resident bathrooms exceeded regulation limits (143.7°F and 139.2°F). | Type A |
| Ripped window screen in resident room #3. | Type B |
| Printer in the dining room was not in good repair and requested documents could not be provided. | Type B |
| Old bed frame and mattress in the backyard needed to be disposed of. | Type B |
| Insufficient planned activities for residents, posing a personal rights risk. | Type B |
Report Facts
Hot water temperature in bathroom #1: 143.7
Hot water temperature in bathroom #2: 139.2
Facility capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lawrence Lindsey | Administrator | Licensee/Administrator contacted during inspection |
| Imelda Martinez | Facility staff member who greeted the inspector and received the exit interview | |
| Elizabeth Mullins | Administrator | Consulted on importance of keeping the facility organized |
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 0
Nov 17, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that residents were not allowed to go to bed when they choose.
Findings
The investigation found that residents do go to bed when they choose, and the allegation was determined to be unfounded based on interviews, observations, and document review.
Complaint Details
The complaint allegation was that residents are not allowed to go to bed when they choose. The allegation was investigated through two visits, interviews with residents and staff, and observations. The allegation was found to be unfounded.
Report Facts
Facility capacity: 6
Resident census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visits |
| Lawrence Lindsey | Administrator | Facility administrator met during the investigation |
| Luz Adams | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Apr 11, 2022
Visit Reason
This was an unannounced required annual inspection conducted to evaluate compliance with facility regulations and policies.
Findings
One deficiency was cited related to incomplete emergency contact information in three out of five resident files. The facility was otherwise observed to be in compliance with infection control, staffing, and safety standards.
Deficiencies (1)
| Description |
|---|
| Three out of five resident files had incomplete emergency contact information, violating emergency care requirements. |
Report Facts
Residents with incomplete emergency contact information: 3
Total residents in care: 5
Total licensed capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence Lindsey | Administrator | Administrator contacted by phone during inspection but was out of town. |
| Claudia Gutierrez | Licensing Program Analyst | Conducted the inspection and authored the report. |
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